ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
Which nursing action would compromise safety when administering a tube feeding to a client with a tracheostomy?
Correct Answer: A
Rationale: Correct Answer: A - Place the client in supine position Rationale: 1. When administering tube feeding to a client with a tracheostomy, the head of the bed should be elevated at least 30 degrees to prevent aspiration. 2. Placing the client in a supine position increases the risk of aspiration and compromises safety. 3. The supine position can lead to reflux of feeding contents into the trachea, causing respiratory complications. Summary of Incorrect Choices: B: Aspirating residual stomach contents is a standard practice to prevent overfeeding, not directly related to compromising safety. C: Determining tube placement is essential for safety, so this action does not compromise safety. D: Checking bowel sounds is unrelated to the administration of tube feeding to a client with a tracheostomy and does not compromise safety.
Question 2 of 5
A patient with pneumonia should have which of the following tests performed to determine an appropriate antibiotic?
Correct Answer: D
Rationale: The correct answer is D: Sputum culture and sensitivity. This test is crucial in determining the specific bacteria causing pneumonia and their sensitivity to antibiotics, guiding appropriate treatment. A: Arterial blood gas measures oxygen and carbon dioxide levels, not helpful for antibiotic selection. B: Chest X-ray confirms pneumonia diagnosis but doesn't identify the causative organism. C: Complete blood count shows general infection markers, not specific for antibiotic selection.
Question 3 of 5
A patient who comes to the clinic reports frequent, watery stools for 2 days. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to obtain the baseline weight. This is important to assess the degree of fluid loss due to diarrhea. By comparing the baseline weight with subsequent weights, the nurse can determine the severity of dehydration and guide the appropriate treatment. Checking blood pressure (B), drawing blood for serum electrolyte levels (C), and asking about extremity numbness or tingling (D) are important assessments but should come after obtaining the baseline weight to prioritize immediate management of dehydration.
Question 4 of 5
An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best?
Correct Answer: B
Rationale: The correct answer is B because if the client asks about possible complications from the operation, the nurse should not have the client sign the consent until their questions are addressed by the primary health care provider. This ensures that the client fully understands the risks involved before giving consent. Answer A is incorrect because simply answering the questions and documenting teaching may not ensure that the client's concerns are adequately addressed. Answer C is incorrect because having the client sign the consent without addressing their concerns first is not in the client's best interest. Answer D is incorrect because reminding the client of previous teaching does not address the client's current concerns about possible complications.
Question 5 of 5
The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital. What action by the managers is best?
Correct Answer: A
Rationale: The correct answer is A: Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met. This is the best action as auditing charts will provide concrete data on adherence to infection prevention protocols, identify areas of improvement, and help measure the effectiveness of current practices. Choice B is incorrect as peer pressure may not be an effective long-term solution and could create a negative work environment. Choice C, while important, may not directly address the root cause of the infections. Choice D is also important but lacks the specificity of measuring the SCIP outcomes. Thus, auditing charts aligns with evidence-based practice and allows for targeted interventions based on data analysis.