ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
In an individual with Sjogren's syndrome, nursing care should focus on:
Correct Answer: A
Rationale: Sure! The correct answer is A: moisture replacement. In Sjogren's syndrome, there is a reduction in saliva and tear production, leading to dryness of the eyes and mouth. Moisture replacement helps alleviate symptoms, prevent complications like dental issues, and improve quality of life. Electrolyte balance (choice B) is not directly impacted by Sjogren's syndrome. Nutritional supplementation (choice C) may be helpful but is not the primary focus. Arrhythmia management (choice D) is not typically associated with Sjogren's syndrome.
Question 2 of 5
Ricardo, was diagnosed with type I diabetes. The nurse is aware that acute hypoglycemia also can develop in the client who is diagnosed with:
Correct Answer: C
Rationale: The correct answer is C: Type 2 diabetes. Acute hypoglycemia can occur in individuals with type 1 diabetes due to excess insulin or inadequate food intake. Type 2 diabetes, if treated with certain medications like insulin or sulfonylureas, can also lead to hypoglycemia. Liver disease (A) can cause hypoglycemia indirectly but is not directly related. Hypertension (B) and hyperthyroidism (D) do not typically cause hypoglycemia. In summary, type 2 diabetes is the correct answer as it can lead to acute hypoglycemia due to treatment with insulin or sulfonylureas, while the other choices are not directly associated with this condition.
Question 3 of 5
The nurse is ware that the most relevant knowledge about oxygen administration to a male client with COPD is
Correct Answer: A
Rationale: The correct answer is A because in COPD patients, administering low flow oxygen at 1-2L/min helps maintain the hypoxic drive for breathing without causing oxygen toxicity. This is crucial as these patients rely on hypoxia to stimulate their respiratory drive due to chronically elevated CO2 levels. Choice B is incorrect because hypercapnia, not hypoxia, stimulates the central chemoreceptors. Choice C is incorrect as a nasal cannula is more appropriate for oxygen administration in COPD patients due to the risk of CO2 retention with a non-rebreathing mask. Choice D is incorrect as pulse oximetry is used to monitor oxygen saturation, not blood gases.
Question 4 of 5
Ricardo is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of anesthesia?
Correct Answer: C
Rationale: The correct answer is C: To prevent cerebrospinal fluid (CSF) leakage. During a spinal block, the needle is inserted into the subarachnoid space where the cerebrospinal fluid is located. Proper positioning ensures that the needle puncture site is correctly aligned, minimizing the risk of CSF leakage. Preventing CSF leakage is crucial to maintain the effectiveness of the anesthesia and prevent complications such as post-dural puncture headache. Incorrect choices: A: To prevent confusion - Positioning is not related to preventing confusion during anesthesia. B: To prevent seizures - Seizures are not a common concern with spinal blocks and are not prevented by specific positioning. D: To prevent cardiac arrhythmias - Positioning in this case is not directly related to preventing cardiac arrhythmias during a prostatectomy with a spinal block.
Question 5 of 5
A male client has jugular distention. On what position should the nurse place the head of the bed to obtain the most accurate reading of jugular vein distention?
Correct Answer: C
Rationale: The correct answer is C: Raised 30 degrees. Placing the client's head at a 30-degree angle allows gravity to pull the blood down from the head, providing a more accurate reading of jugular vein distention. In a supine position (choice D), the distention may be underestimated. High Fowler's position (choice A) may increase venous return and elevate the jugular vein further. Raising the bed by 10 degrees (choice B) may not provide enough angle for optimal blood flow.