ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 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: In this scenario, the correct answer is A) Pruritus, cutaneous flushing. Niacin, also known as nicotinic acid, is commonly prescribed to help lower lipid levels. The adverse effects of pruritus (itching) and cutaneous flushing (reddening of the skin) are well-documented with niacin therapy. These effects are due to prostaglandin-mediated vasodilation and are often referred to as "niacin flush." While uncomfortable, they are usually harmless and can be minimized by taking the medication with food or using a slow-release formulation. Option B) Tinnitus, urine with a burnt odor, is incorrect because these are not commonly associated adverse effects of niacin. Tinnitus is more commonly associated with medications that affect the auditory system, while urine with a burnt odor is not a typical side effect of niacin. Option C) Myalgia, fatigue, and Option D) Blurred vision, headaches are also incorrect. Myalgia and fatigue are more commonly associated with statin therapy rather than niacin. Blurred vision and headaches are not typically seen as adverse effects of niacin therapy. Educationally, understanding the common adverse effects of medications is crucial for nurses to provide safe and effective care. By knowing the expected side effects of niacin, nurses can educate patients on what to expect, how to manage these effects, and when to seek further medical advice. This knowledge enhances patient safety and promotes medication adherence.
Question 2 of 5
The nurse is assisting the physician with insertion of a chest tube the nurse notes fluctuations of the fluid level in the water seal chamber after the tube is inserted based on this observations the nurse takes which of the following actions?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to take is option A) Document the accurate functioning of the tube. This is the correct choice because fluctuations in the water seal chamber indicate that the chest tube is functioning properly, allowing for the equalization of pressure within the pleural space. Documenting this observation is crucial for monitoring the patient's condition and treatment effectiveness. Option B) Notify the physician immediately is incorrect in this situation because fluctuations in the water seal chamber are an expected and normal finding after chest tube insertion, indicating proper functioning. There is no need for immediate notification unless there are other concerning signs or symptoms present. Option C) Clamping the chest tube would be detrimental as it would obstruct the drainage system, potentially leading to a tension pneumothorax or other complications. Option D) Increasing the suction pressure is also incorrect as it can cause excessive drainage, leading to complications such as tissue damage or increased risk of infection. Educationally, understanding the purpose and function of a chest tube and its components is crucial for nurses caring for patients requiring this intervention. Monitoring and interpreting the water seal chamber's fluctuations are essential skills to ensure the chest tube's effectiveness and the patient's safety. Documenting observations accurately is a fundamental aspect of nursing practice, providing a record for continuity of care and communication among healthcare team members.
Question 3 of 5
A nurse is caring for a client who is acidotic. The nurse asks the charge nurse why the client is breathing rapidly. What response by the charge nurse is best?
Correct Answer: B
Rationale: In this scenario, option B is the correct response: "The client is trying to get rid of excess body acids." This is the best answer because when a client is acidotic, they are experiencing an accumulation of acids in the body, leading to a decrease in blood pH. Rapid breathing, known as Kussmaul respirations, is a compensatory mechanism to blow off excess carbon dioxide and decrease the acidity of the blood. Option A, "Anxiety is causing the client to breathe rapidly," is incorrect because rapid breathing in an acidotic client is primarily a physiological response rather than solely anxiety-driven. Option C, "The rapid respirations cause buildup of bicarbonate," is incorrect because rapid respirations actually help to decrease the levels of carbon dioxide and acidity in the blood, rather than causing a buildup of bicarbonate. Option D, "An increased respiratory rate is due to increased metabolism," is incorrect because while increased metabolism can lead to increased respiratory rate in some cases, in this specific scenario of acidosis, the primary reason for rapid breathing is to eliminate excess carbon dioxide and reduce acidity. Understanding the relationship between acid-base balance and respiratory compensation is crucial in nursing practice, as it informs the assessment and care of patients with imbalances in their acid-base status. By grasping these concepts, nurses can provide more effective and tailored care to their patients.
Question 4 of 5
A man is scheduled for hospital outpatient surgery. He tells the nurse, I dont know what that word, outpatient, means. How would the nurse respond?
Correct Answer: D
Rationale: In this scenario, the correct response is option D) "You will have surgery and go home that same day." The rationale behind this choice is that outpatient surgery refers to a type of surgical procedure where the patient is admitted to the hospital or clinic, has the surgery, and is discharged on the same day without an overnight stay. Option A is incorrect because it states that the patient would stay in the hospital for 2 days, which contradicts the concept of outpatient surgery. Option B is also incorrect as it suggests the surgeon would come to the patient's home, which is not a common practice for outpatient surgery. Option C is inappropriate as it dismisses the patient's question and does not provide any helpful information. From an educational standpoint, it is essential for nurses to effectively communicate medical terminologies and procedures to patients to ensure they have a clear understanding of their healthcare experience. Educating patients about outpatient surgery helps alleviate any anxiety or confusion they may have about the process and promotes patient-centered care.
Question 5 of 5
A nurse is admitting an older woman (Grace Staples) to a long-term care facility. How should the nurse address the woman?
Correct Answer: C
Rationale: In the context of nursing, addressing patients with respect and dignity is crucial to establishing a therapeutic relationship. Option C, "What name do you want us to use for you?" is the correct choice because it honors the individual's autonomy and allows Grace Staples to choose how she would like to be addressed. This approach promotes person-centered care and empowers the patient to maintain their identity and sense of self. Option A, "We will just call you Grace while you live here. Okay?" is incorrect because it imposes a name on the patient without considering her preference or feelings. This approach lacks respect for the individual's autonomy. Option B, "I know you have lots of grandchildren, Grandma," is inappropriate as it assumes a familial relationship that may not exist and could make the patient uncomfortable or feel misunderstood. Option D, "I think you will enjoy living here, Sweetie," is patronizing and unprofessional. It diminishes the patient's status and does not show the respect that should be given in a healthcare setting. In an educational context, this question highlights the importance of communication and person-centered care in nursing practice. It teaches students the significance of respecting patients' preferences and identities, thus fostering a therapeutic environment based on mutual respect and dignity.