ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/μL and a band count of 11%. What prescribed action should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Obtain cultures of the wound. With an elevated WBC count and high band count, there is a high suspicion of infection. Obtaining cultures will help identify the specific pathogen causing the infection and guide appropriate antibiotic therapy. This is crucial for effective treatment and preventing complications. Incorrect choices: B: Beginning antibiotic administration without knowing the specific pathogen may lead to inappropriate treatment. C: Continuing to monitor the wound for drainage does not address the underlying infection. D: Redressing the wound with wet-to-dry dressings does not address the need for identifying the specific pathogen causing the infection.
Question 2 of 5
The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism of the left lower leg. Which action by the nurse is best?
Correct Answer: D
Rationale: The correct answer is D because elevating the thighs and lower legs above the heart level promotes venous return and reduces swelling in the affected leg, aiding in the prevention of complications related to venous thromboembolism. Placing one pillow under the thighs and two pillows under the lower legs ensures proper elevation and support. A: Placing the bed in Trendelenburg position isn't appropriate as it involves the head being lower than the feet, which could increase pressure on the lower extremities and potentially worsen the condition. B: Placing two pillows under the calf of the affected leg doesn't provide sufficient elevation for optimal venous return and may not effectively reduce swelling. C: Elevating only at the knee and placing pillows under both feet may not adequately elevate the lower extremities above heart level, limiting the effectiveness of venous return and swelling reduction.
Question 3 of 5
A nurse prepares a client for a pharmacologic stress echocardiogram. What actions would the nurse take when preparing this client for the procedure? (Select the one that does not apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. A central venous access device is not needed for a pharmacologic stress echocardiogram. 2. Continuous blood pressure and pulse monitoring are essential during the procedure. 3. Beta blockers may be administered to the client as part of the preparation. 4. NPO status is required to ensure accurate test results and to prevent aspiration. Summary: Choice A is incorrect because a central venous access device is not necessary for a pharmacologic stress echocardiogram. Choices B, C, and D are correct as they are essential steps in preparing a client for the procedure.
Question 4 of 5
Which information will the nurse include in the teaching plan for a patient newly diagnosed with asthma?
Correct Answer: D
Rationale: Step 1: Tremors as a side effect of rapidly acting bronchodilators are common due to their impact on the sympathetic nervous system. Step 2: Educating the patient about this side effect prepares them for what to expect and reduces anxiety. Step 3: This knowledge helps the patient differentiate between expected side effects and potential adverse reactions. Step 4: It is crucial for the patient to be informed about common side effects to ensure adherence to treatment. Summary: Choice D is correct because informing the patient about expected side effects like tremors is essential for treatment adherence. Choices A, B, and C are incorrect because they do not address crucial information related to side effects and proper inhaler technique for asthma management.
Question 5 of 5
The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Step 1: Identifying and avoiding environmental triggers directly addresses the root cause of allergic rhinitis by minimizing exposure to allergens. Step 2: By avoiding triggers, the patient can prevent or reduce symptoms without relying solely on medications. Step 3: This approach is holistic and empowers the patient to take control of their condition. Summary: Choice A focuses on treatment rather than prevention. Choice C addresses hygiene but not the cause of allergic rhinitis. Choice D highlights limitations of corticosteroids but doesn't emphasize prevention. Choice B is correct as it targets prevention through trigger avoidance.