ATI RN
Theory of Health Behavior Change Questions
Question 1 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.
Question 2 of 5
During chemotherapy for lymphocytic leukemia, Mathew develops abdominal pain, fever, and "horse barn" smelling diarrhea. It would be most important for the nurse to advise the physician to order:
Correct Answer: C
Rationale: The correct answer is C: stool for Clostridium difficile test. Rationale: 1. Abdominal pain, fever, and "horse barn" smelling diarrhea can indicate Clostridium difficile infection. 2. Clostridium difficile is a common cause of diarrhea in patients receiving chemotherapy. 3. Early detection and treatment of Clostridium difficile infection are crucial to prevent complications. 4. Stool test for Clostridium difficile can confirm the diagnosis and guide appropriate treatment. Incorrect choices: A: ELISA test - Not indicated for the symptoms described. B: Electrolyte panel and hemogram - Important but not the most immediate concern in this case. D: Flat plate X-ray of the abdomen - Unlikely to provide relevant information for the symptoms presented.
Question 3 of 5
Nurse Jannah teaches an elderly client with right-sided weakness how to use cane. Which of the following behaviors, if demonstrated by the client to the nurse, indicates that the teaching was effective?
Correct Answer: C
Rationale: The correct answer is C because when using a cane for right-sided weakness, the client should hold the cane in the opposite hand (left hand) to provide support to the weaker side. By moving the cane forward followed by the right leg, the client maintains balance and support on the affected side, allowing for a smoother gait pattern. Moving the left leg after the right leg helps in providing stability and weight-bearing on the stronger side. Choice A is incorrect as the client should hold the cane in the opposite hand of the weakness. Choice B is incorrect as it does not provide support to the weaker side. Choice D is incorrect as it does not promote balance and stability for the client with right-sided weakness.
Question 4 of 5
Tracy is receiving combination chemotherapy for treatment of metastatic carcinoma. Nurse Ruby should monitor the client for the systemic side effect of:
Correct Answer: C
Rationale: The correct answer is C: Leukopenia. Combination chemotherapy often leads to low white blood cell counts, known as leukopenia, which increases the risk of infection. Nurse Ruby should monitor Tracy for signs of infection such as fever, chills, and weakness. Ascites (A) is an accumulation of fluid in the abdomen, not a systemic side effect of chemotherapy. Nystagmus (B) is an involuntary eye movement and not typically associated with chemotherapy. Polycythemia (D) is an excessive production of red blood cells, which is not a common side effect of chemotherapy. Monitoring for leukopenia is critical to prevent infections and ensure Tracy's safety during treatment.
Question 5 of 5
Tonny has undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted, and one-bottle water-seal drainage is instituted in the operating room. In the postanesthesia care unit Tonny is placed in Fowler's position on either his right side or on his back. The nurse is aware that this position:
Correct Answer: B
Rationale: Step 1: Fowler's position elevates the head of the bed and flexes the knees, which helps expand the chest for better lung ventilation. Step 2: In a partial pneumonectomy, lung function is compromised, so optimal ventilation of the remaining lung is crucial. Step 3: By placing Tonny in Fowler's position, the diaphragm descends, allowing for better expansion of the left lung. Step 4: This position facilitates ventilation of the left lung, aiding in oxygenation and preventing complications like atelectasis. Summary: Choice B is correct as Fowler's position helps improve ventilation of the remaining lung. Choices A, C, and D are incorrect as they do not directly relate to the specific benefits of Fowler's position for post-pneumonectomy care.