The provider requests the nurse to start an infusion of an inotropic agent on a client. How should the nurse explain the action of these drugs to the client and spouse?

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ATI Medical Surgical Proctored Exam Questions

Question 1 of 9

The provider requests the nurse to start an infusion of an inotropic agent on a client. How should the nurse explain the action of these drugs to the client and spouse?

Correct Answer: C

Rationale: The correct answer is C: It increases the force of the heart's contractions. Inotropic agents are medications that enhance the strength of the heart's contractions, improving cardiac output. This explanation is accurate because inotropic agents work by increasing the contractility of the heart muscle, leading to stronger contractions and improved pumping ability. Explanation for why the other choices are incorrect: A: It constricts vessels, improving blood flow - This is incorrect because inotropic agents primarily affect the heart's contractility, not vascular constriction. B: It dilates vessels, which lessens the work of the heart - This is incorrect because inotropic agents do not primarily dilate vessels; their main action is on the heart's contractility. D: It slows the heart rate down for better filling - This is incorrect because inotropic agents do not slow down the heart rate; they increase the force of contractions. In summary, choice C is correct as inotropic agents increase the force of

Question 2 of 9

Which patient is at greatest risk for pancreatic cancer?

Correct Answer: A

Rationale: Smoking and alcohol use are major risk factors for pancreatic cancer, making the elderly black male with these habits at highest risk.

Question 3 of 9

Which of the following is a sign of presbyopia?

Correct Answer: B

Rationale: Presbyopia is the gradual loss of near focusing ability, making it difficult to see close objects.

Question 4 of 9

A client had a hemicolectomy performed two days ago. Today, the nurse assessed the incision and discovered a small part of the abdominal viscera protruding through the incision. This complication of wound healing is known as:

Correct Answer: D

Rationale: Excoriation is an abrasion of the epidermis, or of any organ coating of the body, caused by trauma, chemicals, burns, or other causes. Dehiscence is a partial to complete separation of the wound edges with no abdominal tissue protrusion. Decortication is removal of the surface layer of an organ or structure, such as removing the fibrinous peel from the visceral pleura in thoracic surgery. Evisceration occurs when the incision separates and the contents of the cavity spill out.

Question 5 of 9

What is your most appropriate response to Mr. Brown suspecting tuberculosis?

Correct Answer: B

Rationale: A tuberculin skin test detects latent TB infection, even without symptoms.

Question 6 of 9

Which setting allows the dying client to have advanced care in an institution due to the necessity to control pain unable to be managed at home?

Correct Answer: C

Rationale: Palliative care specializes in managing complex symptoms and pain, providing advanced institutional support.

Question 7 of 9

Which manipulative and body-based technique uses pressure applied to the feet and hands?

Correct Answer: B

Rationale: Reflexology applies pressure to specific points on the feet and hands, stimulating corresponding body areas.

Question 8 of 9

Which postoperative complication results from saliva, mucus, vomitus, or blood making its way into the lungs as a result of difficulty in swallowing or a client’s inability to rid himself/herself of oral secretions?

Correct Answer: A

Rationale: The correct answer is A because aspiration occurs when foreign material enters the lungs.

Question 9 of 9

When caring for a client with pneumonia, what intervention is most effective in preventing the spread of infection?

Correct Answer: D

Rationale: The correct answer is D because performing hand hygiene before and after client contact is crucial in preventing the spread of infection in pneumonia. This intervention helps in reducing the transmission of infectious agents from one client to another and from surfaces to clients. It is a fundamental infection control measure that minimizes the risk of spreading pathogens. Option A is important for treating the infection but does not directly prevent its spread. Option B is a good practice to contain respiratory secretions but may not be as effective as hand hygiene. Option C isolates the client but does not address the primary mode of transmission through contaminated hands.

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