ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
When suctioning, which of the following techniques is correct?
Correct Answer: C
Rationale: The correct technique for suctioning is using intermittent suction while withdrawing the catheter (Choice C) because it helps prevent injury to the airway and reduce the risk of hypoxia. Intermittent suctioning allows for effective removal of secretions without causing trauma to the airway tissues. Advancing the catheter while suctioning can stimulate the gag reflex and cause injury, while continuous suctioning can lead to hypoxia and damage to the airway mucosa. Therefore, using intermittent suction while withdrawing the catheter ensures safe and effective suctioning without compromising patient safety.
Question 2 of 5
The nurse is preparing to administer a blood transfusion. Which action should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B. Comparing the client's identification wristband with the tag on the unit of blood is crucial to ensure proper patient identification and prevent errors in blood transfusion. This step helps verify patient identity and blood compatibility before administration. Incorrect Choices: A: Typing and crossmatching can be done after patient identification to confirm compatibility. C: Starting an IV infusion of normal saline is important but not the first step in blood transfusion. D: Measuring vital signs is important but should not be the first action before verifying patient identity for blood transfusion.
Question 3 of 5
In changing tracheostomy ties, the nurse should:
Correct Answer: C
Rationale: Rationale: Choice C is correct because it involves removing one side of the old tie before threading the clean tape through the eye of the flange. This method ensures that the tracheostomy remains secure while changing ties, reducing the risk of accidental decannulation or displacement. Removing both ties (Choice D) can compromise the patient's airway, while tying the new tie to the eye of the flange with old ties in place (Choice B) can lead to inadequate support. Choice A is incorrect because threading the clean tape through the eye of the flange before removing the old ties can result in instability and potential harm to the patient.
Question 4 of 5
The physician has ordered an indwelling catheter inserted in a hospitalized male patient. The nurse is aware that:
Correct Answer: A
Rationale: The correct answer is A because the male urethra is indeed vulnerable to injury during catheter insertion due to its narrow and curved structure. Step 1: Understanding male anatomy - the male urethra is longer and more prone to injury compared to the female urethra. Step 2: Recognizing the importance of gentle and careful insertion to prevent damage. Step 3: Emphasizing the need for proper technique and training to minimize the risk of harm. Summary: Choice B is vague and not relevant to catheter insertion. Choice C is incorrect as a sterile technique is typically used for catheter insertion. Choice D is incorrect as the catheter should be inserted 6-7 inches into the male urethra, not 2-3 inches.
Question 5 of 5
A client who is scheduled for a bone marrow aspiration asks the nurse about the site that will be used for the procedure. The nurse tells the client that in addition to the iliac crest, the____ may be used.
Correct Answer: C
Rationale: The correct answer is C: Sternum. The sternum is another common site for bone marrow aspiration, along with the iliac crest. The sternum is easily accessible, especially in emergency situations. Aspiration from the sternum is less painful compared to the iliac crest. The femur (choice A) is not typically used for bone marrow aspiration due to the risk of injury to major blood vessels. The ribs (choice B) are not ideal due to the risk of pneumothorax. The scapula (choice D) is not commonly used due to limited accessibility and risk of injury to surrounding structures.