ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
The client who has cholelithiasis is scheduled for extracorporeal shock wave lithotripsy. The nurse should tell the client about which of these symptoms that may occur after this procedure?
Correct Answer: A
Rationale: The correct answer is A: Colic-type pain. After extracorporeal shock wave lithotripsy for cholelithiasis, the client may experience colic-type pain due to the shock waves breaking up the gallstones. This pain typically occurs as the stones move through the biliary system. Explanation for incorrect choices: B: Headache - Headache is not a common symptom after lithotripsy for cholelithiasis. C: Diarrhea - Diarrhea is not a common symptom associated with lithotripsy for cholelithiasis. D: Hiccups - Hiccups are not a common symptom after lithotripsy for cholelithiasis.
Question 2 of 5
The nurse assesses clients for the cardinal signs of inflammation. Which signs/symptoms does this include? (Select the one that does not apply.)
Correct Answer: B
Rationale: The correct answer is B: Pulselessness. The cardinal signs of inflammation are redness, swelling (edema), warmth, and pain. Pulselessness is not considered a cardinal sign of inflammation. Inflammation does not typically affect blood flow to the extent of causing pulselessness. Edema, pallor, and redness are all commonly associated with the inflammatory response due to increased blood flow and vascular permeability. Pulselessness is more indicative of a vascular issue or severe ischemia rather than inflammation.
Question 3 of 5
A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate how to splint the incision. Splinting the incision while coughing or deep breathing can help reduce pain by providing support to the surgical site and minimizing strain on the incision. This technique promotes healing and prevents complications such as wound dehiscence. Calling the primary health care provider for more analgesia (A) should be a last resort after non-pharmacological interventions have been tried. Having the client take shallower breaths (C) may lead to respiratory complications. Telling the client that a little pain is expected (D) does not address the issue or provide a solution to alleviate the discomfort.
Question 4 of 5
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?
Correct Answer: B
Rationale: Step-by-step rationale for why Choice B is correct: 1. No redness, warmth, or drainage at the insertion site indicates absence of infection or complications related to the drain. 2. This assessment signifies that the drain is functioning properly and there is no leakage or signs of infection. 3. It shows that the surgical wound and the drain site are healing well. 4. Monitoring for signs of infection or complications at the insertion site is crucial in postoperative care. 5. Therefore, Choice B is the correct answer as it indicates successful management of the client's abdominal drain.
Question 5 of 5
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: The correct answer is A: Pruritus. Niacin commonly causes skin flushing and itching, known as pruritus, due to prostaglandin release. Flushing is a well-known side effect of niacin. Cutaneous flushing is a more common side effect than pruritus. Tinnitus (choice C) and urine with a burnt odor (choice D) are not typically associated with niacin use. Cutaneous flushing (choice B) is a common side effect of niacin, but pruritus is the specific adverse effect related to skin itching. Therefore, the correct answer is pruritus.