ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
A primary health care provider notifies the nurse that a client has a “bandemia.” What action does the nurse anticipate?
Correct Answer: A
Rationale: The correct answer is A: Administer antibiotics. A "bandemia" refers to an elevated level of band neutrophils, which indicates a bacterial infection. Therefore, administering antibiotics would be the appropriate action to treat the underlying infection. Placing the client in isolation (B) is not necessary unless there are specific isolation precautions for the type of infection. Administering IV leukocytes (C) is not a common practice and may not be indicated. Obtaining an immunization history (D) is not relevant to addressing the immediate concern of treating the bacterial infection indicated by bandemia.
Question 2 of 5
The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which laboratory test result should be most helpful in indicating myocardial damage? (FILL IN THE BLANKS)
Correct Answer: A
Rationale: The correct answer is A: Troponins. Troponins are specific markers released into the bloodstream when there is damage to the heart muscle, such as in a myocardial infarction. Elevated troponin levels indicate myocardial damage. Choices B, C, and D (Indigestion, Constipation, Anxiety) are incorrect as they do not directly measure myocardial damage or indicate a heart attack. Troponins are the gold standard for diagnosing myocardial infarction due to their high specificity and sensitivity.
Question 3 of 5
The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy. Which information should the nurse include about the patient’s postoperative care?
Correct Answer: C
Rationale: The correct answer is C: Frequent use of an incentive spirometer. This is essential post-pneumonectomy to prevent atelectasis and promote optimal lung expansion. Incentive spirometry helps the patient take deep breaths, improving lung function and preventing complications. Option A is incorrect because early mobilization is encouraged postoperatively to prevent complications. Option B is incorrect as positioning should vary to promote lung expansion. Option D is incorrect as chest tubes are usually placed to water seal, not continuous suction, to prevent complications.
Question 4 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 5 of 5
The home health nurse is visiting a patient with chronic obstructive pulmonary disease (COPD). Which nursing action is appropriate to implement for a patient who has an impaired breathing pattern due to anxiety?
Correct Answer: B
Rationale: The correct answer is B: Teach the patient how to use the pursed-lip technique. This is because the pursed-lip technique helps improve breathing efficiency and reduce anxiety-related hyperventilation in COPD patients. By prolonging exhalation, it promotes better gas exchange and decreases respiratory rate, ultimately easing breathing difficulties. A: Titrating O2 is important in COPD patients, but in this case, addressing the anxiety-induced breathing pattern is more immediate. C: Discussing diet is important for overall health in COPD, but it doesn't directly address the breathing pattern due to anxiety. D: Using sedative medications can be harmful, as it may depress the respiratory drive further in COPD patients.