ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The healthcare provider prescribes a client to have peak and trough blood levels drawn to evaluate the therapeutic effect of an IV antibiotic. When should the nurse schedule the blood samples to be drawn?Select the one that does not apply
Correct Answer: A
Rationale: The correct answer is A. Peak levels are drawn 30 minutes after the IV infusion, while trough levels are drawn just before the next dose is given, so B is incorrect. Drawing blood during the infusion, as in C, would not provide accurate peak or trough levels. Drawing blood 30 minutes after administration, as in D, is not specifically timed for peak or trough levels. Drawing blood before discontinuing the antibiotic, as in A, ensures accurate trough levels and helps assess the drug's effectiveness.
Question 2 of 5
When planning care for a client with trachoma, which potential complication should the nurse consider?
Correct Answer: A
Rationale: The correct answer is A: Scarring of the cornea. Trachoma is a bacterial infection that can lead to scarring of the cornea, which may result in vision impairment or blindness. The scarring occurs due to repeated episodes of inflammation and infection in the eyes. This complication is common in advanced cases of trachoma. Choice B, eye muscle weakness, is not a typical complication of trachoma but rather can be associated with other eye conditions. Choice C, damaged iris, is not a common complication of trachoma as the infection primarily affects the surface of the eye. Choice D, retinal detachment, is also not a typical complication of trachoma, as retinal detachment is usually caused by other factors such as trauma or age-related changes.
Question 3 of 5
The nurse is working in a primary care setting. Which clients should the nurse identify as being at high risk for influenza or its complications?Select the one that does not apply
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse is teaching the mother of an infant with otitis media to manage the associated fever and pain. Which instruction by the nurse is correct?
Correct Answer: C
Rationale: Correct Answer: C - Administer acetaminophen. Rationale: 1. Acetaminophen is an appropriate medication for reducing fever and relieving pain in infants with otitis media. 2. Swaddling the baby in blankets may increase body temperature and discomfort. 3. Feeding solid foods is not recommended during illness, as infants may have difficulty swallowing or digesting. 4. Bathing the baby with cool water may cause chills and discomfort, worsening the condition. In summary, administering acetaminophen is the correct choice as it addresses both fever and pain effectively, while the other options may exacerbate the infant's condition.
Question 5 of 5
An older adult client asks the nurse what can be done to decrease the risk of developing pneumonia. Which responses by the nurse are most appropriate? Select all that apply.
Correct Answer: B
Rationale: Rationale: Option B is correct because smoking weakens the lungs and increases the risk of pneumonia. Eliminating this habit can decrease the risk. Option A is incorrect because there is limited evidence supporting the effectiveness of L. casei immunitas cultures in preventing pneumonia. Option C is incorrect because while the pneumonia vaccination is important, it is not the most appropriate response to directly address the client's inquiry about reducing the risk. Option D is incorrect because moderate alcohol consumption is not a significant risk factor for pneumonia.