ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
Nurse should recommend to their clients the avoidance of the habitual use of laxatives. Which of the following is the rationale for this?
Correct Answer: B
Rationale: The correct answer is B: It will cause chronic constipation. Habitual use of laxatives can lead to the bowel becoming dependent on them to function properly, causing chronic constipation when laxatives are stopped. This occurs due to the bowel becoming less responsive to natural stimuli for movement. Choice A is incorrect because fecal impaction is a risk of abrupt discontinuation of laxatives, not habitual use. Choice C is incorrect because laxatives typically do not significantly alter the pH of the gastrointestinal tract. Choice D is incorrect because laxatives do not inhibit intestinal enzymes but rather stimulate bowel movement.
Question 2 of 5
In obtaining the cerebrospinal fluid, the needle is inserted:
Correct Answer: B
Rationale: The correct answer is B: Between L3 and L4. The cerebrospinal fluid is obtained via a procedure called lumbar puncture, commonly known as a spinal tap. The needle is inserted between the third and fourth lumbar vertebrae to avoid the spinal cord itself. This location provides access to the subarachnoid space where the cerebrospinal fluid circulates. Choosing A, C, or D would result in potential damage to the spinal cord or improper collection of cerebrospinal fluid.
Question 3 of 5
To prepare a patient for a paracentesis, it is essential for the nurse to:
Correct Answer: D
Rationale: Correct Answer: D - Have the patient empty his bladder Rationale: 1. Emptying the bladder prevents discomfort during the procedure. 2. A full bladder may increase the risk of injury during paracentesis. 3. It ensures accurate measurement of fluid output post-procedure. 4. Administering enema and restricting fluids are unnecessary and unrelated. 5. Pre-medicating with a narcotic analgesic is not routine practice for paracentesis.
Question 4 of 5
A nurse is assessing clients on a medical-surgical unit. Which adult client does the nurse identify as being at greatest risk for insensible water loss?
Correct Answer: B
Rationale: The correct answer is B. Anxious clients with tachypnea are at greatest risk for insensible water loss due to increased respiratory rate leading to increased water evaporation from the lungs. This results in higher water loss compared to other options. Clients taking furosemide (A) may experience increased urine output but it is not considered insensible water loss. Clients on fluid restrictions (C) would have decreased water intake but it is not insensible loss. Constipated clients (D) may have fluid imbalance but it is not related to insensible water loss.
Question 5 of 5
A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/μL and a band count of 11%. What prescribed action should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Obtain cultures of the wound. With an elevated WBC count and high band count, there is a high suspicion of infection. Obtaining cultures will help identify the specific pathogen causing the infection and guide appropriate antibiotic therapy. This is crucial for effective treatment and preventing complications. Incorrect choices: B: Beginning antibiotic administration without knowing the specific pathogen may lead to inappropriate treatment. C: Continuing to monitor the wound for drainage does not address the underlying infection. D: Redressing the wound with wet-to-dry dressings does not address the need for identifying the specific pathogen causing the infection.