ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The nurse is teaching the mother of an infant with otitis media to manage the associated fever and pain. Which instruction by the nurse is correct?
Correct Answer: C
Rationale: Correct Answer: C - Administer acetaminophen. Rationale: 1. Acetaminophen is an appropriate medication for reducing fever and relieving pain in infants with otitis media. 2. Swaddling the baby in blankets may increase body temperature and discomfort. 3. Feeding solid foods is not recommended during illness, as infants may have difficulty swallowing or digesting. 4. Bathing the baby with cool water may cause chills and discomfort, worsening the condition. In summary, administering acetaminophen is the correct choice as it addresses both fever and pain effectively, while the other options may exacerbate the infant's condition.
Question 2 of 5
What is the primary rationale for maintaining adequate hydration in clients with pneumonia?
Correct Answer: D
Rationale: The correct answer is D because adequate hydration helps keep the airway clear by making secretions easier to expectorate. Proper hydration thins mucus secretions, making it easier for clients with pneumonia to cough up and clear their airways, reducing the risk of respiratory complications. Maintaining hydration does not primarily affect urine output (A), blood pressure (B), or mucus membrane moisture (C) in clients with pneumonia.
Question 3 of 5
One method of preventing sepsis in hospitalized clients is
Correct Answer: A
Rationale: The correct answer is A: using aseptic techniques when inserting a catheter. This is because maintaining a sterile environment during catheter insertion helps prevent introducing harmful bacteria that can lead to sepsis. Aseptic techniques reduce the risk of infection. Choices B and C are incorrect because negative airflow rooms and airborne precautions are primarily used for airborne infections, not sepsis prevention. Choice D is incorrect as teaching proper tampon use does not directly relate to preventing sepsis in hospitalized clients.
Question 4 of 5
The nurse is providing discharge teaching for a client diagnosed with a urinary tract infection (UTI). The client is prescribed a 3-day course of oral trimethoprim-sulfamethoxazole (TMP-SMZ). Which client statement indicates that teaching has been effective?
Correct Answer: A
Rationale: The correct answer is A. The client's statement indicates understanding of the importance of follow-up urine culture after completing antibiotic treatment for a UTI to ensure eradication of the infection. This shows compliance with medical advice and monitoring treatment efficacy. Choice B (Kegel exercises) is irrelevant to UTI treatment. Choice C (increasing fluid intake) is a general good practice but not specific to UTI treatment. Choice D (wearing cotton underwear) is not directly related to UTI treatment.
Question 5 of 5
The charge nurse for a medical-surgical unit is notified that a client with tuberculosis (TB) is being transported to the unit. Which actions for infection prevention are the most appropriate in this circumstance? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because wearing a respirator and gown when caring for a client with TB is essential to prevent the spread of the disease through respiratory droplets. This protective equipment helps to minimize the risk of healthcare workers inhaling the TB bacteria. Choice A is incorrect because stocking the client's supply cart does not directly address infection prevention for TB. Choice C is incorrect because having the client wear a mask is not as effective as the healthcare provider wearing personal protective equipment. Choice D is incorrect because hand hygiene should be performed both before and after caring for the client with TB to prevent the spread of infection.