ATI RN
Introduction to Nursing Quizlet Questions
Question 1 of 5
When teaching suicide prevention to the parents of a 15 year-old who recently attempted suicide, the nurse describes the following behavioral cue:
Correct Answer: C
Rationale: The correct answer is C: Giving away valued personal items. This is a critical behavioral cue for suicide risk as it indicates a potential desire to say goodbye or tie up loose ends before attempting suicide. It is a warning sign that should be taken seriously and addressed promptly. Choices A, B, and D are not directly related to suicide risk assessment and do not specifically indicate imminent danger. Angry outbursts, fear of being alone, and experiencing a loss are important considerations in mental health but do not directly signal an immediate risk of suicide.
Question 2 of 5
The ability of an individual to cope with death is dependent upon a number of factors. Which person likely has the most difficulty coping with a death?
Correct Answer: A
Rationale: The correct answer is A because losing a child is considered one of the most devastating experiences a person can face, regardless of the circumstances. The sudden death of a young person on the brink of adulthood adds layers of complexity and emotional pain. The loss of potential, unfulfilled dreams, and the traumatic nature of the accident all contribute to the intense grief and difficulty in coping. Choice B is incorrect because while the child may experience grief and confusion, the emotional impact is typically less compared to losing a child. Choice C is incorrect as the relationship with the alcoholic spouse may have been strained due to addiction, potentially lessening the emotional attachment. Choice D is incorrect as the grandparent may experience grief over the loss of their grandchild, but the intensity is generally lower than losing a child directly.
Question 3 of 5
Mr. King is receiving heparin subcutaneously. Which of the following demonstrates correct technique for this procedure?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Heparin is administered subcutaneously, not intramuscularly, so aspirating is not necessary. 2. Aspirating can cause bruising or bleeding due to the fragility of subcutaneous blood vessels. 3. Massaging after the injection can lead to hematoma formation. 4. By not aspirating before or massaging after the injection, the risk of complications is minimized. Summary: A: Incorrect - Aspirating can lead to complications, and massaging may cause hematoma. B: Incorrect - Massaging for one minute is excessive and can increase the risk of hematoma formation. D: Incorrect - Massaging the site can lead to bruising, and aspiration is unnecessary and potentially harmful.
Question 4 of 5
To administer a soap-suds enema to an adult before abdominal surgery, the nurse should:
Correct Answer: C
Rationale: The correct answer is C because raising the fluid container 12-18 inches above the patient's anus ensures a slow, controlled flow of the enema solution into the rectum, allowing for proper cleansing without causing discomfort or injury. This height creates enough pressure to facilitate the flow but prevents excessive pressure that could lead to bowel perforation. Choice A is incorrect because cold water can cause discomfort and cramping, while warm water is recommended for its soothing effect. Choice B is incorrect as the rectal tube should be inserted 3-4 inches into the rectum to ensure proper administration. Choice D is incorrect as removing and reinserting the rectal tube multiple times can disrupt the flow and increase the risk of introducing air into the rectum.
Question 5 of 5
Which of the following is an appropriate nursing intervention for a client wearing anti-embolic stockings?
Correct Answer: A
Rationale: Correct Answer: A - Measure the legs before applying stockings to assure proper fit. Rationale: Proper fit is crucial for the effectiveness of anti-embolic stockings. Measuring the legs ensures a snug but not too tight fit, promoting circulation without causing discomfort or complications. This step helps prevent skin breakdown, nerve compression, and circulation issues. Summary of Incorrect Choices: B: Applying the stockings while the client is sitting in a chair - This is incorrect as stockings should be applied when the client is lying down with legs elevated to reduce swelling and make application easier. C: Massage the legs when removing the stockings - Massaging the legs can dislodge blood clots, which is dangerous for clients wearing anti-embolic stockings. D: Leave the stockings in place for one week intervals - Stockings should be regularly removed and washed to maintain hygiene and prevent skin irritation or infections. Leaving them on for a week can lead to complications.