ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
A patient has chronic peripheral artery disease (PAD) of the legs and an ulcer on the right second toe. What should the nurse expect to find on assessment?
Correct Answer: C
Rationale: The correct answer is C: dry. In chronic PAD, decreased blood flow to the legs can lead to dry, shiny, and cool skin due to decreased moisture and oxygenation. This can result in impaired wound healing. Dilated superficial veins (A) are more commonly seen in venous insufficiency. Swollen (B) and scaly ankles (D) are not typically associated with chronic PAD but may be seen in conditions such as heart failure or dermatitis.
Question 2 of 5
The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy. Which information should the nurse include about the patient’s postoperative care?
Correct Answer: C
Rationale: The correct answer is C: Frequent use of an incentive spirometer. This is essential post-pneumonectomy to prevent atelectasis and promote optimal lung expansion. Incentive spirometry helps the patient take deep breaths, improving lung function and preventing complications. Option A is incorrect because early mobilization is encouraged postoperatively to prevent complications. Option B is incorrect as positioning should vary to promote lung expansion. Option D is incorrect as chest tubes are usually placed to water seal, not continuous suction, to prevent complications.
Question 3 of 5
A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, 'Will I be able to talk normally after surgery?' What is the most accurate response by the nurse?
Correct Answer: C
Rationale: Rationale for correct answer C: After a total laryngectomy, the patient loses their natural voice box, making it impossible to speak normally. The permanent opening in the neck, called a stoma, allows breathing. Speech rehabilitation is essential for voice restoration using techniques like esophageal speech or voice prosthesis. This answer is accurate as it addresses the patient's concerns about speech post-surgery. Summary of other choices: A: Incorrect. This choice is too definitive and does not acknowledge the possibility of voice restoration through rehabilitation. B: Incorrect. While the tracheostomy tube may affect speech initially, it does not address the long-term impact of a laryngectomy on speech. D: Incorrect. While artificial voice devices can help with speech, they do not provide a complete solution for normal speech post-laryngectomy.
Question 4 of 5
The home health nurse is visiting a patient with chronic obstructive pulmonary disease (COPD). Which nursing action is appropriate to implement for a patient who has an impaired breathing pattern due to anxiety?
Correct Answer: B
Rationale: The correct answer is B: Teach the patient how to use the pursed-lip technique. This is because the pursed-lip technique helps improve breathing efficiency and reduce anxiety-related hyperventilation in COPD patients. By prolonging exhalation, it promotes better gas exchange and decreases respiratory rate, ultimately easing breathing difficulties. A: Titrating O2 is important in COPD patients, but in this case, addressing the anxiety-induced breathing pattern is more immediate. C: Discussing diet is important for overall health in COPD, but it doesn't directly address the breathing pattern due to anxiety. D: Using sedative medications can be harmful, as it may depress the respiratory drive further in COPD patients.
Question 5 of 5
To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? (Select all that do not apply.)
Correct Answer: A
Rationale: Rationale: A chest x-ray is not necessary for monitoring complications in type 2 diabetes. The correct tests are B, C, and D. Blood pressure monitoring is crucial for assessing cardiovascular risk, serum creatinine for kidney function, and urine microalbuminuria for early detection of diabetic nephropathy. A chest x-ray does not directly relate to diabetes complications and is not a routine annual test for diabetic patients.