ATI RN
Introduction to Nursing Final Exam Quizlet Questions
Question 1 of 5
The barium enema should be done before the upper gastrointestinal series because of which of the following?
Correct Answer: A
Rationale: The correct answer is A because retained barium from the barium enema procedure may cloud the colon and interfere with the visualization of the upper gastrointestinal series. This can lead to inaccurate results and potential misdiagnosis. This sequence ensures a clear view of the upper gastrointestinal tract. Choices B, C, and D are incorrect because lower gastrointestinal bleeding is not a direct concern, physician orders can be adjusted based on medical necessity, and barium is not absorbed in the small intestine in significant amounts to impact the sequence of procedures.
Question 2 of 5
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for postdischarge care?
Correct Answer: C
Rationale: The correct answer is C because the older adult living alone with memory loss may be at higher risk for safety concerns and medication management post-discharge. Consulting other healthcare team members can ensure appropriate support services are in place. Choice A: While being a primary caregiver is important, it does not necessarily indicate a greater need for consultation compared to the other choices. Choice B: Post-knee replacement and needing physical therapy are common needs post-discharge, and consultation with the healthcare team may not be as critical as in the case of the older adult with memory loss. Choice D: Having family and friends nearby suggests a support system, reducing the immediate need for consultation compared to the older adult living alone with memory loss.
Question 3 of 5
The nurse should plan to use a wet-to-dry dressing for which patient?
Correct Answer: D
Rationale: Correct Answer: D Rationale: Wet-to-dry dressing is used for wounds with purulent drainage to promote healing by mechanical debridement. Purulent drainage indicates infection, making it necessary to remove dead tissue. Dry brown areas suggest necrosis, which requires removal to allow healthy tissue regeneration. Wet-to-dry dressing helps in this process by moistening the wound, facilitating the removal of necrotic tissue with each dressing change. This promotes a clean wound bed conducive to healing. Summary of Other Choices: A: Pink granulation tissue indicates healing, not requiring mechanical debridement. B: Surgical incision with pink, approximated edges indicates a well-healing wound, not requiring wet-to-dry dressing. C: Full-thickness burn with dry, black material suggests eschar formation, which requires specialized burn care, not wet-to-dry dressing.
Question 4 of 5
A patient has had recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient‘s laboratory work, the nurse interprets that the patient‘s international normalized ratio (INR) level of 3 indicates that:
Correct Answer: B
Rationale: The correct answer is B: the patient's warfarin dose is at therapeutic levels. An INR level of 3 indicates the patient's blood is anticoagulated within the therapeutic range for mechanical heart valve surgery. This level helps prevent blood clots while minimizing the risk of bleeding. Choices A, C, and D are incorrect because an INR of 3 is not too low for warfarin therapy, not indicative of dangerously high heparin dose, and not related to heparin therapy. Overall, an INR of 3 is within the desired range for anticoagulation therapy post mechanical heart valve surgery.
Question 5 of 5
A patient who has recently started taking pravastatin (Pravachol) and niacin reports several symptoms to the nurse. Which information is most important to communicate to the health care provider?
Correct Answer: A
Rationale: The correct answer is A: Generalized muscle aches and pains. This is important to communicate as it could indicate rhabdomyolysis, a serious side effect of statin therapy like pravastatin. Rhabdomyolysis can lead to muscle breakdown and kidney damage, requiring immediate medical attention. Choice B is less urgent and can be managed by advising the patient to change positions slowly. Choice C is a common side effect of niacin but is not as serious as potential muscle issues. Choice D, flushing and pruritus, are common side effects of niacin and are generally not as concerning as muscle symptoms.