ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
The nurse is preparing the client for an abdominal paracentesis. The nurse should place the client in which of the following positions?
Correct Answer: C
Rationale: The correct answer is C: Sitting position. Placing the client in a sitting position during an abdominal paracentesis allows for easier access to the abdomen and minimizes the risk of complications such as lightheadedness or hypotension. This position also promotes optimal drainage of ascitic fluid. A: Supine position is not ideal as it may not provide optimal access to the abdomen for the procedure. B: Left lateral position with legs flexed may not be appropriate as it can hinder access to the abdomen and fluid drainage. D: Right side-lying position is not recommended as it may obstruct access to the abdomen and make the procedure more challenging.
Question 2 of 5
When assessing a child who complains of abdominal pain, what is the most appropriate nursing action?
Correct Answer: C
Rationale: The most appropriate nursing action when assessing a child complaining of abdominal pain is to avoid painful areas until the end of the assessment (Choice C). This approach helps prevent causing unnecessary discomfort or distress to the child. By starting with non-painful areas, the nurse can establish rapport, gather important information, and assess the child's overall condition before addressing the painful areas. This ensures a thorough and sensitive assessment process. Choice A is incorrect because palpating the most painful area first can cause distress and may not provide a comprehensive assessment. Choice B, palpating for rebound tenderness, is not appropriate as it is more specific to assessing for peritonitis in adults. Choice D, using deep palpation for abdominal tenderness, can be uncomfortable for the child and should be avoided until other assessments have been completed.
Question 3 of 5
The nurse understands that which of the following foods should be omitted from a patient’s diet before an electroencephalogram (EEG)?
Correct Answer: A
Rationale: Correct Answer: A - Coffee should be omitted from the patient's diet before an EEG because caffeine can interfere with the test results by affecting brain activity and creating false readings. Coffee is a stimulant that can alter brain waves and impact the accuracy of the EEG. Summary of Incorrect Choices: B: A glass of orange juice - Orange juice does not contain caffeine and is not known to interfere with EEG results. C: Cheese - Cheese does not contain caffeine and is not known to interfere with EEG results. D: Strawberry ice cream - Ice cream does not contain caffeine and is not known to interfere with EEG results.
Question 4 of 5
The nurse is caring for a patient with diabetes who had abdominal surgery 3 days ago. Which finding is most important for the nurse to report to the health care provider?
Correct Answer: C
Rationale: The correct answer is C: Oral temperature of 101° F (38.3° C). A postoperative fever could indicate infection, especially in a diabetic patient who is at higher risk. The nurse should report this finding promptly for further evaluation and treatment. Choice A is within the normal range for blood glucose in a patient with diabetes. Choice B, separation of wound edges, could indicate delayed wound healing but is not as urgent as a potential infection. Choice D, increased incisional pain, is expected postoperatively and may not necessarily indicate a complication unless accompanied by other symptoms.
Question 5 of 5
The postanesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client would the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C because a respiratory rate of 6 breaths/min indicates severe respiratory distress, potentially leading to respiratory failure or arrest. This client needs immediate assessment and intervention to prevent further complications. A: A blood pressure of 100/50 mm Hg is low but not immediately life-threatening. B: A pulse of 118 beats/min is elevated but not as urgent as severe respiratory distress. D: A temperature of 96° F (35.6° C) is slightly below normal but not a priority compared to respiratory distress.