ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
A patient seen in the asthma clinic has recorded daily peak flowrates that are 75% of the baseline. Which action will the nurse plan to take next?
Correct Answer: B
Rationale: The correct answer is B. Administer a bronchodilator and recheck the spirometry. This action is appropriate because the patient's peak flowrates are only 75% of baseline, indicating possible bronchoconstriction. Administering a bronchodilator can help alleviate the bronchoconstriction and rechecking spirometry can assess the response to the treatment. Choice A (Teaching about oral corticosteroids) is incorrect as it is not the first-line intervention for a peak flowrate decrease. Choice C (Increasing leukotriene inhibitor dose) is incorrect because there is no indication that the current dose is ineffective. Choice D (Keeping the follow-up appointment) is important but not the immediate action needed for a patient with decreased peak flowrates.
Question 2 of 5
The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed?
Correct Answer: B
Rationale: The correct answer is B because using nasal decongestant spray for an extended period can lead to rebound congestion and worsening of symptoms. Choice A is correct as hydration helps thin mucus. Choice C is correct as acetaminophen can help alleviate sinus discomfort. Choice D is correct as changes in nasal secretions or sputum can indicate worsening infection.
Question 3 of 5
A patient whose cancer has been staged at T4 N2 M2 has been assigned for care. What is the best interpretation of this staging information in planning care for this patient?
Correct Answer: C
Rationale: The correct answer is C because the staging T4 N2 M2 indicates an advanced stage of cancer where the primary tumor is large (T4), multiple lymph nodes are involved (N2), and distant metastases are present (M2). This means the cancer has spread extensively beyond its original site, requiring comprehensive treatment. Gentle touch and therapeutic listening can be beneficial in providing comfort and support for the patient dealing with such advanced disease. Choice A is incorrect because the presence of lymph node involvement and distant metastases indicate a poor prognosis, not necessarily good news. Choice B is incorrect as it suggests the primary tumor has responded well to treatment, which is inconsistent with the staging information provided. Choice D is incorrect as it oversimplifies the situation by focusing only on the primary tumor, disregarding the importance of addressing the metastases for effective care planning.
Question 4 of 5
The nurse is doing volunteer work in a homeless shelter. The nurse should monitor the individuals for which initial signs and symptoms of tuberculosis? Select the one that does not apply.
Correct Answer: A
Rationale: The correct answer is A: Chest Pain. Chest pain is not typically an initial sign or symptom of tuberculosis. The most common initial signs and symptoms include fatigue, morning cough, and lethargy. Monitoring for these symptoms is crucial in detecting tuberculosis early for prompt treatment. Chest pain may occur in later stages or due to complications but is not a primary indicator. Thus, the nurse should focus on observing for fatigue, morning cough, and lethargy as initial signs of tuberculosis in individuals at the homeless shelter.
Question 5 of 5
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.