ATI RN
Health And Safety for Clients Questions
Question 1 of 5
Before administering a prescribed electrolyte supplement, the nurse reviews a client's electrolyte panel: What should the nurse do next? Electrolytes Na+ = 143 mEq/L Cl- = 101 mEq/L K+ = 5.7 mEq/L Ca++ = 9.3 mEq/L Mg ++ = 2.6 mEq/L
Correct Answer: D
Rationale: Step 1: Analyze the electrolyte panel. The potassium level is high at 5.7 mEq/L. Step 2: High potassium levels can be dangerous (hyperkalemia). Step 3: The nurse should hold the potassium chloride (KCl) supplement to prevent further elevation of potassium levels. Step 4: Re-checking the BMP (choice A) is unnecessary as the issue is clear from the electrolyte panel. Step 5: Administering calcium carbonate (choice B) is not indicated for high potassium levels. Step 6: Administering potassium chloride (KCl) (choice C) is contraindicated due to the already high potassium level.
Question 2 of 5
The Health Information Portability and Privacy Act (HIPAA) influences nursing research primarily in the area related to:
Correct Answer: B
Rationale: The correct answer is B: protection of client. HIPAA primarily influences nursing research by ensuring the protection of patients' privacy and confidentiality. Researchers must comply with HIPAA regulations to safeguard patients' health information. This is crucial in maintaining trust and confidentiality in research. A: the cost of the study - HIPAA does not directly impact the cost of the study. C: what type of research method can be used - HIPAA does not dictate specific research methods. D: where the study may be published - HIPAA does not control where the study may be published.
Question 3 of 5
A nurse is participating in a health and wellness event at the local community center. A woman approaches and relates that she is worried that her widowed father is becoming more functionally impaired and may need to move in with her. The nurse inquires about his ability to complete activities of daily living (ADLs). ADLs include independence with: (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Toileting. ADLs are essential self-care activities that individuals perform daily to maintain their well-being. Toileting is one of the basic ADLs and refers to the ability to use the toilet independently. This is crucial for maintaining hygiene and overall health. The other choices are incorrect because: A: Driving is not typically considered an ADL. It falls under the category of instrumental activities of daily living (IADLs), which are more complex tasks related to independent living. C: Bathing is a fundamental ADL, but the question asks for activities that are included in ADLs and not for all possible ADLs. D: Daily exercise is important for overall health but is not specifically categorized as an ADL. It falls under the category of health-promoting activities.
Question 4 of 5
The nurse suspects the client may be developing ARDS. Which assessment data confirm the diagnosis of ARDS?
Correct Answer: A
Rationale: The correct answer is A because in ARDS, the lungs are unable to oxygenate the blood effectively despite high levels of supplemental oxygen. This results in low arterial oxygen levels even when giving a high concentration of oxygen. Choice B is incorrect because dyspnea, tachycardia, and anxiety are common symptoms of ARDS but do not confirm the diagnosis. Choice C is incorrect because clear breath sounds and a pulse oximeter reading of 95% do not confirm ARDS, as ARDS is characterized by severe oxygenation impairment. Choice D is incorrect because jugular vein distention and frothy sputum are not specific indicators of ARDS, although they may be present in some cases.
Question 5 of 5
Which physiologic mechanism of hypoxemia occurs with pulmonary fibrosis?
Correct Answer: B
Rationale: In pulmonary fibrosis, the thickened alveolar walls impair gas exchange, leading to diffusion limitation. This restricts oxygen transfer across the alveolar-capillary membrane, causing hypoxemia. Anatomic shunt (A) involves blood bypassing ventilated lung areas, not seen in pulmonary fibrosis. Intrapulmonary shunt (C) refers to blood flow through unventilated lung regions, not a characteristic of pulmonary fibrosis. V/Q mismatch ratio of less than 1 (D) indicates a ventilation-perfusion mismatch, not typically associated with pulmonary fibrosis.