ATI RN
Multi Dimensional Care | Exam | Rasmusson Questions
Question 1 of 5
The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse indicate in the education?
Correct Answer: A
Rationale: In this scenario, Option A is the correct answer because it provides essential information regarding the adverse effects associated with nonsteroidal anti-inflammatory drugs (NSAIDs), which are commonly prescribed for conditions like osteomyelitis. Liver failure and tinnitus are significant adverse effects of NSAIDs that the nurse should educate the client about to ensure proper medication management and monitoring. Option B is incorrect as it refers to acetaminophen, not NSAIDs, and gastrointestinal bleeding is not the main side effect of acetaminophen. Option C is partially correct as it highlights the maximum daily dose of acetaminophen, but it does not address the specific teaching related to NSAIDs for osteomyelitis. Option D is incorrect as NSAIDs do have potential side effects, and it is essential for the nurse to educate the client about these risks. From an educational perspective, understanding the potential adverse effects of medications is crucial for nurses to provide comprehensive care and ensure patient safety. By explaining the specific risks associated with NSAIDs in the context of osteomyelitis treatment, nurses can empower patients to make informed decisions about their health and medication management.
Question 2 of 5
A client with systemic lupus erythematous complains of flank pain. Which laboratory test does the nurse anticipate will be ordered?
Correct Answer: C
Rationale: In the case of a client with systemic lupus erythematous (SLE) experiencing flank pain, the nurse would anticipate that a creatinine test will be ordered. This is because flank pain in a patient with SLE could be indicative of lupus nephritis, a common and serious complication where the kidneys are affected. Creatinine levels are a key indicator of kidney function, and an elevated creatinine level would suggest impaired kidney function, which is crucial information for managing a patient with lupus nephritis. Option A) Platelets: Platelet levels are not typically associated with flank pain in SLE. Platelets are more relevant in conditions like thrombocytopenia, which is a common hematologic manifestation of SLE. Option B) Skin biopsy: Skin biopsy is not directly related to flank pain in SLE. It is a diagnostic procedure used to evaluate skin conditions, not kidney involvement. Option D) Hemoglobin: Hemoglobin levels are important in assessing for anemia, which can be a complication of SLE, but they are not the primary concern when a patient presents with flank pain indicative of possible kidney involvement. Educationally, understanding the rationale behind ordering specific laboratory tests in the context of different symptoms and conditions is crucial for nurses to provide comprehensive care. Connecting clinical manifestations with appropriate diagnostic tests enhances nurses' ability to recognize and respond to potential complications promptly, thereby improving patient outcomes.
Question 3 of 5
The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse?
Correct Answer: C
Rationale: The most appropriate statement by the nurse in this scenario is option C: "How does this impact your role in your family?" This question addresses the psychosocial aspect of the client's condition, recognizing the holistic impact of rheumatoid arthritis beyond just physical symptoms. Choosing option A, "Tell me about what medication you are taking," focuses solely on the medical aspect of care and does not address the client's psychosocial needs. Option B, "What physical limitations are you experiencing?" while relevant to the client's condition, does not delve into the emotional or relational impact of the illness. Option D, "What therapies are you using to reduce swelling?" is more focused on the physical management of the condition rather than the client's emotional well-being and social interactions. In an educational context, it is crucial for nurses to understand the importance of holistic care and the impact of illness on a person's entire being. By addressing psychosocial aspects like family dynamics, nurses can provide more comprehensive care that considers the client's emotional and social needs alongside their physical symptoms. This approach enhances patient-centered care and promotes better overall outcomes for individuals facing chronic conditions like rheumatoid arthritis.
Question 4 of 5
A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having a bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What does the nurse tell the physician about the event?
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) The client's incision site has eviscerated. Evisceration refers to the protrusion of an organ through a wound or surgical incision. When a post-operative client with a sutured abdominal incision experiences sharp abdominal pain and bowel protrusion, it indicates evisceration, which is a surgical emergency requiring immediate intervention to prevent complications like infection and further tissue damage. Option B) The client's incision site has lacerated is incorrect because laceration refers to a tear in the tissue, while evisceration specifically involves an organ protruding through a wound. Option C) The client's incisional site is approximated is incorrect as it describes the alignment and closure of wound edges, not the protrusion of bowel. Option D) The client's incisional site has dehisced after is also incorrect as dehiscence refers to the separation of wound edges, not organ protrusion. Educationally, understanding the signs and implications of evisceration is crucial for nurses caring for post-operative patients. Prompt recognition and appropriate communication to the physician are vital to ensure timely intervention and prevent further complications in surgical patients. This knowledge is essential for providing safe and effective patient care in clinical settings.
Question 5 of 5
Most adults with human immunodeficiency virus will exhibit which of the following laboratory values?
Correct Answer: D
Rationale: In adults with human immunodeficiency virus (HIV), the correct answer is option D: Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal. This is because HIV primarily targets CD4+ T-cells, leading to a decrease in their count. CD8+ T-cell levels may remain normal as they are involved in the immune response to HIV. Option A is incorrect because in HIV, CD4+ T-cell levels are typically lower. Option B is incorrect as CD8+ T-cell levels may be higher in response to the infection but not higher than normal. Option C is incorrect as both CD4+ and CD8+ T-cell levels are usually low in HIV. Educationally, understanding the immune response in HIV is crucial for healthcare professionals to effectively manage and treat patients with the virus. Monitoring CD4+ T-cell levels is essential in assessing disease progression and guiding treatment decisions. This knowledge helps in providing optimal care and support to individuals living with HIV.