ATI RN
Adult Health Nursing Quizlet Final Questions
Question 1 of 5
A patient is prescribed a calcium channel blocker for the management of hypertension. Which adverse effect should the nurse monitor closely in the patient?
Correct Answer: D
Rationale: Calcium channel blockers are often prescribed for the management of hypertension because they can help relax blood vessels and slow the heart rate, thus reducing blood pressure. One of the major adverse effects associated with calcium channel blockers is bradycardia (slow heart rate) or even more rarely, tachycardia (fast heart rate). Therefore, in a patient prescribed a calcium channel blocker for hypertension, the nurse should closely monitor for any signs and symptoms of tachycardia as it can be a serious adverse effect that needs prompt evaluation and intervention to prevent complications.
Question 2 of 5
A patient is prescribed an angiotensin-converting enzyme (ACE) inhibitor for the management of hypertension. Which adverse effect should the nurse monitor closely in the patient?
Correct Answer: A
Rationale: When a patient is prescribed with an angiotensin-converting enzyme (ACE) inhibitor for managing hypertension, the nurse should monitor closely for signs of hyperkalemia. ACE inhibitors can affect the renin-angiotensin-aldosterone system, leading to decreased aldosterone secretion and impaired potassium excretion by the kidneys. As a result, potassium levels in the blood may increase, leading to hyperkalemia.
Question 3 of 5
After administering anesthesia to the patient, the nurse notices a sudden drop in blood pressure. What is the nurse's priority action?
Correct Answer: B
Rationale: The nurse's priority action after noticing a sudden drop in blood pressure after administering anesthesia is to assess the patient's airway, breathing, and circulation (ABCs). This is crucial to determine the immediate cause of the sudden drop in blood pressure and to ensure the patient's safety and stability. Assessment of the ABCs will help identify any potential airway obstruction, respiratory distress, or circulatory issues that may be contributing to the drop in blood pressure. Once the assessment is done, appropriate interventions can be initiated to stabilize the patient's condition. Administering vasopressors, documenting the blood pressure readings, and notifying the anesthesiologist are important actions but assessing the ABCs takes precedence in this situation to ensure the patient's immediate needs are addressed.
Question 4 of 5
While preparing the operating room (OR) for a surgical procedure, the nurse notices a spill of bodily fluids on the floor. What is the nurse's priority action?
Correct Answer: A
Rationale: The nurse's priority action when noticing a spill of bodily fluids on the floor while preparing the operating room for a surgical procedure is to clean up the spill using appropriate infection control measures. This is essential to prevent the spread of infections and ensure a safe surgical environment for both patients and healthcare providers. Cleaning up the spill promptly and properly reduces the risk of contamination and subsequent infections. Once the spill is cleaned up, the nurse can then proceed with documenting the spill, placing warning signs to alert others, and continuing with the preparation of the OR as planned. But the initial priority is to eliminate the immediate threat posed by the spill through proper cleaning and infection control measures.
Question 5 of 5
A nurse is caring for a patient with limited mobility and is planning interventions to prevent pressure injuries. What action by the nurse demonstrates evidence-based practice in pressure injury prevention?
Correct Answer: C
Rationale: Placing the patient on an alternating pressure mattress demonstrates evidence-based practice in pressure injury prevention. Alternating pressure mattresses are designed to change pressure points by alternating pressure across different parts of the body, reducing the risk of pressure injuries. Regularly turning and repositioning the patient (Choice B) is also important in preventing pressure injuries, but an alternating pressure mattress provides additional support and prevention measures. Applying moisturizing lotion (Choice A) and massaging bony prominences (Choice D) may be beneficial for skin care, but they are not proven strategies for pressure injury prevention.