ATI RN
Introduction to Nursing 203 Quizlet Questions
Question 1 of 5
You have read from the chart that a blood transfusion was prescribed to Gella, a patient with aplastic anemia. Which of the following actions should you do FIRST?
Correct Answer: D
Rationale: The correct answer is D: Look for signed informed consent. This is the first step because before any medical procedure, including blood transfusion, it is essential to ensure that the patient has given informed consent. This protects the patient's autonomy and ensures they are aware of the risks and benefits. Checking patient vital signs (A) can be done after obtaining consent. Ordering blood (B) and obtaining administration tubing (C) are important but should come after confirming consent.
Question 2 of 5
A physician’s order reads Potassium chloride (KCl) 30mEq to be added to 1L ml normal saline and to be given over 10-hour period. The available potassium chloride is 40mEq per 20ml. Nurse Corazon should prepare how many milliliters of Potassium Chloride to administer the correct dose of medication?
Correct Answer: A
Rationale: To calculate the correct amount of Potassium Chloride needed, we first find the total amount needed in 1L of normal saline: 30mEq. Then, we determine the concentration of KCl solution: 40mEq in 20ml. Next, we set up a proportion to find how many milliliters of KCl are needed to provide 30mEq. By cross-multiplying and solving, we find that 15ml of KCl is required. Therefore, choice A (15ml) is the correct answer. Choices B, C, and D are incorrect as they do not match the calculated amount needed based on the given information.
Question 3 of 5
A pediatrician’s prescription reads “ampicillin sodium 125 mg IV every 6 hours.” The medication label reads “when reconstituted with 7.4 mL of bacteriostatic water, the final concentration is 1 g/7.4 mL.” The nurse prepares to draw up how many milliliters to administer 1 dose?
Correct Answer: D
Rationale: The correct answer is D (0.925 mL). To calculate the volume needed for 125 mg of ampicillin sodium at a concentration of 1 g/7.4 mL, we use the formula: Volume = (Desired dose * Volume of final concentration) / Concentration of final solution. Substituting the values gives Volume = (125 mg * 7.4 mL) / 1 g = 925 mg / 1000 mg = 0.925 mL. Therefore, the nurse should draw up 0.925 mL to administer one dose. Choice A (1.1 mL) is incorrect as it is not the correct calculation based on the given data. Choice B (0.54 mL) is incorrect as it does not match the calculated volume needed for the desired dose. Choice C (7.425 mL) is incorrect as it miscalculates the volume needed and does not align with the correct answer.
Question 4 of 5
The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to:
Correct Answer: C
Rationale: The correct answer is C because it is a specific, measurable, achievable, relevant, and time-bound (SMART) goal. Walking from his room to the end of the hall and back before discharge is specific in distance, measurable in terms of achievement, achievable based on the client's condition, relevant to his recovery, and time-bound before discharge. Choice A is not measurable in terms of progress. Choice B is vague and not specific. Choice D is not directly related to the client's recovery from mitral valve replacement. Therefore, choice C is the best example of a measurable client outcome goal.
Question 5 of 5
When assessing a client's skin, the nurse notes a deep, irregular-shaped area of skin loss that extends below the dermis. What term would the nurse use when documenting this?
Correct Answer: A
Rationale: The correct term for a deep, irregular-shaped area of skin loss that extends below the dermis is an ulcer. Ulcers are characterized by tissue loss extending beyond the epidermis and dermis. A fissure is a linear crack in the skin, not a deep irregular shape. Keloid is an overgrowth of scar tissue, not skin loss. Erosion is superficial loss of the epidermis, not extending below the dermis. Therefore, the correct term in this scenario would be an ulcer.