ATI RN
Falls Introduction to Nursing Quizlet Questions
Question 1 of 5
You are currently monitoring a client who is undergoing blood transfusion when suddenly he experienced chills, urticaria, hypotension, and respiratory distress. Which action should be taken?
Correct Answer: C
Rationale: Correct Answer: C Rationale: The client is experiencing signs of a transfusion reaction, likely due to a blood type incompatibility. Running normal saline at a keep-vein-open rate helps maintain the client's circulation and blood pressure while stopping the transfusion. This step is crucial to prevent further complications and stabilize the client's condition. Summary of Other Choices: A: Removing the IV line may worsen the situation as it can lead to air embolism or abrupt changes in fluid balance. B: Running a solution of 5% dextrose in water is not the appropriate intervention for a transfusion reaction and does not address the underlying issue. D: Obtaining a culture of the catheter tip is not a priority in this acute situation and does not directly address the client's immediate needs.
Question 2 of 5
A physician tells Nurse Corazon that the client’s intravenous line will be discontinued. She should obtain which of the following supplies from the unit supply area for use in applying pressure to the IV site after removing the intravenous (IV) catheter?
Correct Answer: A
Rationale: The correct answer is A: Sterile gauze. After removing the IV catheter, pressure needs to be applied to the IV site to prevent bleeding and promote clotting. Sterile gauze is the best choice as it is clean, non-adhesive, and allows for gentle pressure without sticking to the wound. Adhesive bandage (B) is not ideal as it may be too small to apply adequate pressure. Betadine swab (C) is used for skin antisepsis before procedures, not for applying pressure. Alcohol swab (D) is used for cleaning, not for applying pressure.
Question 3 of 5
Sulfisoxazole, 1 g orally twice daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads “500-mg tablets.” The nurse has determined that the dosage prescribed is safe. The nurse administers how many tablets per dose to the adolescent?
Correct Answer: C
Rationale: The correct answer is C: 2 tablets. The prescribed dosage is 1 g twice daily, which equals 1000 mg per dose. Since each tablet is 500 mg, the adolescent needs 2 tablets per dose to achieve the prescribed 1000 mg. Option A (1⁄2 tablet) and B (1 tablet) do not meet the required dosage of 1000 mg. Option D (3 tablets) would exceed the prescribed dosage, leading to potential adverse effects. Therefore, the correct answer is to administer 2 tablets per dose to ensure the adolescent receives the appropriate amount of medication.
Question 4 of 5
One aspect of implementation related to drug therapy is:
Correct Answer: B
Rationale: The correct answer is B: Documenting drugs given. This is crucial in drug therapy implementation to ensure accurate record-keeping, monitoring for adverse effects, and tracking treatment effectiveness. Documentation helps prevent medication errors and facilitates communication among healthcare providers. Developing a content outline (A) is more related to planning rather than implementation. Establishing outcome criteria (C) and setting client goals (D) are important steps in the planning phase to determine treatment goals but are not specific to the implementation phase, making them incorrect choices.
Question 5 of 5
Which of the following observations by nurse is a normal finding?
Correct Answer: A
Rationale: The correct answer is A because the normal angle between the nail and nail bed is around 160 degrees. This indicates a healthy nail growth. Choice B is incorrect as nails should lie flat against the nail bed. Choice C suggests nail abnormalities, not normal findings. Choice D indicates a lack of oxygen or circulation, not a normal finding.