ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
It is the responsibility of the pre-op nurse to do skin prep for patients undergoing surgery. If hair at the operative site is not shaved, what should be done to make suturing easy and lessen chance of incision infection?
Correct Answer: C
Rationale: The correct answer is C: Clipped. Clipping the hair at the operative site is crucial as it reduces the risk of infection by minimizing bacteria harboring in hair follicles. It also makes suturing easier by providing a clean and clear surgical field. Draping (A) refers to covering the patient with a sterile sheet, which is important but not directly related to hair removal. Pulling (B) can cause trauma to the skin and increase infection risk. Shampooing (D) is not necessary for hair removal before surgery and may not effectively remove hair from the operative site.
Question 2 of 5
Skin care around the stoma is critical. Which of the following is not indicated as a skin care barriers?
Correct Answer: A
Rationale: The correct answer is A: Apply liberal amount of mineral oil to the area. Mineral oil can interfere with the adhesion of the skin barrier, leading to leakage and skin irritation. Using karaya paste and rings (choice B) helps protect the skin around the stoma. Cleaning the area daily with soap and water (choice C) is important for maintaining skin integrity. Talcum powder (choice D) can help absorb moisture and prevent skin irritation, making it a suitable skin care barrier.
Question 3 of 5
You decided to include 5 barangays in your municipality and chose a sampling method that would get representative samples from each barangay. What should be the appropriate method for you to use in this case?
Correct Answer: C
Rationale: The correct method to use in this case is C: Stratified sampling. This method divides the population into subgroups (strata) based on certain characteristics (in this case, barangays) and then samples randomly from each stratum. This ensures representation from each barangay, leading to a more accurate overall estimate. Cluster sampling (A) involves dividing the population into clusters and then randomly selecting entire clusters, which may not guarantee representation from each barangay. Random sampling (B) involves selecting individuals randomly from the entire population without considering strata, leading to potential bias. Systematic sampling (D) involves selecting every nth individual from a list, which may not ensure representation from each barangay.
Question 4 of 5
A client undergone spinal anesthetic, it will be important that the nurse immediately position the client in:
Correct Answer: B
Rationale: The correct answer is B: Flat on back. This position is ideal after spinal anesthesia to prevent complications such as hypotension and headache. Lying flat helps maintain proper circulation and reduces the risk of blood pooling in the lower extremities. Choices A, C, and D are incorrect because placing the client on the side, with knees flexed, or on the stomach can increase the risk of complications such as respiratory distress, impaired circulation, or spinal headache. It is crucial to prioritize the client's safety and well-being by following evidence-based positioning guidelines.
Question 5 of 5
Nurse Lhynnette is preparing a site for the insertion of an I.V. catheter. The nurse should treat excess hair at the site by:
Correct Answer: C
Rationale: The correct answer is C: Clipping the hair in the area. Clipping the hair is the best option as it reduces the risk of skin irritation and infection compared to shaving or using a depilatory. Clipping allows for a more controlled and precise removal of hair without causing micro-cuts or irritating the skin. Leaving the hair intact (choice A) may interfere with the insertion of the I.V. catheter, while shaving (choice B) can lead to micro-cuts and increase the risk of infection. Using a depilatory (choice D) can also irritate the skin and is not recommended for I.V. site preparation.