ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy. Which information should the nurse include about the patient’s postoperative care?
Correct Answer: C
Rationale: The correct answer is C: Frequent use of an incentive spirometer. This is essential post-pneumonectomy to prevent atelectasis and promote optimal lung expansion. Incentive spirometry helps the patient take deep breaths, improving lung function and preventing complications. Option A is incorrect because early mobilization is encouraged postoperatively to prevent complications. Option B is incorrect as positioning should vary to promote lung expansion. Option D is incorrect as chest tubes are usually placed to water seal, not continuous suction, to prevent complications.
Question 2 of 5
The home health nurse is visiting a patient with chronic obstructive pulmonary disease (COPD). Which nursing action is appropriate to implement for a patient who has an impaired breathing pattern due to anxiety?
Correct Answer: B
Rationale: The correct answer is B: Teach the patient how to use the pursed-lip technique. This is because the pursed-lip technique helps improve breathing efficiency and reduce anxiety-related hyperventilation in COPD patients. By prolonging exhalation, it promotes better gas exchange and decreases respiratory rate, ultimately easing breathing difficulties. A: Titrating O2 is important in COPD patients, but in this case, addressing the anxiety-induced breathing pattern is more immediate. C: Discussing diet is important for overall health in COPD, but it doesn't directly address the breathing pattern due to anxiety. D: Using sedative medications can be harmful, as it may depress the respiratory drive further in COPD patients.
Question 3 of 5
To monitor for complications in a patient with type 2 diabetes, which tests will the nurse in the diabetic clinic schedule at least annually? (Select all that do not apply.)
Correct Answer: A
Rationale: Rationale: A chest x-ray is not necessary for monitoring complications in type 2 diabetes. The correct tests are B, C, and D. Blood pressure monitoring is crucial for assessing cardiovascular risk, serum creatinine for kidney function, and urine microalbuminuria for early detection of diabetic nephropathy. A chest x-ray does not directly relate to diabetes complications and is not a routine annual test for diabetic patients.
Question 4 of 5
A young adult patient with cystic fibrosis (CF) is admitted to the hospital with increased dyspnea. Which intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Perform chest physiotherapy every 4 hours. In CF patients, mucus buildup in the lungs can lead to respiratory distress. Chest physiotherapy helps loosen and clear the mucus, improving breathing. This intervention is essential in managing respiratory symptoms in CF patients. A: Schedule a sweat chloride test - This test is used to diagnose CF but is not an immediate intervention for a patient experiencing increased dyspnea. B: Arrange for a hospice nurse visit - Hospice care is not appropriate for a young adult with CF experiencing increased dyspnea unless the patient is in end-of-life care. C: Place the patient on a low-sodium diet - While nutrition is important in CF management, a low-sodium diet is not the priority when a patient is struggling to breathe.
Question 5 of 5
The nurse teaching a group of adults about cancer warning signs presents to the group a list of the seven possible warning signs of cancer that is used by the American Cancer Society. What should this list NOT include?
Correct Answer: A
Rationale: The correct answer is A: Areas of alopecia. This is because alopecia, which refers to hair loss, is not typically recognized as a common warning sign of cancer according to the American Cancer Society. The other choices (B, C, D) are commonly known warning signs of cancer such as sores that do not heal, nagging cough or hoarseness, and indigestion or difficulty swallowing, respectively. It is important for the nurse to provide accurate and relevant information to the group in order to educate them effectively on cancer warning signs.