ATI RN
Giddens Concepts for Nursing Practice Test Bank Questions
Question 1 of 5
The nurse is caring for a patient recovering from a below-the-knee amputation. What should be included in this patient’s plan of care? Select all that apply.
Correct Answer: A
Rationale: A. Elevate the stump: Elevation of the stump helps to reduce swelling and improve blood circulation, aiding in the healing process after the amputation.
Question 2 of 5
The nurse is caring for a patient recovering from a below-the-knee amputation. What should be included in this patient’s plan of care? Select all that apply.
Correct Answer: A
Rationale: A. Elevate the stump: Elevation of the stump helps to reduce swelling and improve blood circulation, aiding in the healing process after the amputation.
Question 3 of 5
The nurse is caring for a premature infant diagnosed with patent ductus arteriosus (PDA). Which medication should the nurse anticipate administering to this client?
Correct Answer: A
Rationale: Indomethacin is a medication commonly used to treat patent ductus arteriosus (PDA) in premature infants. PDA is a condition where the ductus arteriosus, a blood vessel that connects the pulmonary artery to the aorta, fails to close after birth. Indomethacin works by inhibiting prostaglandin synthesis, which helps to promote closure of the ductus arteriosus. This medication is often used in premature infants with PDA to prevent complications and improve outcomes. Propranolol is a beta-blocker used for different conditions, antibiotics are used to treat infections, and Prostaglandin E1 is used to maintain ductal patency in certain cardiac conditions where closure is not desired.
Question 4 of 5
Which nursing intervention related to perfusion can be performed independently?
Correct Answer: C
Rationale: Teaching relaxation techniques related to perfusion can be independently performed by a nurse without requiring supervision or intervention from a healthcare provider. This nursing intervention focuses on promoting stress reduction and improving overall perfusion by enhancing circulation and decreasing the workload of the heart. The nurse can educate the patient on various relaxation techniques such as deep breathing exercises, guided imagery, progressive muscle relaxation, and meditation to help optimize perfusion levels. Additionally, teaching relaxation techniques empowers the patient to actively participate in their care and improve their overall well-being.
Question 5 of 5
A 67-year-old client with a history of type II diabetes mellitus and chronic hypertension is admitted to the emergency department after a myocardial infarction. Which type of shock should the nurse be prepared to treat in this client?
Correct Answer: A
Rationale: Given the client's history of type II diabetes mellitus, chronic hypertension, and recent myocardial infarction, the most likely type of shock for the nurse to be prepared to treat in this client is cardiogenic shock. Cardiogenic shock occurs when the heart is unable to pump effectively, leading to inadequate perfusion of vital organs. This can be a complication of myocardial infarction, as damage to the heart muscle can impair its ability to pump blood effectively. Patients with a history of diabetes and hypertension are at increased risk for cardiovascular diseases, such as myocardial infarction, which can lead to cardiogenic shock. Symptoms of cardiogenic shock include hypotension, tachycardia, cool and clammy skin, and altered mental status. Treatment may involve medications to support cardiac function, such as inotropes, and interventions to improve oxygen delivery, such as oxygen therapy and fluid administration.
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