ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism of the left lower leg. Which action by the nurse is best?
Correct Answer: D
Rationale: The correct answer is D because elevating the thighs and lower legs above the heart level promotes venous return and reduces swelling in the affected leg, aiding in the prevention of complications related to venous thromboembolism. Placing one pillow under the thighs and two pillows under the lower legs ensures proper elevation and support. A: Placing the bed in Trendelenburg position isn't appropriate as it involves the head being lower than the feet, which could increase pressure on the lower extremities and potentially worsen the condition. B: Placing two pillows under the calf of the affected leg doesn't provide sufficient elevation for optimal venous return and may not effectively reduce swelling. C: Elevating only at the knee and placing pillows under both feet may not adequately elevate the lower extremities above heart level, limiting the effectiveness of venous return and swelling reduction.
Question 2 of 5
Which information will the nurse include in the teaching plan for a patient newly diagnosed with asthma?
Correct Answer: D
Rationale: Step 1: Tremors as a side effect of rapidly acting bronchodilators are common due to their impact on the sympathetic nervous system. Step 2: Educating the patient about this side effect prepares them for what to expect and reduces anxiety. Step 3: This knowledge helps the patient differentiate between expected side effects and potential adverse reactions. Step 4: It is crucial for the patient to be informed about common side effects to ensure adherence to treatment. Summary: Choice D is correct because informing the patient about expected side effects like tremors is essential for treatment adherence. Choices A, B, and C are incorrect because they do not address crucial information related to side effects and proper inhaler technique for asthma management.
Question 3 of 5
The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Step 1: Identifying and avoiding environmental triggers directly addresses the root cause of allergic rhinitis by minimizing exposure to allergens. Step 2: By avoiding triggers, the patient can prevent or reduce symptoms without relying solely on medications. Step 3: This approach is holistic and empowers the patient to take control of their condition. Summary: Choice A focuses on treatment rather than prevention. Choice C addresses hygiene but not the cause of allergic rhinitis. Choice D highlights limitations of corticosteroids but doesn't emphasize prevention. Choice B is correct as it targets prevention through trigger avoidance.
Question 4 of 5
A patient seen in the asthma clinic has recorded daily peak flowrates that are 75% of the baseline. Which action will the nurse plan to take next?
Correct Answer: B
Rationale: The correct answer is B. Administer a bronchodilator and recheck the spirometry. This action is appropriate because the patient's peak flowrates are only 75% of baseline, indicating possible bronchoconstriction. Administering a bronchodilator can help alleviate the bronchoconstriction and rechecking spirometry can assess the response to the treatment. Choice A (Teaching about oral corticosteroids) is incorrect as it is not the first-line intervention for a peak flowrate decrease. Choice C (Increasing leukotriene inhibitor dose) is incorrect because there is no indication that the current dose is ineffective. Choice D (Keeping the follow-up appointment) is important but not the immediate action needed for a patient with decreased peak flowrates.
Question 5 of 5
While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the chest tube is dislodged. Which action by the nurse is best?
Correct Answer: B
Rationale: The correct action is to cover the insertion site with sterile gauze. This helps prevent air from entering the pleural space and causing a pneumothorax. Reinserting the tube should only be done by a healthcare provider to prevent complications. Assessing for drainage is not the priority since the tube is dislodged. Contacting the primary healthcare provider can cause a delay in managing the situation promptly.