ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
Nursing care for a client with an indwelling catheter includes which of the following?
Correct Answer: C
Rationale: Rationale: Choice C is correct because encouraging fluid intake helps prevent urinary stasis and reduces the risk of catheter-associated urinary tract infections. Adequate hydration promotes urine flow, preventing sediment buildup in the catheter. Choices A, B, and D are incorrect. Choice A is unnecessary and can introduce infection risk. Choice B is incorrect because disconnecting the drainage system can introduce infection. Choice D is incorrect because burning and irritation at the meatus are not normal and should be reported to healthcare providers for assessment and intervention.
Question 2 of 5
A patient who comes to the clinic reports frequent, watery stools for 2 days. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to obtain the baseline weight. This is important to assess the degree of fluid loss due to diarrhea. By comparing the baseline weight with subsequent weights, the nurse can determine the severity of dehydration and guide the appropriate treatment. Checking blood pressure (B), drawing blood for serum electrolyte levels (C), and asking about extremity numbness or tingling (D) are important assessments but should come after obtaining the baseline weight to prioritize immediate management of dehydration.
Question 3 of 5
An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B because if the client asks about possible complications from the operation, the nurse should not have the client sign the consent until their questions are addressed by the primary health care provider. This ensures that the client fully understands the risks involved before giving consent. Answer A is incorrect because simply answering the questions and documenting teaching may not ensure that the client's concerns are adequately addressed. Answer C is incorrect because having the client sign the consent without addressing their concerns first is not in the client's best interest. Answer D is incorrect because reminding the client of previous teaching does not address the client's current concerns about possible complications.
Question 4 of 5
The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital. What action by the managers is best?
Correct Answer: A
Rationale: The correct answer is A: Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met. This is the best action as auditing charts will provide concrete data on adherence to infection prevention protocols, identify areas of improvement, and help measure the effectiveness of current practices. Choice B is incorrect as peer pressure may not be an effective long-term solution and could create a negative work environment. Choice C, while important, may not directly address the root cause of the infections. Choice D is also important but lacks the specificity of measuring the SCIP outcomes. Thus, auditing charts aligns with evidence-based practice and allows for targeted interventions based on data analysis.
Question 5 of 5
A primary health care provider notifies the nurse that a client has a “bandemia.” What action does the nurse anticipate?
Correct Answer: A
Rationale: The correct answer is A: Administer antibiotics. A "bandemia" refers to an elevated level of band neutrophils, which indicates a bacterial infection. Therefore, administering antibiotics would be the appropriate action to treat the underlying infection. Placing the client in isolation (B) is not necessary unless there are specific isolation precautions for the type of infection. Administering IV leukocytes (C) is not a common practice and may not be indicated. Obtaining an immunization history (D) is not relevant to addressing the immediate concern of treating the bacterial infection indicated by bandemia.