ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which laboratory test result should be most helpful in indicating myocardial damage? (FILL IN THE BLANKS)
Correct Answer: A
Rationale: The correct answer is A: Troponins. Troponins are specific markers released into the bloodstream when there is damage to the heart muscle, such as in a myocardial infarction. Elevated troponin levels indicate myocardial damage. Choices B, C, and D (Indigestion, Constipation, Anxiety) are incorrect as they do not directly measure myocardial damage or indicate a heart attack. Troponins are the gold standard for diagnosing myocardial infarction due to their high specificity and sensitivity.
Question 2 of 5
A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, 'Will I be able to talk normally after surgery?' What is the most accurate response by the nurse?
Correct Answer: C
Rationale: Rationale for correct answer C: After a total laryngectomy, the patient loses their natural voice box, making it impossible to speak normally. The permanent opening in the neck, called a stoma, allows breathing. Speech rehabilitation is essential for voice restoration using techniques like esophageal speech or voice prosthesis. This answer is accurate as it addresses the patient's concerns about speech post-surgery. Summary of other choices: A: Incorrect. This choice is too definitive and does not acknowledge the possibility of voice restoration through rehabilitation. B: Incorrect. While the tracheostomy tube may affect speech initially, it does not address the long-term impact of a laryngectomy on speech. D: Incorrect. While artificial voice devices can help with speech, they do not provide a complete solution for normal speech post-laryngectomy.
Question 3 of 5
The home health nurse is visiting a patient with chronic obstructive pulmonary disease (COPD). Which nursing action is appropriate to implement for a patient who has an impaired breathing pattern due to anxiety?
Correct Answer: B
Rationale: The correct answer is B: Teach the patient how to use the pursed-lip technique. This is because the pursed-lip technique helps improve breathing efficiency and reduce anxiety-related hyperventilation in COPD patients. By prolonging exhalation, it promotes better gas exchange and decreases respiratory rate, ultimately easing breathing difficulties. A: Titrating O2 is important in COPD patients, but in this case, addressing the anxiety-induced breathing pattern is more immediate. C: Discussing diet is important for overall health in COPD, but it doesn't directly address the breathing pattern due to anxiety. D: Using sedative medications can be harmful, as it may depress the respiratory drive further in COPD patients.
Question 4 of 5
To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? (Select all that do not apply.)
Correct Answer: A
Rationale: Rationale: A chest x-ray is not necessary for monitoring complications in type 2 diabetes. The correct tests are B, C, and D. Blood pressure monitoring is crucial for assessing cardiovascular risk, serum creatinine for kidney function, and urine microalbuminuria for early detection of diabetic nephropathy. A chest x-ray does not directly relate to diabetes complications and is not a routine annual test for diabetic patients.
Question 5 of 5
A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Perform chest physiotherapy every 4 hours. In CF patients, mucus buildup in the lungs can lead to respiratory distress. Chest physiotherapy helps loosen and clear the mucus, improving breathing. This intervention is essential in managing respiratory symptoms in CF patients. A: Schedule a sweat chloride test - This test is used to diagnose CF but is not an immediate intervention for a patient experiencing increased dyspnea. B: Arrange for a hospice nurse visit - Hospice care is not appropriate for a young adult with CF experiencing increased dyspnea unless the patient is in end-of-life care. C: Place the patient on a low-sodium diet - While nutrition is important in CF management, a low-sodium diet is not the priority when a patient is struggling to breathe.