ATI RN
Adult Health Nursing Study Guide Answers Questions
Question 1 of 9
A woman in active labor is diagnosed with uterine rupture, resulting in fetal distress and maternal hemorrhage. What nursing intervention is essential in managing this obstetric emergency?
Correct Answer: C
Rationale: Uterine rupture is a severe obstetric complication that requires prompt and decisive management to prevent adverse outcomes for both the mother and the baby. In cases of uterine rupture leading to fetal distress and maternal hemorrhage, performing an emergency cesarean section is crucial. This intervention allows for rapid delivery of the baby, relieving the distress on the fetus and enabling immediate access to manage the maternal hemorrhage. By performing a timely cesarean section, healthcare providers can expedite the delivery process and effectively address both the fetal and maternal complications associated with uterine rupture. This intervention is essential in saving lives and reducing the risk of further complications in such a critical obstetric emergency.
Question 2 of 9
A patient is prescribed an anticoagulant for the prevention of venous thromboembolism (VTE). Which laboratory parameter should the nurse monitor closely during anticoagulant therapy?
Correct Answer: B
Rationale: The nurse should monitor the International Normalized Ratio (INR) closely during anticoagulant therapy for the prevention of VTE. The INR measures the clotting ability of the blood and is used to monitor the effectiveness of anticoagulant therapy, such as warfarin. Maintaining the INR within the target therapeutic range is crucial to prevent both excessive bleeding due to over-anticoagulation and clotting events due to under-anticoagulation. Close monitoring of the INR helps healthcare providers adjust the anticoagulant dosage as needed to ensure optimal therapeutic outcomes and minimize risks. Platelet count, serum sodium levels, and blood urea nitrogen (BUN) are important laboratory parameters to monitor for other medical conditions but are not specific to anticoagulant therapy.
Question 3 of 9
A patient with chronic obstructive pulmonary disease (COPD) presents with increased dyspnea, wheezing, and productive cough. Which of the following medications is most appropriate for bronchodilation and symptom relief in this patient?
Correct Answer: A
Rationale: Albuterol (salbutamol) is a short-acting beta agonist bronchodilator commonly used for quick relief of bronchoconstriction in patients with COPD. It works by relaxing the smooth muscles in the airways, allowing for easier breathing and improved airflow. The patient's increased dyspnea, wheezing, and productive cough are indicative of bronchoconstriction, and albuterol is the most appropriate medication to provide rapid bronchodilation and symptom relief in this situation. Diphenhydramine (Benadryl) is an antihistamine and not typically used for bronchodilation in COPD. Montelukast (Singulair) is a leukotriene receptor antagonist that may be used in the maintenance treatment of COPD but is not the initial choice for acute symptom relief. Prednisone is a cortic
Question 4 of 9
A patient was for transfer to a tertiary hospital because of severe asthma, but the nurse do not prepare the patient right away and the patient dies. Which of the following the nurse is liable?
Correct Answer: A
Rationale: In this scenario, the nurse's failure to promptly prepare the patient for transfer to a tertiary hospital resulted in the patient's death. This situation falls under the category of malpractice, which refers to professional negligence or failure to provide a standard level of care that results in harm to a patient. The nurse had a duty to ensure the patient's timely transfer and by delaying the necessary actions, the nurse failed to uphold this duty, leading to a tragic outcome. Murder, assault, and battery are criminal offenses that do not fit the circumstances described in the scenario.
Question 5 of 9
When collecting evidence from a rape victim, the victim's clothing is removed and placed in a
Correct Answer: A
Rationale: When collecting evidence from a rape victim, it is important to handle the victim's clothing properly to preserve any potential evidence. The preferred method is to remove the clothing and place them in a paper bag. Paper bags are used in order to prevent the alteration or degradation of any DNA evidence that may be present on the clothing. Paper bags allow the clothing to breathe and prevent the growth of mold or other contaminants that can occur in plastic bags or trash bags. Additionally, paper bags help preserve trace evidence such as fibers or hairs that may be crucial in the investigation of the case. It is essential to handle and store the clothing correctly to maintain the integrity of the evidence for the investigation and potential prosecution.
Question 6 of 9
In problem solving the head nurse must know what is the MAJOR characteristic of negotiation?
Correct Answer: A
Rationale: The MAJOR characteristic of negotiation is being positive in your approach since optimism typically leads to more favorable results. Negotiation involves communication, compromise, and finding mutually beneficial solutions. Approaching negotiations with a positive mindset can help in maintaining a constructive atmosphere, enhancing communication, and increasing the likelihood of reaching a successful agreement. Being positive can also contribute to building relationships and trust with the other party, leading to better long-term outcomes.
Question 7 of 9
The group used an audio recorder to capture what transpired during the interview. After the transcription, which of the following action is APPROPRIATE for the group to do with the audiotape?
Correct Answer: B
Rationale: Submitting the audiotape to their research adviser is the appropriate action for the group to take after transcription. It is important to maintain the audiotape as a research record for verification purposes, especially if any discrepancies arise during the analysis of the transcript. The research adviser can provide guidance on how to securely store or handle the audiotape in compliance with research ethics and data protection guidelines. This ensures the integrity of the research process and supports transparency in the event of any future inquiries or validation requirements. Keeping a record of the audiotape and following proper protocols for its handling is essential in conducting ethical and reliable research.
Question 8 of 9
After the procedure, the patient was ordered for Lithotripsy, under spinal anesthesia. The nurse has to call the department of ________.
Correct Answer: C
Rationale: In the provided scenario, the patient is scheduled for Lithotripsy under spinal anesthesia. This means that the nurse needs to communicate with the department of anesthesia to coordinate and prepare for the procedure. Anesthesia departments are responsible for administering various types of anesthesia, including spinal anesthesia, to ensure patients are comfortable and pain-free during medical procedures. Therefore, contacting the department of anesthesia is crucial in this situation to ensure that the necessary arrangements are in place for the patient's lithotripsy procedure.
Question 9 of 9
Which is the MOST appropriate intervention should the nurse do to help family perform the health tasks?
Correct Answer: B
Rationale: Helping the family recognize the problem is the most appropriate intervention to assist them in performing health tasks. By recognizing the problem, the family can better understand the need for action and be motivated to take steps to address it. This intervention enables the family to become more engaged in their healthcare decision-making process and enhances their ability to effectively manage their health tasks. It empowers them to seek appropriate health resources and make informed choices in promoting their health and well-being. Ultimately, by acknowledging the problem, the family is better equipped to initiate positive changes and improve their overall health outcomes.