ATI RN
Introduction to Nursing Chapter 1 Quizlet Questions
Question 1 of 5
You have safely inserted an indwelling catheter to Mr. Edward Cullen. To secure the catheter in place and prevent its dislodgment you should tape the catheter tubing in the client’s:
Correct Answer: B
Rationale: The correct answer is B, lower abdomen. Securing the catheter tubing in the lower abdomen helps prevent dislodgment by reducing movement and tension on the catheter. This area allows for easy monitoring of the catheter site and minimizes the risk of accidental removal. Taping the catheter tubing on the inner thigh or lower thigh may lead to increased friction and movement, increasing the risk of dislodgment. Choosing "All of these" is incorrect because taping the catheter tubing in multiple areas can cause unnecessary discomfort and potential complications for the client.
Question 2 of 5
The nurse is preparing the client for an abdominal paracentesis. The nurse should place the client in which of the following positions?
Correct Answer: C
Rationale: The correct answer is C: Sitting position. Placing the client in a sitting position during an abdominal paracentesis allows for easier access to the abdomen and minimizes the risk of complications such as lightheadedness or hypotension. This position also promotes optimal drainage of ascitic fluid. A: Supine position is not ideal as it may not provide optimal access to the abdomen for the procedure. B: Left lateral position with legs flexed may not be appropriate as it can hinder access to the abdomen and fluid drainage. D: Right side-lying position is not recommended as it may obstruct access to the abdomen and make the procedure more challenging.
Question 3 of 5
Which method is the best for the nurse to evaluate the effectiveness of tracheal suctioning?
Correct Answer: D
Rationale: The correct answer is D: Auscultate the chest for change or clearing in adventitious breath sounds. This method is the best way to evaluate the effectiveness of tracheal suctioning because it directly assesses the patient's respiratory status. By auscultating the chest, the nurse can listen for any changes in breath sounds, such as clearing of adventitious sounds, indicating improved airway clearance. This objective assessment provides concrete evidence of the intervention's impact on the patient's respiratory function. Incorrect answers: A: Note subjective data such as "My breathing is much improved now." Subjective data rely on the patient's perception and may not always accurately reflect the actual physiological changes. C: Note objective findings such as decreased respiratory rate and pulse. While these are important vital signs, they may not directly indicate the effectiveness of tracheal suctioning in clearing the airway. B: This statement reflects subjective data and does not provide a direct assessment of the patient's respiratory status post-tracheal
Question 4 of 5
When assessing a child who complains of abdominal pain, what is the most appropriate nursing action?
Correct Answer: C
Rationale: The most appropriate nursing action when assessing a child complaining of abdominal pain is to avoid painful areas until the end of the assessment (Choice C). This approach helps prevent causing unnecessary discomfort or distress to the child. By starting with non-painful areas, the nurse can establish rapport, gather important information, and assess the child's overall condition before addressing the painful areas. This ensures a thorough and sensitive assessment process. Choice A is incorrect because palpating the most painful area first can cause distress and may not provide a comprehensive assessment. Choice B, palpating for rebound tenderness, is not appropriate as it is more specific to assessing for peritonitis in adults. Choice D, using deep palpation for abdominal tenderness, can be uncomfortable for the child and should be avoided until other assessments have been completed.
Question 5 of 5
The nurse understands that which of the following foods should be omitted from a patient’s diet before an electroencephalogram (EEG)?
Correct Answer: A
Rationale: Correct Answer: A - Coffee should be omitted from the patient's diet before an EEG because caffeine can interfere with the test results by affecting brain activity and creating false readings. Coffee is a stimulant that can alter brain waves and impact the accuracy of the EEG. Summary of Incorrect Choices: B: A glass of orange juice - Orange juice does not contain caffeine and is not known to interfere with EEG results. C: Cheese - Cheese does not contain caffeine and is not known to interfere with EEG results. D: Strawberry ice cream - Ice cream does not contain caffeine and is not known to interfere with EEG results.