ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 of 5
Which information will the nurse include in the teaching plan for a patient newly diagnosed with asthma?
Correct Answer: D
Rationale: Step 1: Tremors as a side effect of rapidly acting bronchodilators are common due to their impact on the sympathetic nervous system. Step 2: Educating the patient about this side effect prepares them for what to expect and reduces anxiety. Step 3: This knowledge helps the patient differentiate between expected side effects and potential adverse reactions. Step 4: It is crucial for the patient to be informed about common side effects to ensure adherence to treatment. Summary: Choice D is correct because informing the patient about expected side effects like tremors is essential for treatment adherence. Choices A, B, and C are incorrect because they do not address crucial information related to side effects and proper inhaler technique for asthma management.
Question 2 of 5
A patient seen in the asthma clinic has recorded daily peak flowrates that are 75% of the baseline. Which action will the nurse plan to take next?
Correct Answer: B
Rationale: The correct answer is B. Administer a bronchodilator and recheck the spirometry. This action is appropriate because the patient's peak flowrates are only 75% of baseline, indicating possible bronchoconstriction. Administering a bronchodilator can help alleviate the bronchoconstriction and rechecking spirometry can assess the response to the treatment. Choice A (Teaching about oral corticosteroids) is incorrect as it is not the first-line intervention for a peak flowrate decrease. Choice C (Increasing leukotriene inhibitor dose) is incorrect because there is no indication that the current dose is ineffective. Choice D (Keeping the follow-up appointment) is important but not the immediate action needed for a patient with decreased peak flowrates.
Question 3 of 5
While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the chest tube is dislodged. Which action by the nurse is best?
Correct Answer: B
Rationale: The correct action is to cover the insertion site with sterile gauze. This helps prevent air from entering the pleural space and causing a pneumothorax. Reinserting the tube should only be done by a healthcare provider to prevent complications. Assessing for drainage is not the priority since the tube is dislodged. Contacting the primary healthcare provider can cause a delay in managing the situation promptly.
Question 4 of 5
The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed?
Correct Answer: B
Rationale: The correct answer is B because using nasal decongestant spray for an extended period can lead to rebound congestion and worsening of symptoms. Choice A is correct as hydration helps thin mucus. Choice C is correct as acetaminophen can help alleviate sinus discomfort. Choice D is correct as changes in nasal secretions or sputum can indicate worsening infection.
Question 5 of 5
A patient whose cancer has been staged at T4 N2 M2 has been assigned for care. What is the best interpretation of this staging information in planning care for this patient?
Correct Answer: C
Rationale: The correct answer is C because the staging T4 N2 M2 indicates an advanced stage of cancer where the primary tumor is large (T4), multiple lymph nodes are involved (N2), and distant metastases are present (M2). This means the cancer has spread extensively beyond its original site, requiring comprehensive treatment. Gentle touch and therapeutic listening can be beneficial in providing comfort and support for the patient dealing with such advanced disease. Choice A is incorrect because the presence of lymph node involvement and distant metastases indicate a poor prognosis, not necessarily good news. Choice B is incorrect as it suggests the primary tumor has responded well to treatment, which is inconsistent with the staging information provided. Choice D is incorrect as it oversimplifies the situation by focusing only on the primary tumor, disregarding the importance of addressing the metastases for effective care planning.