ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
Which of the following statements accurately describe an element of nursing? Select all that apply.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Nurses use the nursing process to focus care on human responses to what?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
“Impaired skin integrity related to excess friction evidenced by redness.” The diagnostic focus in this nursing diagnosis is:
Correct Answer: B
Rationale: The correct answer is B: Skin integrity. In this nursing diagnosis, the focus is on the skin being impaired due to excess friction, as evidenced by redness. Skin integrity refers to the structural and functional intactness of the skin. The redness indicates a disruption in the skin's normal state, signifying impaired skin integrity. The other choices are incorrect because: A: Impaired - This term describes the overall condition but does not specifically address the issue of skin integrity. C: Excess friction - While this contributes to the issue, the primary focus should be on the resulting impaired skin integrity. D: Redness - While redness is an important indicator, it is a manifestation of the impaired skin integrity rather than the main diagnostic focus.
Question 4 of 5
Nurse Carla is caring for a male client on warfarin (Coumadin) and heparin I.V. The partial thromboplastin time (PTT) is 68 seconds. What should Nurse Carla do?
Correct Answer: B
Rationale: The correct answer is B: Continue treatment as ordered. In this scenario, the PTT value of 68 seconds falls within the therapeutic range for heparin therapy. Stopping the heparin infusion (Choice A) could lead to a risk of thrombosis. Warfarin does not directly affect the PTT (Choice C), and increasing the dosage (Choice D) without a valid reason could result in adverse effects. Therefore, the most appropriate action is to continue the heparin treatment as ordered.
Question 5 of 5
What is the purpose of performing a breast self-examination (BSE)?
Correct Answer: C
Rationale: Performing a breast self-examination (BSE) helps in identifying any changes from previous examinations. This is crucial as it allows early detection of abnormalities such as lumps, areas of thickness, or fullness that may indicate breast cancer. Monitoring changes over time helps in prompt medical intervention if needed. The other choices (A, B, D) focus on specific findings rather than the overall purpose of detecting any changes, making them incorrect.