ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 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 2 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.
Question 3 of 5
A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Perform chest physiotherapy every 4 hours. In CF patients, mucus buildup in the lungs can lead to respiratory distress. Chest physiotherapy helps loosen and clear the mucus, improving breathing. This intervention is essential in managing respiratory symptoms in CF patients. A: Schedule a sweat chloride test - This test is used to diagnose CF but is not an immediate intervention for a patient experiencing increased dyspnea. B: Arrange for a hospice nurse visit - Hospice care is not appropriate for a young adult with CF experiencing increased dyspnea unless the patient is in end-of-life care. C: Place the patient on a low-sodium diet - While nutrition is important in CF management, a low-sodium diet is not the priority when a patient is struggling to breathe.
Question 4 of 5
The nurse teaching a group of adults about cancer warning signs presents to the group a list of the seven possible warning signs of cancer that is used by the American Cancer Society. What should this list NOT include?
Correct Answer: A
Rationale: The correct answer is A: Areas of alopecia. This is because alopecia, which refers to hair loss, is not typically recognized as a common warning sign of cancer according to the American Cancer Society. The other choices (B, C, D) are commonly known warning signs of cancer such as sores that do not heal, nagging cough or hoarseness, and indigestion or difficulty swallowing, respectively. It is important for the nurse to provide accurate and relevant information to the group in order to educate them effectively on cancer warning signs.
Question 5 of 5
A patient with chronic heart failure who is taking a diuretic and an angiotensin-converting enzyme (ACE) inhibitor and who is on a low-sodium diet tells the home health nurse about a 5-Ib weight gain in the past 3 days. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Assess the patient for manifestations of acute heart failure. In this scenario, the patient's sudden weight gain could indicate fluid retention, a common sign of acute heart failure exacerbation. Assessing the patient for other symptoms such as shortness of breath, increased fatigue, or edema can help determine if the patient's condition is worsening. This immediate assessment is crucial for prompt intervention to prevent further complications. Choices A, C, and D are incorrect as they do not address the urgency of the situation. Teaching about sodium restriction is important but not the priority in this acute situation. Asking about medication use and dietary intake can wait until the immediate concern of acute heart failure exacerbation is addressed.