ATI RN
Public Health Theories of Behavior Change Questions
Question 1 of 5
Nurse Zeny is caring for a client in acute addisonian crisis. Which laboratory data would the nurse expect to find?
Correct Answer: A
Rationale: Correct Answer: A (Hyperkalemia) Rationale: In acute addisonian crisis, the adrenal glands fail to produce adequate cortisol and aldosterone, leading to decreased sodium and increased potassium levels. Hyperkalemia is a common finding due to aldosterone deficiency causing impaired potassium excretion. The elevated potassium levels can result in life-threatening cardiac arrhythmias. Summary: B: Reduced BUN - Not typically associated with acute addisonian crisis. C: Hypernatremia - Uncommon in addisonian crisis due to aldosterone deficiency. D: Hyperglycemia - Can occur in addisonian crisis but is not as specific as hyperkalemia.
Question 2 of 5
When taking a dietary history from a newly admitted female client, Nurse Len should remember that which of the following foods is a common allergen?
Correct Answer: D
Rationale: Step-by-step rationale: 1. Strawberries are a common allergen due to the presence of proteins that can trigger allergic reactions. 2. Allergies to strawberries are relatively common, especially in females. 3. Nurse Len should be cautious when inquiring about strawberry consumption to prevent potential allergic reactions. 4. Bread, carrots, and oranges are not as commonly associated with allergies compared to strawberries. Summary: Strawberries are a common allergen due to specific proteins, making them a priority for Nurse Len to consider during a dietary history. Bread, carrots, and oranges are less likely to cause allergic reactions compared to strawberries.
Question 3 of 5
Nurse Deric is supervising a group of elderly clients in a residential home setting. The nurse knows that the elderly are at greater risk of developing sensory deprivation for what reason?
Correct Answer: B
Rationale: The correct answer is B: Decreased visual, auditory, and gustatory abilities. Elderly individuals often experience sensory decline as they age, leading to decreased vision, hearing, and taste. This puts them at greater risk of sensory deprivation, as they may struggle to perceive and interact with their environment effectively. A: Increased sensitivity to the side effects of medications - While elderly individuals may be more sensitive to medication side effects due to age-related changes in metabolism, this does not directly relate to sensory deprivation. C: Isolation from their families and familiar surroundings - While social isolation can impact mental health, it does not directly cause sensory deprivation. D: Decrease musculoskeletal function and mobility - While decreased mobility can lead to reduced sensory input, it is not the primary reason why the elderly are at greater risk of sensory deprivation.
Question 4 of 5
Patrick is in the oliguric phase of acute tubular necrosis and is experiencing fluid and electrolyte imbalances. The client is somewhat confused and complains of nausea and muscle weakness. As part of the prescribed therapy to correct this electrolyte imbalance, the nurse would expect to:
Correct Answer: A
Rationale: The correct answer is A: Administer Kayexalate. In the oliguric phase of acute tubular necrosis, there is a build-up of potassium in the body, leading to electrolyte imbalances. Kayexalate is a medication that helps to remove excess potassium from the body. By administering Kayexalate, the nurse can help correct the electrolyte imbalance and prevent complications such as cardiac arrhythmias. Choice B is incorrect because restricting foods high in protein would not directly address the potassium imbalance. Choice C is incorrect because increasing oral intake of cheese and milk can further exacerbate the potassium imbalance due to their high potassium content. Choice D is incorrect because administering large amounts of normal saline would not effectively correct the potassium imbalance seen in acute tubular necrosis.
Question 5 of 5
Ms. X has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
Correct Answer: A
Rationale: Rationale for Correct Answer (A): 1. Condylomata acuminata is caused by HPV, which is a risk factor for cervical cancer. 2. Regular Pap smears are essential for early detection of cervical cancer. 3. Annual Pap smears can help monitor any abnormal changes in the cervix. 4. Providing this information empowers the client to take proactive steps for their health. Summary of Incorrect Choices: B. Metronidazole is not the standard treatment for genital warts; it is used for bacterial infections. C. Condoms reduce but do not eliminate the risk of transmission of HPV. D. HPV can be transmitted through oral sex, so this statement is incorrect.