ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
A patient has an order for two puffs of an inhaler. How long should the nurse wait before administering the second puff?
Correct Answer: B
Rationale: The correct answer is B: Wait 1-5 minutes as prescribed. This is because waiting 1-5 minutes allows the medication to be fully absorbed and maximizes its therapeutic effect. Administering the second puff immediately may lead to overdose or improper absorption. Waiting 10 or 15 minutes may delay the therapeutic effect and compromise the patient's response to treatment. Therefore, waiting 1-5 minutes is the optimal timing for administering the second puff of the inhaler.
Question 2 of 5
Which area of a client9s space does the nurse function most often during physical assessment?
Correct Answer: C
Rationale: The correct answer is C: Intimate. During a physical assessment, the nurse functions most often in the intimate area of the client's personal space. This area involves physical touch and close proximity to the client's body, such as when assessing vital signs, auscultating the heart and lungs, or examining genitalia. It is essential for the nurse to establish trust and maintain professionalism when working in the intimate space to ensure the client's comfort and privacy. A: Public space is too distant for physical assessment. B: Social space is used for casual interactions, not physical exams. D: Personal space is closer than public space but not as intimate as needed for physical assessment.
Question 3 of 5
Which nursing interventions will the nurse include in the plan of care for a confused older adult with dementia to facilitate communication? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A because frequent face-to-face contact helps establish a connection and maintain attention with the confused older adult. This approach allows the nurse to monitor nonverbal cues and adjust communication accordingly. Choices B, C, and D are incorrect. Speaking calmly, simply, and directly (B) is generally helpful but not specific to facilitating communication with a confused older adult with dementia. Using clocks and calendars for orientation (C) may be overwhelming for someone with dementia. Answering questions in detail (D) can lead to confusion and may not be helpful for someone with cognitive impairment.
Question 4 of 5
The intensive care unit (ICU) nurse cares for a blind client, who is on contact precautions, maybe experiencing:
Correct Answer: C
Rationale: The correct answer is C: sensory deprivation. Sensory deprivation refers to the inadequate amount or quality of sensory input. In this case, the blind client on contact precautions may experience a lack of visual, tactile, and auditory stimuli due to limited interaction and isolation. This can lead to feelings of loneliness, anxiety, and confusion. Choice A: Sensory deficit implies a reduced ability to perceive sensory information, which may not be directly related to the client's condition. Choice B: Sensory overload is an excessive amount of sensory stimuli, which is not likely in a controlled ICU environment for a blind client. Choice D: Sensory overstimulation suggests an overwhelming amount of sensory input, which is also unlikely for a blind client in an ICU setting.
Question 5 of 5
The nurse is caring for a client who has disturbed sleep patterns. Which measures should the nurse implement to promote sleep? Select all that apply.
Correct Answer: A
Rationale: Correct Answer: A (Dimming the lights) Rationale: 1. Dimming the lights helps create a conducive environment for sleep by signaling the body to produce melatonin, a hormone that regulates sleep-wake cycles. 2. Reduced light exposure promotes relaxation and triggers the body's natural sleep mechanisms. 3. Bright lights can interfere with the body's circadian rhythm, making it difficult to fall asleep. Summary of Incorrect Choices: B. Administration of a diuretic is unrelated to promoting sleep and may actually disrupt sleep patterns by causing frequent trips to the bathroom. C. Promoting daytime exercises can be beneficial for overall health but may not directly address disturbed sleep patterns. D. Suggesting a bottle of wine before sleep is not recommended as alcohol can disrupt sleep quality and lead to fragmented sleep patterns.