ATI RN
Introduction to Nursing Quizlet Questions
Question 1 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.
Question 2 of 5
The client is scheduled for an intravenous pyelograph (IVP) to determine the location of the renal calculi. Which of the following measures would be most important for the nurse to include in pretest preparation?
Correct Answer: C
Rationale: The correct answer is C: Checking the client's history for allergy to iodine. This is crucial for IVP as iodine contrast dye is used, and an allergic reaction can occur. It is important to identify any potential allergies beforehand to prevent a serious reaction during the test. A: Ensuring adequate fluid intake on the day of the test - While hydration is important, it is not the most critical factor in pretest preparation for IVP. B: Preparing the client for the possibility of bladder spasms during the test - While informing the client about possible discomfort is important, it is not as essential as identifying allergies to iodine. D: Determining when the client last had a bowel movement - Bowel movement history is not directly related to the IVP procedure and is not as critical as checking for iodine allergy.
Question 3 of 5
A nurse is caring for a client who has a nonhealing pressure injury on the right ankle. Which action would the nurse take first?
Correct Answer: D
Rationale: The correct answer is D because assessing the right leg for pulses, skin color, and temperature is the priority to determine the perfusion status and tissue viability. This step is crucial in identifying any vascular compromise that could be contributing to the nonhealing pressure injury. Drawing blood for albumin, prealbumin, and total protein (A) can provide information on the client's nutritional status but is not the immediate priority. Preparing for a wound culture (B) is important for determining the presence of infection but should come after assessing perfusion. Instructing the client to elevate the foot (C) can help with reducing edema but is not the first action when dealing with a nonhealing pressure injury.
Question 4 of 5
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?
Correct Answer: D
Rationale: The correct answer is D because the use of multiple herbs and supplements can interact with anesthesia and other medications during surgery, potentially causing adverse effects. It is crucial for the surgical team to be aware of this information to ensure the client's safety. A: Allergy to bee and wasp stings - Although allergies are important, this information may not directly impact the surgical procedure and can be managed with standard protocols. B: History of lactose intolerance - Lactose intolerance typically does not have a significant impact on surgery unless specific dietary restrictions are necessary, which can be easily managed. C: No previous experience with surgery - While this information is relevant for emotional support, it does not directly affect the surgical procedure itself.
Question 5 of 5
A nurse assesses a client who is admitted for treatment of fluid overload. Which signs and symptoms does the nurse expect to find? (Select the one that does not apply..)
Correct Answer: C
Rationale: The correct answer is C: Decreased blood pressure. Fluid overload typically presents with increased pulse rate (A) due to increased blood volume, distended neck veins (B) from increased venous pressure, and warm and pink skin (D) due to increased cardiac output. However, decreased blood pressure (C) is not a common sign of fluid overload as the body compensates by maintaining or even increasing blood pressure to accommodate the excess fluid.