ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
Nurse Krizia should insert the rectal tube of the enema in an adult _____:
Correct Answer: C
Rationale: The correct answer is C (3-4 inches) because inserting the rectal tube of the enema to this depth ensures proper placement into the rectum without causing discomfort or injury. Inserting too shallow (A and B) may not reach the rectum, leading to ineffective treatment. Inserting too deep (D) can cause injury to the colon. The rectal tube should be inserted to a depth of 3-4 inches to ensure the enema solution reaches the desired area for effective administration.
Question 2 of 5
The client who has cholelithiasis is scheduled for extracorporeal shock wave lithotripsy. The nurse should tell the client about which of these symptoms that may occur after this procedure?
Correct Answer: A
Rationale: The correct answer is A: Colic-type pain. After extracorporeal shock wave lithotripsy for cholelithiasis, the client may experience colic-type pain due to the shock waves breaking up the gallstones. This pain typically occurs as the stones move through the biliary system. Explanation for incorrect choices: B: Headache - Headache is not a common symptom after lithotripsy for cholelithiasis. C: Diarrhea - Diarrhea is not a common symptom associated with lithotripsy for cholelithiasis. D: Hiccups - Hiccups are not a common symptom after lithotripsy for cholelithiasis.
Question 3 of 5
Which laboratory test is the most accurate indicator of a client's renal function?
Correct Answer: B
Rationale: The correct answer is B: Creatinine clearance. Creatinine clearance is the most accurate indicator of renal function because it measures the rate at which the kidneys filter creatinine from the blood. This test provides a direct assessment of the glomerular filtration rate, which reflects overall kidney function. A: Blood urea nitrogen is influenced by factors other than renal function, such as protein intake and liver function, making it less specific for assessing renal function. C: Serum creatinine is commonly used to estimate renal function, but it can be affected by factors like muscle mass and hydration status, leading to potential inaccuracies. D: Urinalysis provides valuable information about kidney health but does not directly measure the filtration capacity of the kidneys like creatinine clearance does.
Question 4 of 5
The nurse assesses clients for the cardinal signs of inflammation. Which signs/symptoms does this include? (Select the one that does not apply.)
Correct Answer: B
Rationale: The correct answer is B: Pulselessness. The cardinal signs of inflammation are redness, swelling (edema), warmth, and pain. Pulselessness is not considered a cardinal sign of inflammation. Inflammation does not typically affect blood flow to the extent of causing pulselessness. Edema, pallor, and redness are all commonly associated with the inflammatory response due to increased blood flow and vascular permeability. Pulselessness is more indicative of a vascular issue or severe ischemia rather than inflammation.
Question 5 of 5
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to splint the incision. Splinting the incision while coughing or deep breathing can help reduce pain by providing support to the surgical site and minimizing strain on the incision. This technique promotes healing and prevents complications such as wound dehiscence. Calling the primary health care provider for more analgesia (A) should be a last resort after non-pharmacological interventions have been tried. Having the client take shallower breaths (C) may lead to respiratory complications. Telling the client that a little pain is expected (D) does not address the issue or provide a solution to alleviate the discomfort.