ATI RN
Adult Health Nursing Study Guide Answers Questions
Question 1 of 5
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 2 of 5
The false statement about physiologic jaundice in the statements below is _____
Correct Answer: A
Rationale: Physiologic jaundice in newborns is a common and typically benign condition caused by the immaturity of the newborn's liver. The correct statement about physiologic jaundice is that it occurs due to an imbalance between the production and elimination of bilirubin. In contrast, Option A is the false statement because it incorrectly states that physiologic jaundice is caused by impairment in the removal of bilirubin deficiency in the production of glucuronide transferase. This statement is inaccurate as physiologic jaundice results from the immature liver's reduced ability to conjugate bilirubin.
Question 3 of 5
A postpartum client with a history of breast augmentation expresses concerns about breastfeeding difficulties. What nursing intervention should be prioritized to support successful breastfeeding in this situation?
Correct Answer: D
Rationale: Referring the client to a lactation consultant for specialized support should be prioritized to support successful breastfeeding in this situation. Breast augmentation surgery may impact milk production, let-down reflex, and proper latch due to alterations in breast tissue and nerve pathways. A lactation consultant can provide individualized guidance and support to address these specific challenges. Additionally, the consultant can assist in establishing a breastfeeding plan tailored to the client's unique needs, helping to optimize the breastfeeding experience for both the mother and the baby. It is crucial to seek expert assistance in navigating any potential difficulties that may arise from breastfeeding after breast augmentation to promote successful breastfeeding outcomes.
Question 4 of 5
A patient presents with weight loss, fatigue, nausea, vomiting, and abdominal pain. Laboratory tests reveal hypoglycemia and elevated insulin levels. Which endocrine disorder is most likely responsible for these symptoms?
Correct Answer: D
Rationale: Insulinoma is a rare neuroendocrine tumor that arises from pancreatic beta cells, leading to excessive production and secretion of insulin. The symptoms described in the patient, such as weight loss, fatigue, nausea, vomiting, abdominal pain, hypoglycemia, and elevated insulin levels, are characteristic of insulinoma.
Question 5 of 5
What PRIORITY precautionary measure should be done by the nurse during the oxygen therapy?
Correct Answer: C
Rationale: Checking the humidifier's water regularly is the priority precautionary measure that should be done by the nurse during oxygen therapy. Maintaining adequate water in the humidifier ensures proper humidification of the oxygen delivered to the patient, helping prevent mucous membrane dryness and irritation. Dry mucous membranes can lead to discomfort, increased risk of infection, and potential damage to the respiratory system. Therefore, ensuring the humidifier's water level is appropriate is crucial for the safety and well-being of the patient receiving oxygen therapy. Limiting visitors, attaching "No Smoking" signage, and connecting the bait to the oxygen tank are important precautions as well, but checking the humidifier's water is the priority measure in this scenario.
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