ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital. What action by the managers is best?
Correct Answer: A
Rationale: The correct answer is A: Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met. This is the best action as auditing charts will provide concrete data on adherence to infection prevention protocols, identify areas of improvement, and help measure the effectiveness of current practices. Choice B is incorrect as peer pressure may not be an effective long-term solution and could create a negative work environment. Choice C, while important, may not directly address the root cause of the infections. Choice D is also important but lacks the specificity of measuring the SCIP outcomes. Thus, auditing charts aligns with evidence-based practice and allows for targeted interventions based on data analysis.
Question 2 of 5
A patient has chronic peripheral artery disease (PAD) of the legs and an ulcer on the right second toe. What should the nurse expect to find on assessment?
Correct Answer: C
Rationale: The correct answer is C: dry. In chronic PAD, decreased blood flow to the legs can lead to dry, shiny, and cool skin due to decreased moisture and oxygenation. This can result in impaired wound healing. Dilated superficial veins (A) are more commonly seen in venous insufficiency. Swollen (B) and scaly ankles (D) are not typically associated with chronic PAD but may be seen in conditions such as heart failure or dermatitis.
Question 3 of 5
The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which laboratory test result should be most helpful in indicating myocardial damage? (FILL IN THE BLANKS)
Correct Answer: A
Rationale: The correct answer is A: Troponins. Troponins are specific markers released into the bloodstream when there is damage to the heart muscle, such as in a myocardial infarction. Elevated troponin levels indicate myocardial damage. Choices B, C, and D (Indigestion, Constipation, Anxiety) are incorrect as they do not directly measure myocardial damage or indicate a heart attack. Troponins are the gold standard for diagnosing myocardial infarction due to their high specificity and sensitivity.
Question 4 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 5 of 5
A patient scheduled for a total laryngectomy and radical neck dissection for cancer of the larynx asks the nurse, 'Will I be able to talk normally after surgery?' What is the most accurate response by the nurse?
Correct Answer: C
Rationale: Rationale for correct answer C: After a total laryngectomy, the patient loses their natural voice box, making it impossible to speak normally. The permanent opening in the neck, called a stoma, allows breathing. Speech rehabilitation is essential for voice restoration using techniques like esophageal speech or voice prosthesis. This answer is accurate as it addresses the patient's concerns about speech post-surgery. Summary of other choices: A: Incorrect. This choice is too definitive and does not acknowledge the possibility of voice restoration through rehabilitation. B: Incorrect. While the tracheostomy tube may affect speech initially, it does not address the long-term impact of a laryngectomy on speech. D: Incorrect. While artificial voice devices can help with speech, they do not provide a complete solution for normal speech post-laryngectomy.