ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
What role does the nurse assume when guiding a client in making health care decisions?
Correct Answer: D
Rationale: The correct answer is D: Counselor. The nurse assumes the role of counselor when guiding a client in making healthcare decisions by providing emotional support, helping the client explore options, and facilitating informed decision-making. A leader typically involves taking charge or directing a group, which may not always be appropriate in this context. An advocate focuses on promoting the client's rights and best interests but may not necessarily provide the counseling aspect. A liaison acts as a link or intermediary between the client and other healthcare providers, which is different from providing direct counseling and support.
Question 2 of 5
Why are wet-to-dry dressings applied to a skin ulcer?
Correct Answer: B
Rationale: The correct answer is B: Remove dead skin cells and debris. Wet-to-dry dressings help in debriding the wound by promoting the removal of dead tissue and debris when the dressing is changed. This process aids in creating a clean wound bed, which is essential for proper wound healing. The other choices are incorrect because wet-to-dry dressings are not primarily used to prevent wound infections (A), absorb blood and drainage (C), or protect the skin from injury (D). These functions may be achieved through other types of dressings or wound care methods.
Question 3 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 4 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 5 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.