ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
Which action should the nurse take first when a patient develops epistaxis?
Correct Answer: B
Rationale: The correct action for a patient with epistaxis is to apply squeezing pressure to the nostrils for 10 minutes. This helps to control the bleeding by applying direct pressure to the affected blood vessels. It is the initial and most immediate intervention to stop the bleeding. Packing the nare with an epistaxis balloon (choice A) or obtaining silver nitrate for cauterization (choice C) are more invasive measures that should be considered if bleeding persists after applying pressure. Instilling a vasoconstrictor medication (choice D) may help in some cases but is not the first-line intervention.
Question 2 of 5
A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?
Correct Answer: C
Rationale: The correct answer is C, the 55-year-old woman who is 50 lb overweight. Obesity is a major risk factor for obstructive sleep apnea (OSA) as excess weight can lead to airway obstruction during sleep. This increases the likelihood of pauses in breathing and disrupted sleep patterns. Pregnant women (choice A) may experience OSA due to hormonal changes but it is usually temporary. Gastroesophageal reflux disease (choice B) can exacerbate OSA but is not the primary risk factor. While type 2 diabetes (choice D) is associated with OSA, obesity is a more significant risk factor in this case.
Question 3 of 5
A 62-yr-old patient who has no history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP. It is appropriate for the nurse to tell the patient that:
Correct Answer: C
Rationale: The correct answer is C because a sudden high blood pressure reading warrants further evaluation for diagnosis, treatment, and monitoring. This patient's elevated BP of 198/110 mm Hg puts them at risk for serious complications like stroke, heart attack, or kidney damage. It is crucial to assess the underlying cause, initiate appropriate treatment, and closely monitor the BP to prevent complications. Choice A is incorrect because waiting a few weeks for a recheck can delay necessary intervention. Choice B is incorrect as simply adjusting diet may not be sufficient to address the sudden spike in BP. Choice D is incorrect because while there is a risk of stroke, hospitalization may not be required immediately without further assessment and management.
Question 4 of 5
The nurse reminds a visitor to a patient who has an internal radiation implant to:Select all that do not apply.
Correct Answer: B
Rationale: Correct Answer: B - Take off all metals, such as your watch and belt. Rationale: 1. Metals can interfere with the radiation therapy and cause harm to the visitor. 2. Removing metals ensures there is no risk of them getting heated up due to radiation exposure. 3. This precaution helps in minimizing any potential hazards during the visit. Summary: A: Avoid visitation if you are pregnant - Incorrect. Visitors who are pregnant should definitely avoid contact with internal radiation implants. C: Limit your visitation time - Incorrect. There is no mention of limiting visitation time as a precaution for radiation exposure. D: Wear a protective lead apron - Incorrect. This is typically recommended for healthcare workers, not visitors.
Question 5 of 5
A patient who has atrial fibrillation is taking digoxin. The nurse expects which medication to be given concurrently to treat this condition?
Correct Answer: D
Rationale: The correct answer is D, Warfarin (Coumadin). Warfarin is commonly given concurrently with digoxin in patients with atrial fibrillation to prevent blood clots and reduce the risk of stroke. Digoxin helps control heart rate in atrial fibrillation but does not prevent clot formation. Choices A, B, and C are incorrect as they do not address the need for anticoagulation in atrial fibrillation. Hydrochlorothiazide is a diuretic, Inamrinone and Milrinone are inotropes used for heart failure, but none of these medications are indicated for anticoagulation in atrial fibrillation.