ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
The nurse is evaluating the discharge teaching outcomes for a patient with chronic peripheral artery disease (PAD). Which patient statement indicates a need for further instruction?
Correct Answer: B
Rationale: The correct answer is B because using a heating pad on the feet can actually worsen PAD symptoms by dilating blood vessels and increasing blood flow, potentially leading to further ischemia. A: Choosing loose clothes helps improve circulation, as tight clothing can restrict blood flow. C: Walking to the point of pain and resting is a common exercise strategy for PAD patients. D: Changing positions frequently and avoiding prolonged sitting can prevent blood pooling and promote circulation.
Question 2 of 5
A patient with chronic obstructive pulmonary disease (COPD) has been eating very little and has lost weight. Which intervention would be most appropriate for the nurse to include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C, offering high-calorie protein snacks between meals and at bedtime. This intervention is most appropriate for a COPD patient who has lost weight due to poor intake. Proteins are essential for muscle maintenance and repair, and high-calorie snacks can help meet energy needs. Whole grains (A) may not provide enough calories, fruits and fruit juices (B) may not be calorie-dense, and foods with high vegetable content (D) may not provide sufficient protein or calories. In summary, option C addresses both the protein and calorie needs of the patient, making it the most suitable intervention.
Question 3 of 5
The nurse has just auscultated coarse crackles bilaterally on a patient with a tracheostomy tube in place. If the patient is unsuccessful in coughing up secretions, what action should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Put on sterile gloves and use a sterile catheter to suction. When coarse crackles are heard in a patient with a tracheostomy tube and they are unable to clear secretions, suctioning is necessary to maintain airway patency and prevent complications like respiratory distress. Using a sterile catheter ensures aseptic technique to prevent infection. Choices A and B are not appropriate as they do not address the immediate need for airway clearance. Choice D is incorrect because preoxygenation before suctioning is not indicated in this scenario and may delay necessary intervention.
Question 4 of 5
The nurse teaches a patient who has asthma about peak flowmeter use. Which action by the patient indicates that teaching was successful?
Correct Answer: C
Rationale: The correct answer is C. When the patient uses albuterol for peak flows in the yellow zone, it indicates successful teaching because the yellow zone signifies caution, where the patient should take action to prevent worsening asthma symptoms. Using albuterol at this stage helps to manage symptoms before they escalate. Choice A is incorrect because inhaling rapidly through the peak flowmeter mouthpiece is not a correct technique and may lead to inaccurate results. Choice B is incorrect because montelukast is a controller medication and not used for immediate relief during asthma exacerbations. Choice D is incorrect because calling the healthcare provider when the peak flow is in the green zone is unnecessary as it indicates good lung function.
Question 5 of 5
A nurse teaches a client who has chronic obstructive pulmonary disease. Which statements related to nutrition would the nurse include in this client’s teaching? (Select all that do not apply.)
Correct Answer: D
Rationale: The correct answer is D because consuming high-fiber foods can actually slow down gastric emptying and exacerbate symptoms of bloating and gas in individuals with COPD. The other choices are relevant to nutrition in COPD management. A: Fluid restriction before meals helps prevent feeling too full and can aid in breathing efficiency. B: Resting before meals can reduce dyspnea during eating. C: Having smaller, more frequent meals can help maintain energy levels and prevent feeling too full, which can improve breathing.