ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
This refers to the stiffening of the body that occurs 2–4 hours after death.
Correct Answer: B
Rationale: Rigor mortis is the correct answer as it refers to the stiffening of the body post-death, typically occurring 2-4 hours after death. This process is due to the chemical changes in the muscles, causing them to become rigid. Algor mortis refers to the cooling of the body after death. Livor mortis is the pooling of blood in the lower parts of the body post-death. Manor mortis is not a recognized term in forensic sciences.
Question 2 of 5
Nurse should recommend to their clients the avoidance of the habitual use of laxatives. Which of the following is the rationale for this?
Correct Answer: B
Rationale: The correct answer is B: It will cause chronic constipation. Habitual use of laxatives can lead to the bowel becoming dependent on them to function properly, causing chronic constipation when laxatives are stopped. This occurs due to the bowel becoming less responsive to natural stimuli for movement. Choice A is incorrect because fecal impaction is a risk of abrupt discontinuation of laxatives, not habitual use. Choice C is incorrect because laxatives typically do not significantly alter the pH of the gastrointestinal tract. Choice D is incorrect because laxatives do not inhibit intestinal enzymes but rather stimulate bowel movement.
Question 3 of 5
A client is admitted with frequent, loose stools. Prior to implementing orders to insert a Foley catheter, the nurse would first:
Correct Answer: A
Rationale: Step 1: Assess the client's condition and potential causes of frequent, loose stools. Step 2: Apply a fecal incontinence bag to contain and monitor stool output. Step 3: Monitor the effectiveness of the bag in managing stool output. Step 4: If necessary, implement further interventions based on assessment findings. Summary: - Option B: Performing perineal care is important for hygiene but does not directly address the issue of managing stool output. - Option C: Administering an antidiarrheal agent may mask symptoms without addressing the underlying cause. - Option D: Inserting a rectal tube is invasive and not typically indicated before trying less invasive interventions like a fecal incontinence bag.
Question 4 of 5
In obtaining the cerebrospinal fluid, the needle is inserted:
Correct Answer: B
Rationale: The correct answer is B: Between L3 and L4. The cerebrospinal fluid is obtained via a procedure called lumbar puncture, commonly known as a spinal tap. The needle is inserted between the third and fourth lumbar vertebrae to avoid the spinal cord itself. This location provides access to the subarachnoid space where the cerebrospinal fluid circulates. Choosing A, C, or D would result in potential damage to the spinal cord or improper collection of cerebrospinal fluid.
Question 5 of 5
To prepare a patient for a paracentesis, it is essential for the nurse to:
Correct Answer: D
Rationale: Correct Answer: D - Have the patient empty his bladder Rationale: 1. Emptying the bladder prevents discomfort during the procedure. 2. A full bladder may increase the risk of injury during paracentesis. 3. It ensures accurate measurement of fluid output post-procedure. 4. Administering enema and restricting fluids are unnecessary and unrelated. 5. Pre-medicating with a narcotic analgesic is not routine practice for paracentesis.