ATI RN
Theory of Health Behavior Change Questions
Question 1 of 5
Nurse Greta is working on a surgical floor. Nurse Greta must logroll a client following a:
Correct Answer: A
Rationale: Correct Answer: A (Laminectomy) Rationale: 1. Laminectomy involves surgical removal of a portion of the vertebral bone to relieve pressure on the spinal cord or nerves. 2. Logrolling is necessary post-laminectomy to prevent injury to the surgical site and maintain spinal alignment. 3. Clients post-laminectomy are at risk for spinal cord damage if not logrolled properly. Summary: B: Thoracotomy involves accessing the chest cavity, not the spine. C: Hemorrhoidectomy involves removal of hemorrhoids, not spinal surgery. D: Cystectomy involves removal of the bladder, not the spine.
Question 2 of 5
After several days of admission, Francis becomes disoriented and complains of frequent headaches. The nurse in-charge first action would be:
Correct Answer: A
Rationale: The correct answer is A: Call the physician. This is the most appropriate action because the patient's symptoms of disorientation and frequent headaches may indicate a serious underlying medical issue that requires immediate attention from the physician. Documenting the patient's status (B) can be done after addressing the immediate concern. Oxygen treatment (C) may not be necessary without further assessment by the physician. Raising the side rails (D) is not a priority when the patient is experiencing concerning symptoms. Calling the physician ensures timely intervention and appropriate medical management for the patient's condition.
Question 3 of 5
Lydia undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction?
Correct Answer: D
Rationale: The correct answer is D: "Keep the stoma moist." This is because keeping the stoma moist helps prevent dryness and irritation, promotes healing, and helps maintain the patency of the airway. Moisture also aids in preventing crust formation, which can obstruct the airway. A: "Keep the stoma uncovered" is incorrect as covering the stoma helps protect it from debris and infection. B: "Keep the stoma dry" is incorrect as moisture is necessary for proper healing and to prevent blockages. C: "Have a family member perform stoma care initially until you get used to the procedure" is incorrect as the client should learn how to perform stoma care themselves for independence and self-care.
Question 4 of 5
Nurse Cecile is teaching a female client about preventing osteoporosis. Which of the following teaching points is correct?
Correct Answer: C
Rationale: The correct answer is C because it emphasizes the importance of obtaining the recommended daily allowance of calcium from a variety of foods. Calcium is essential for bone health and can be found in dairy products, leafy greens, nuts, and fortified foods. This teaching point promotes a balanced and healthy diet as a natural way to prevent osteoporosis. Choice A is incorrect because routine X-rays are not recommended for detecting bone loss in osteoporosis. Choice B is incorrect as regular exercise, including weight-bearing and resistance training, is beneficial for bone health and can help prevent fractures. Choice D is incorrect as it is possible to meet the daily calcium requirement through dietary sources without necessarily needing a calcium supplement.
Question 5 of 5
Nurse Len should expect to administer which medication to a client with gout?
Correct Answer: C
Rationale: The correct answer is C: colchicine. Colchicine is the medication of choice for treating acute gout attacks by reducing inflammation and pain. It works by decreasing the inflammatory response to urate crystals in the joints. Aspirin (A) can worsen gout by increasing uric acid levels. Furosemide (B) can also exacerbate gout by raising uric acid levels. Calcium gluconate (D) is not used in gout treatment. Therefore, colchicine is the most appropriate choice for the client with gout.