ATI RN
Basic Principles of Long-Term Patient Care Developing a Therapeutic Community Questions
Question 1 of 5
Thyroid hormones primarily regulate the following:
Correct Answer: D
Rationale: The correct answer is D: Metabolism and growth. Thyroid hormones, such as T3 and T4, play a crucial role in regulating metabolism by influencing the body's energy production and consumption. They also help in the growth and development of various tissues and organs. This is supported by scientific research and physiological understanding. Explanation for other choices: A: Heart rate and respiration - While thyroid hormones can indirectly influence heart rate and respiration through their effects on metabolism, they are not the primary regulators of these functions. B: Bile production and potassium - Thyroid hormones do not have a direct role in regulating bile production or potassium levels in the body. C: Kidney and liver function - While thyroid hormones can affect kidney and liver function to some extent, their primary role lies in metabolism and growth regulation.
Question 2 of 5
When using a pulse oximetry device
Correct Answer: D
Rationale: The correct answer is D: Supine position. When using a pulse oximetry device, the supine position can lead to inaccurate readings due to reduced blood flow to the extremities. This position can affect the accuracy of oxygen saturation measurements. It is important to keep the patient in an upright or semi-upright position for accurate readings. Choices A, B, and C are incorrect because excessive fluids, loose tape, or avoiding certain actions are not directly related to the accuracy of pulse oximetry readings.
Question 3 of 5
One important way to try to resolve a conflict is to
Correct Answer: C
Rationale: The correct answer is C: Consider a compromise. Compromise is essential in conflict resolution as it allows both parties to find a middle ground and reach a mutually beneficial solution. It promotes understanding, cooperation, and fosters positive relationships. Never meeting halfway (A) can lead to a deadlock in negotiations. Challenging policy (B) may escalate the conflict further. Antagonizing coworkers (D) will only worsen the situation and hinder any chances of resolving the conflict amicably. In summary, choosing a compromise is the most effective approach as it promotes cooperation and understanding among conflicting parties.
Question 4 of 5
The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing. Which priority goal is the nurse trying to achieve?
Correct Answer: B
Rationale: The correct answer is B: Prevent atelectasis. Diaphragmatic breathing helps improve lung expansion, prevent atelectasis (collapsed lung), and promote oxygenation. By utilizing diaphragmatic breathing, the nurse aims to prevent respiratory complications postoperatively. Managing pain (A) can be addressed through other interventions. While improving oxygenation may indirectly contribute to reducing healing time (C), the main goal is to prevent respiratory complications. Decreasing thrombus formation (D) is not directly related to diaphragmatic breathing.
Question 5 of 5
The postanesthesia care unit (PACU) nurse transports the inpatient surgical patient to the medical-surgical floor. Before leaving the floor, the medical-surgical nurse obtains a complete set of vital signs. What is the rationale for this nursing action?
Correct Answer: B
Rationale: The correct answer is B: This is done to compare and monitor for vital sign variation during transport. 1. Monitoring vital signs during transport is crucial to detect any changes or complications post-surgery. 2. Comparing pre-transport and post-transport vital signs helps in assessing the patient's stability. 3. Any significant variations in vital signs can indicate potential issues that need immediate attention. 4. This practice ensures continuity of care and promotes patient safety during transitions. Incorrect Choices: A: Completing a head-to-toe assessment is not the primary purpose of obtaining vital signs before transport. C: The medical-surgical nurse obtaining vital signs does not necessarily imply checking on the postoperative patient. D: Following hospital policy and procedure is important but does not specifically address the rationale for checking vital signs during transport.