ATI RN
Introduction to Critical Care Nursing 8th Edition Questions
Question 1 of 5
Which symptoms will a male client with active tuberculosis (TB) exhibit?
Correct Answer: B
Rationale: The correct answer is B: Chills. In active tuberculosis, a male client may exhibit chills due to the body's immune response to the infection. This symptom is common in the early stages of TB. A: Chest and lower back pain are not typical symptoms of active TB. C: A fever of more than 104°F and nausea are not specific to TB but may occur in other infections. D: Night sweats and hemoptysis are more commonly associated with advanced stages of TB, not necessarily in the active stage.
Question 2 of 5
What medication should be given immediately to a client with acute asthma and decreased forced expiratory volume?
Correct Answer: B
Rationale: The correct answer is B: Bronchodilators. In acute asthma, bronchodilators are the first-line treatment to rapidly dilate airways and improve forced expiratory volume. Beta-adrenergic blockers (A) can worsen asthma symptoms. Inhaled steroids (C) are used for long-term control, not immediate relief. Oral steroids (D) are often used in acute exacerbations but are not the immediate first choice to improve forced expiratory volume.
Question 3 of 5
What should the nurse do when a client has a retention catheter?
Correct Answer: A
Rationale: The correct answer is A because cleaning the urinary meatus and adjacent skin periodically helps prevent infection and irritation. It maintains hygiene and reduces the risk of complications. Choice B is incorrect because fluid intake should be appropriate, not excessive. Choice C is incorrect because flushing the catheter without proper indication can introduce infection. Choice D is incorrect as perineal flushing is not recommended for clients with a retention catheter.
Question 4 of 5
What is the most appropriate nursing diagnosis for a client expressing sadness about losing her breast?
Correct Answer: B
Rationale: The correct answer is B: Anticipatory Grieving. This nursing diagnosis is appropriate because the client is expressing sadness about a potential loss (her breast). Anticipatory Grieving involves experiencing the feelings and behaviors associated with the normal process of grieving before an actual loss occurs. In this case, the client is already grieving the potential loss of her breast, which aligns with the definition of anticipatory grieving. Incorrect options: A: Ineffective Individual Coping - This diagnosis is more about the client's ability to cope with stressors or life events, rather than specifically related to grief. C: Knowledge Deficit - This diagnosis is about a lack of understanding or information, which is not the primary issue in this scenario. D: Fear - While fear may be a component of the client's emotional response, it does not fully capture the anticipatory grieving process that the client is going through.
Question 5 of 5
Why is air drawn into the syringe for a Z-track injection?
Correct Answer: B
Rationale: The correct answer is B because adding air into the syringe creates a barrier that prevents the drug from flowing back into the needle track after injection, ensuring that the medication stays in the intended tissue site. This technique helps minimize tissue irritation and potential leakage of the medication. The other choices are incorrect because: A) Adding air does not decrease pain; C) The Z-track technique itself ensures the solution stays in the muscle, not air; D) Adding air does not ensure the client receives the entire dose, as the focus is on preventing backflow of the drug.