ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
What is correct about taking blood pressure readings?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. The cuff size should be appropriate to ensure accurate readings. 2. A cuff that is too small can result in falsely elevated readings. 3. A cuff that is too large can lead to falsely low readings. 4. Placing the cuff 1 cm above the brachial artery ensures proper placement for accurate measurements. Other Choices: A: The nurse should make sure that the cuff is deflated fully - Incorrect. The cuff should be inflated fully for accurate readings. B: then immediately start the second reading for the same client - Incorrect. It is important to wait a few minutes between readings to allow the blood vessels to recover. C: The nurse should release the valve carefully so that the pressure decreases at the rate of 2-3 mmHg per second - Incorrect. The pressure should be released at a steady rate, not specific to 2-3 mmHg per second.
Question 2 of 5
You are currently monitoring a client who is undergoing blood transfusion when suddenly he experienced chills, urticaria, hypotension, and respiratory distress. Which action should be taken?
Correct Answer: C
Rationale: Correct Answer: C Rationale: The client is experiencing signs of a transfusion reaction, likely due to a blood type incompatibility. Running normal saline at a keep-vein-open rate helps maintain the client's circulation and blood pressure while stopping the transfusion. This step is crucial to prevent further complications and stabilize the client's condition. Summary of Other Choices: A: Removing the IV line may worsen the situation as it can lead to air embolism or abrupt changes in fluid balance. B: Running a solution of 5% dextrose in water is not the appropriate intervention for a transfusion reaction and does not address the underlying issue. D: Obtaining a culture of the catheter tip is not a priority in this acute situation and does not directly address the client's immediate needs.
Question 3 of 5
The indication for epinephrine injection for Mrs. David is to:
Correct Answer: C
Rationale: The correct answer is C: Relieve respiratory distress due to bronchial spasm. Epinephrine is a bronchodilator that helps to open up the airways and relieve respiratory distress in conditions like asthma or anaphylaxis. It is not indicated for reducing anaphylaxis (choice A) as it is used to treat anaphylaxis itself. It does not relieve hypersensitivity to allergen (choice B) as it does not address the underlying allergic response. Epinephrine also does not restore cardiac rhythm (choice D), as it is used for treating respiratory issues, not cardiac arrhythmias.
Question 4 of 5
A physician tells Nurse Corazon that the client’s intravenous line will be discontinued. She should obtain which of the following supplies from the unit supply area for use in applying pressure to the IV site after removing the intravenous (IV) catheter?
Correct Answer: A
Rationale: The correct answer is A: Sterile gauze. After removing the IV catheter, pressure needs to be applied to the IV site to prevent bleeding and promote clotting. Sterile gauze is the best choice as it is clean, non-adhesive, and allows for gentle pressure without sticking to the wound. Adhesive bandage (B) is not ideal as it may be too small to apply adequate pressure. Betadine swab (C) is used for skin antisepsis before procedures, not for applying pressure. Alcohol swab (D) is used for cleaning, not for applying pressure.
Question 5 of 5
Sulfisoxazole, 1 g orally twice daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads “500-mg tablets.” The nurse has determined that the dosage prescribed is safe. The nurse administers how many tablets per dose to the adolescent?
Correct Answer: C
Rationale: The correct answer is C: 2 tablets. The prescribed dosage is 1 g twice daily, which equals 1000 mg per dose. Since each tablet is 500 mg, the adolescent needs 2 tablets per dose to achieve the prescribed 1000 mg. Option A (1⁄2 tablet) and B (1 tablet) do not meet the required dosage of 1000 mg. Option D (3 tablets) would exceed the prescribed dosage, leading to potential adverse effects. Therefore, the correct answer is to administer 2 tablets per dose to ensure the adolescent receives the appropriate amount of medication.