ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 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.
Question 2 of 5
A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/μL and a band count of 11%. What prescribed action should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Obtain cultures of the wound. With an elevated WBC count and high band count, there is a high suspicion of infection. Obtaining cultures will help identify the specific pathogen causing the infection and guide appropriate antibiotic therapy. This is crucial for effective treatment and preventing complications. Incorrect choices: B: Beginning antibiotic administration without knowing the specific pathogen may lead to inappropriate treatment. C: Continuing to monitor the wound for drainage does not address the underlying infection. D: Redressing the wound with wet-to-dry dressings does not address the need for identifying the specific pathogen causing the infection.
Question 3 of 5
A nurse teaches a client who is at risk for hyponatremia. Which statement does the nurse include in this client’s teaching?
Correct Answer: B
Rationale: The correct answer is B: “Notify the clinic if you notice muscle twitching.” Muscle twitching can be a symptom of hyponatremia, which is a condition characterized by low sodium levels in the blood. The nurse should include this statement in the client’s teaching because it is important for the client to recognize and report this symptom promptly to prevent potential complications. Muscle twitching can indicate worsening hyponatremia and requires medical attention. Incorrect choices: A: “Have your spouse watch you for irritability and anxiety.” This choice focuses on emotional symptoms rather than physical symptoms of hyponatremia. C: “Call your primary health care provider for diarrhea.” Diarrhea is not a common symptom of hyponatremia; this choice is unrelated to the condition. D: “Bake or grill your meat rather than frying it.” This choice is unrelated to the prevention or management of hyponatremia.
Question 4 of 5
The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism of the left lower leg. Which action by the nurse is best?
Correct Answer: D
Rationale: The correct answer is D because elevating the thighs and lower legs above the heart level promotes venous return and reduces swelling in the affected leg, aiding in the prevention of complications related to venous thromboembolism. Placing one pillow under the thighs and two pillows under the lower legs ensures proper elevation and support. A: Placing the bed in Trendelenburg position isn't appropriate as it involves the head being lower than the feet, which could increase pressure on the lower extremities and potentially worsen the condition. B: Placing two pillows under the calf of the affected leg doesn't provide sufficient elevation for optimal venous return and may not effectively reduce swelling. C: Elevating only at the knee and placing pillows under both feet may not adequately elevate the lower extremities above heart level, limiting the effectiveness of venous return and swelling reduction.
Question 5 of 5
A nurse prepares a client for a pharmacologic stress echocardiogram. What actions would the nurse take when preparing this client for the procedure? (Select the one that does not apply.)
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. A central venous access device is not needed for a pharmacologic stress echocardiogram. 2. Continuous blood pressure and pulse monitoring are essential during the procedure. 3. Beta blockers may be administered to the client as part of the preparation. 4. NPO status is required to ensure accurate test results and to prevent aspiration. Summary: Choice A is incorrect because a central venous access device is not necessary for a pharmacologic stress echocardiogram. Choices B, C, and D are correct as they are essential steps in preparing a client for the procedure.