ATI RN
Introduction to Nursing Profession Quizlet Questions
Question 1 of 5
While doing nasopharyngeal suctioning on the client, the nurse can avoid trauma to the area by:
Correct Answer: C
Rationale: Rationale for correct answer (C): Applying no suction while inserting the catheter prevents trauma to the nasopharyngeal area by reducing the risk of damaging the delicate tissues. Inserting the catheter without applying suction allows for gentle and safe placement without causing injury. Summary of why other choices are incorrect: A: Applying suction for at least 60 seconds is not recommended as it can lead to excessive pressure and trauma to the area. B: While using clean gloves is important for infection control, it does not directly prevent trauma during suctioning. D: Rotating the catheter with gentle suction may still pose a risk of trauma as the twisting motion can cause damage to the tissues.
Question 2 of 5
The client is prescribed Potassium iodide (Lugol’s solution), the nurse should teach the client:
Correct Answer: B
Rationale: The correct answer is B: To drink the solution using a straw. This method helps minimize the risk of staining the teeth because Lugol's solution can cause discoloration. Using a straw also helps bypass the taste buds on the tongue, reducing the unpleasant taste. Choices A and C are incorrect as they do not address the potential side effects of staining or taste. Choice D is incorrect because Potassium iodide is typically administered orally, not via intramuscular injection.
Question 3 of 5
Nurse Krizia should insert the rectal tube of the enema in an adult _____:
Correct Answer: C
Rationale: The correct answer is C (3-4 inches) because inserting the rectal tube of the enema to this depth ensures proper placement into the rectum without causing discomfort or injury. Inserting too shallow (A and B) may not reach the rectum, leading to ineffective treatment. Inserting too deep (D) can cause injury to the colon. The rectal tube should be inserted to a depth of 3-4 inches to ensure the enema solution reaches the desired area for effective administration.
Question 4 of 5
Mr. Lang is receiving continuous tube feedings through a nasogastric tube. The nurse should check the tube placement once per shift because:
Correct Answer: D
Rationale: The correct answer is D because checking tube placement is essential to prevent aspiration into the trachea. Tube dislodgement can lead to respiratory complications. Option A is incorrect as it's not solely based on physician's order. Option B is incorrect as tube placement in the ileum would cause malabsorption. Option C is incorrect as the tube should be in the stomach, not the esophagus, for feeding.
Question 5 of 5
The client who has cholelithiasis is scheduled for extracorporeal shock wave lithotripsy. The nurse should tell the client about which of these symptoms that may occur after this procedure?
Correct Answer: A
Rationale: The correct answer is A: Colic-type pain. After extracorporeal shock wave lithotripsy for cholelithiasis, the client may experience colic-type pain due to the shock waves breaking up the gallstones. This pain typically occurs as the stones move through the biliary system. Explanation for incorrect choices: B: Headache - Headache is not a common symptom after lithotripsy for cholelithiasis. C: Diarrhea - Diarrhea is not a common symptom associated with lithotripsy for cholelithiasis. D: Hiccups - Hiccups are not a common symptom after lithotripsy for cholelithiasis.