ATI RN
Client Comfort Questions
Question 1 of 5
During the client's medical records review, what condition can put the client at risk for developing hypokalemia?
Correct Answer: B
Rationale: Nasogastric suction risks hypokalemia by removing potassium-rich gastric fluids. Addison's disease causes hyperkalemia due to low aldosterone. Burns may lead to hyperkalemia from cell damage. High uric acid relates to gout, not potassium. Nurses, per NCLEX, recognize NG suction as a common cause of potassium loss via GI fluid, making B correct.
Question 2 of 5
After undergoing abdominal perineal excision for a colon tumor, a 55-year-old male patient is admitted for colostomy placement. The nurse will evaluate the newly inserted colostomy. Which of the following assessments indicates a functional colostomy?
Correct Answer: C
Rationale: Presence of flatus indicates a functional colostomy, showing bowel activity. Absent sounds suggest ileus, bloody drainage early post-op, food tolerance later. Nurses, per NCLEX, expect flatus as a sign of function, making C correct.
Question 3 of 5
The best way to communicate information about your resident to other members of the care team is:
Correct Answer: A
Rationale: Talking directly to the next shift staff is the best communication method, per the answer key, ensuring clear, immediate, and reliable transfer of resident information. Writing on loose paper risks loss, white boards lack privacy and detail, and relying on the resident (part of D) is unreliable. Choice D (originally E: 'All of the above') combines all but overcomplicates and dilutes effectiveness. Direct verbal handoff, per AHRQ guidelines, aligns with nursing standards for shift reports, minimizing miscommunication in long-term care settings where continuity is critical.
Question 4 of 5
Which intervention is most appropriate for end-of-life comfort care?
Correct Answer: B
Rationale: In end-of-life care, the primary goal shifts from curing to ensuring comfort and dignity, which involves managing pain and providing emotional support to both the patient and their family. Pain management addresses physical suffering, while emotional support helps alleviate fear, anxiety, or spiritual distress, aligning with holistic comfort principles. Choice A, aggressive treatment, contradicts this goal, as it may prolong suffering rather than enhance comfort. Choice C, limiting family visits, is inappropriate because family presence often provides emotional solace and supports the patient's psychosocial needs. Choice D, focusing only on physical symptoms, neglects the emotional, spiritual, and social dimensions critical in end-of-life care. Choice B stands out as the most appropriate, integrating comprehensive pain relief with emotional care to promote peace and comfort during this sensitive phase.
Question 5 of 5
What is a common trigger for fibromyalgia pain?
Correct Answer: B
Rationale: Physical or emotional stress is a common trigger for fibromyalgia pain, exacerbating the widespread musculoskeletal discomfort characteristic of the condition. Stress, whether from injury, overexertion, or psychological strain like anxiety, disrupts the central nervous system's pain processing, a key factor in fibromyalgia's pathology. Choice A, warm weather, might actually ease symptoms for some, as cold often worsens stiffness and pain. Choice C, regular exercise, while beneficial in moderation to maintain mobility, isn't a triggeroverdoing it might be, but that's distinct. Choice D, adequate rest, typically helps manage symptoms, not provoke them, though poor sleep can worsen pain. Choice B correctly identifies stress as a primary trigger, aligning with clinical observations that fibromyalgia patients experience flare-ups during stressful periods, making stress management a critical nursing focus.