ATI RN
Chapter 1 Introduction to Nursing Quizlet Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is doing volunteer work in a homeless shelter. The nurse should monitor the individuals for which initial signs and symptoms of tuberculosis? Select the one that does not apply.
Correct Answer: A
Rationale: The correct answer is A: Chest Pain. Chest pain is not typically an initial sign or symptom of tuberculosis. The most common initial signs and symptoms include fatigue, morning cough, and lethargy. Monitoring for these symptoms is crucial in detecting tuberculosis early for prompt treatment. Chest pain may occur in later stages or due to complications but is not a primary indicator. Thus, the nurse should focus on observing for fatigue, morning cough, and lethargy as initial signs of tuberculosis in individuals at the homeless shelter.
Question 4 of 5
A patient with elevated lipid levels has a new prescription for nicotinic acid (niacin). The nurse informs the patient that which adverse effects may occur with this medication?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient has pain due to acute pericarditis. What is an appropriate nursing intervention for this problem?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.