ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Obtain a health and dietary history. This is the priority action because it helps identify potential causes of constipation such as inadequate fiber intake, dehydration, medications, or underlying health conditions. It guides appropriate interventions. Choice A (Obtain a complete blood count) is not the priority as it does not directly address the cause of constipation. Choice C (Refer to a provider for a physical examination) may be necessary but not the initial priority. Choice D (Measure height and weight) is not relevant to assessing constipation in elders.
Question 2 of 5
To properly perform the endotracheal insertion, the nurse:
Correct Answer: B
Rationale: Step-by-step rationale for choice B: 1. Inserting the catheter until coughing or resistance is felt ensures proper placement without causing trauma. 2. This technique helps clear secretions effectively without causing damage to the airway. 3. It allows the nurse to gauge the depth of insertion based on the patient's response. 4. Stopping at coughing or resistance prevents going too far and potentially damaging the airway. Summary: A: Turning on wall suction to 180 mmHg is incorrect as it can cause trauma to the airway. C: Withdrawing the catheter while continuously suctioning is incorrect as it can lead to hypoxia. D: Reentering the tracheostomy after suctioning the mouth is incorrect as it can introduce pathogens to the airway.
Question 3 of 5
This refers to the stiffening of the body that occurs 2–4 hours after death.
Correct Answer: B
Rationale: Rigor mortis is the correct answer as it refers to the stiffening of the body post-death, typically occurring 2-4 hours after death. This process is due to the chemical changes in the muscles, causing them to become rigid. Algor mortis refers to the cooling of the body after death. Livor mortis is the pooling of blood in the lower parts of the body post-death. Manor mortis is not a recognized term in forensic sciences.
Question 4 of 5
When giving an I.M. injection, the nurse should insert the needle into the muscle at an angle of:
Correct Answer: D
Rationale: The correct angle for an I.M. injection is 90 degrees (straight in). This angle ensures proper medication absorption and minimizes tissue damage. Inserting the needle at 15, 30, or 45 degrees can lead to suboptimal drug delivery or cause pain and discomfort. It is crucial to follow evidence-based guidelines to administer injections safely and effectively.
Question 5 of 5
Nurse should recommend to their clients the avoidance of the habitual use of laxatives. Which of the following is the rationale for this?
Correct Answer: B
Rationale: The correct answer is B: It will cause chronic constipation. Habitual use of laxatives can lead to the bowel becoming dependent on them to function properly, causing chronic constipation when laxatives are stopped. This occurs due to the bowel becoming less responsive to natural stimuli for movement. Choice A is incorrect because fecal impaction is a risk of abrupt discontinuation of laxatives, not habitual use. Choice C is incorrect because laxatives typically do not significantly alter the pH of the gastrointestinal tract. Choice D is incorrect because laxatives do not inhibit intestinal enzymes but rather stimulate bowel movement.