ATI RN
Stage Theories of Health Behavior Questions
Question 1 of 5
What is the most important postoperative instruction that nurse Kate must give a client who has just returned from the operating room after receiving a subarachnoid block?
Correct Answer: D
Rationale: The correct answer is D because after receiving a subarachnoid block, the client should remain supine for the specified time to prevent complications like a sudden drop in blood pressure. This position helps maintain proper blood flow to the brain and spinal cord. A is incorrect because maintaining hydration is important postoperatively. B is incorrect as there is no specific reason to avoid milk products. C is incorrect as blood in urine is not a common complication of a subarachnoid block and would not be the most important instruction at this time.
Question 2 of 5
A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Nurse Marie is caring for a 32-year-old client admitted with pernicious anemia. Which set of findings should the nurse expect when assessing the client?
Correct Answer: B
Rationale: The correct answer is B: Pallor, tachycardia, and a sore tongue. In pernicious anemia, the body lacks intrinsic factor needed for vitamin B12 absorption, leading to megaloblastic anemia. Pallor is a common symptom due to decreased red blood cells. Tachycardia occurs as the heart compensates for decreased oxygen-carrying capacity. A sore tongue, known as glossitis, is a classic sign of B12 deficiency. Choices A, C, and D do not align with typical manifestations of pernicious anemia.
Question 4 of 5
Nurse John is caring for clients in the outpatient clinic. Which of the following phone calls should the nurse return first?
Correct Answer: B
Rationale: The correct answer is B because a client with a cast on the right leg reporting a "funny feeling" could indicate a potential circulation or nerve issue, which requires immediate attention to prevent complications. It is important to prioritize urgent physical concerns over other symptoms like itching, nausea, or trouble sleeping. The other options, A, C, and D, are important but not as urgent as the potential complications associated with impaired circulation or nerve function in a client with a leg cast.
Question 5 of 5
A male client with emphysema becomes restless and confused. What step should nurse Jasmine take next?
Correct Answer: A
Rationale: The correct answer is A: Encourage the client to perform pursed lip breathing. This is the appropriate step because the client with emphysema showing restlessness and confusion may be experiencing hypoxia. Pursed lip breathing helps improve oxygenation by slowing down breathing and facilitating better gas exchange. Checking the client's temperature (B) is not the priority in this situation. Assessing the client's potassium level (C) may be important but not the immediate step for a client showing signs of hypoxia. Increasing the client's oxygen flow rate (D) can be considered after assessing the client's response to pursed lip breathing.