ATI RN
Multidimensional Basis of Health Protective Behaviors Questions
Question 1 of 5
Nurse Mandy is preparing a client for magnetic resonance imaging (MRI) to confirm or rule out a spinal cord lesion. During the MRI scan, which of the following would pose a threat to the client?
Correct Answer: D
Rationale: Correct Answer: D (The client wears a watch and wedding band) Rationale: 1. MRI machines use strong magnetic fields, which can interact with metal objects like a watch and wedding band, causing them to move or heat up. 2. Movement of metal objects can lead to injury to the client or interfere with the imaging process. 3. It is essential for the client to remove all metal objects before entering the MRI room to ensure safety and accurate imaging. Summary: A: The client lying still is important for a successful MRI scan and does not pose a threat. B: Client asking questions does not pose a threat, as communication is normal during the procedure. C: Hearing thumping sounds is a common experience during an MRI scan and does not pose a direct threat to the client.
Question 2 of 5
On the third day after a partial thyroidectomy, Proserfina exhibits muscle twitching and hyperirritability of the nervous system. When questioned, the client reports numbness and tingling of the mouth and fingertips. Suspecting a lifethreatening electrolyte disturbance, the nurse notifies the surgeon immediately. Which electrolyte disturbance most commonly follows thyroid surgery?
Correct Answer: A
Rationale: Step 1: After thyroid surgery, there is a risk of damaging the parathyroid glands, leading to hypoparathyroidism. Step 2: Hypoparathyroidism causes decreased secretion of parathyroid hormone (PTH). Step 3: Decreased PTH leads to decreased calcium reabsorption in the kidneys and increased phosphate levels. Step 4: Low calcium levels cause muscle twitching, hyperirritability, and numbness/tingling. Step 5: Therefore, the electrolyte disturbance most commonly following thyroid surgery is hypocalcemia, making choice A correct. Summary of Incorrect Choices: B: Hyponatremia is not typically associated with thyroid surgery. C: Hyperkalemia is not a common electrolyte disturbance following thyroid surgery. D: Hypermagnesemia is not commonly seen post-thyroid surgery and would not present with the described symptoms.
Question 3 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 4 of 5
Nurse Tina prepares a client for peritoneal dialysis. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct first action is to warm the dialysate solution. This is crucial to prevent hypothermia and abdominal discomfort during the procedure. Warming the solution helps maintain the client's body temperature. Assessing for a bruit and a thrill (choice A) is important but not the first step. Positioning the client on the left side (choice C) is needed during the procedure but not the initial step. Inserting a Foley catheter (choice D) is not necessary for peritoneal dialysis.
Question 5 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.