ATI RN
ATI Client Comfort and End of Life Care Quizlet Questions
Question 1 of 5
The spouse of a client with chronic pain asks the nurse why the client is depressed. What would be the basis of the nurse's response?
Correct Answer: B
Rationale: The basis of the nurse's response is chronic pain itself, as persistent pain often causes depression by disrupting neurotransmitters (e.g., serotonin), fostering hopelessness, and limiting life enjoyment. This bidirectional linkpain worsening mood, mood amplifying painis well-established. Choice A, lack of activity, contributes but isn't primary; pain drives inactivity, not vice versa. Choice C, poor nutrition, may affect health but lacks direct evidence tying it to depression herepain's emotional toll is stronger. Choice D, medication side effects, like opioid-induced sedation, can depress mood, but the question implies pain's role, not treatment. Choice B is correct, guiding nurses to explain this connection, validating the spouse's observation, and suggesting integrated care (e.g., antidepressants, therapy) to break the pain-depression cycle, improving the client's overall well-being.
Question 2 of 5
A client asks the nurse why pain medication is given before physical therapy. What would be the basis of the nurse's response?
Correct Answer: D
Rationale: The basis of the nurse's response is to minimize discomfort, as pre-therapy pain medication reduces pain during movement, enabling active participation in physical therapy (e.g., stretching) without distresskey for recovery or chronic pain management. Timing optimizes function. Choice A, prevent drowsiness, is backwardanalgesics may cause it, but that's not the goal here. Choice B, reduce muscle tension, occurs indirectly, but discomfort reduction drives dosing, not just tension relief. Choice C, increase pain tolerance, is vaguemedication lowers pain perception, not tolerance capacity. Choice D is correct, guiding nurses to explain this preemptive strategye.g., taking ibuprofen 30 minutes priorensuring therapy's benefits (mobility) outweigh pain barriers, enhancing outcomes in rehab or chronic care.
Question 3 of 5
A client asks the nurse why pain seems worse when the client is stressed. What would be the basis of the nurse's response?
Correct Answer: B
Rationale: The basis of the nurse's response is reduced pain tolerance, as stress elevates cortisol and adrenaline, lowering the threshold for pain perceptionamplifying its intensity without changing its source. This psychological overlay is key. Choice A, increased muscle tension, contributes (e.g., clenched shoulders), but tolerance reduction is broader, affecting all pain types. Choice C, poor circulation, may worsen ischemic pain, but stress's effect is neural, not vascular-specific. Choice D, increased inflammation, needs chronic stress evidenceacute stress heightens perception, not swelling. Choice B is correct, enabling nurses to explain this link, suggesting relaxation (e.g., breathing) or timed meds to boost tolerance, helping clients manage pain's stress-driven spikes effectively.
Question 4 of 5
The nurse in charge must monitor a patient receiving chloramphenicol for adverse drug reaction. What is the most toxic reaction to chloramphenicol?
Correct Answer: D
Rationale: Chloramphenicol is an antibiotic reserved for serious infections due to its potential for severe toxicity, with bone marrow suppression (Choice D) being the most dangerous adverse reaction. This condition can manifest as aplastic anemia, a potentially fatal reduction in blood cell production, affecting red cells, white cells, and platelets. The risk arises because chloramphenicol inhibits protein synthesis in bone marrow mitochondria, leading to suppressed hematopoiesis. Lethal arrhythmias (Choice A) are not a primary concern with this drug, as it doesn't directly affect cardiac ion channels. Malignant hypertension (Choice B) is unrelated, as chloramphenicol doesn't influence vascular tone or blood pressure significantly. Status epilepticus (Choice C), a prolonged seizure state, is also not associated, as the drug's neurotoxicity is more likely to cause peripheral neuropathy than seizures. Bone marrow suppression can lead to life-threatening infections, bleeding, or anemia, requiring close monitoring (e.g., regular complete blood counts). Its severity and irreversibility in some cases make it the most toxic reaction, confirming Choice D as the correct answer.
Question 5 of 5
While examining a client's leg, the nurse notes an open ulceration with visible granulation tissue in the wound. Until a wound specialist can be contacted, which type of dressings is most appropriate for the nurse in charge to apply?
Correct Answer: C
Rationale: Granulation tissue in an open wound indicates healing, with new, red, vascular tissue forming. Moist, sterile saline gauze (Choice C) is most appropriate because it maintains a moist environment, promoting cell migration and preventing desiccation of granulation tissue, which could halt healing. Dry sterile dressing (Choice A) adheres to the wound, damaging granulation tissue upon removal and delaying healing. Sterile petroleum gauze (Choice B) supports healing but is costlier and less practical for interim use, often reserved for specific wounds like burns. Povidone-iodine-soaked gauze (Choice D) is cytotoxic to healing cells, irritating granulation tissue and slowing repair, making it unsuitable. Research supports moist wound healing (e.g., Winter's 1962 study), showing faster epithelialization with moisture. Until the specialist arrives, moist saline gauze balances efficacy, availability, and safety, protecting the delicate healing process. Thus, Choice C is the correct dressing choice.