ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has manifestations of a Clostridium difficile (C. difficile) infection. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Masks are not needed for C. diff, which is not airborne. Contact precautions prevent spore spread. Blood tests are not used for C. diff diagnosis; stool tests are standard. Alcohol-based sanitizers are ineffective; soap and water are required.
Question 2 of 5
Which of the following increase the risk of developing Clostridium Difficile.
Correct Answer: B,C
Rationale: Living independently does not increase C. diff risk. A weakened immune system increases susceptibility. Antibiotics disrupt gut flora, promoting C. diff. Diarrhea and fever are symptoms, not risk factors.
Question 3 of 5
The nurse is caring for a client with Clostridium Difficile. Which of the following infection control precautions should the nurse implement?
Correct Answer: A,B,C
Rationale: Gloves protect against C. diff spores. Restricting restroom use prevents spread. A private room isolates the infection. Alcohol-based sanitizers are ineffective against C. diff; soap and water are required. Masks are unnecessary as C. diff is not airborne.
Question 4 of 5
Which statement by the patient with chronic gastroesophageal reflux disease (GERD) indicates a need for further teaching?
Correct Answer: C
Rationale: Elevating the head of the bed is a recommended practice for individuals with GERD, as it helps prevent stomach acid from flowing back into the esophagus during sleep. This shows the patient is taking proactive steps to manage their condition. Using antacids can provide symptomatic relief from heartburn and discomfort associated with GERD. Taking them between meals and at bedtime can help neutralize stomach acid, which is a common practice for managing GERD symptoms. Eating large meals, especially rich or fatty foods, and snacking before bedtime can exacerbate GERD symptoms by increasing stomach pressure and acid production. Patients with GERD are typically advised to eat smaller meals and avoid eating close to bedtime to reduce reflux episodes. Chewing gum can actually be beneficial for some GERD patients as it stimulates saliva production, which can help neutralize stomach acid.
Question 5 of 5
A 3-month-old is being treated for gastroesophageal reflux. The health care provider orders 2mg/kg of ranitidine to be administered every 12 hours. The client weighs 10 pounds. The elixir comes in a strength of 15mg/mL. How many mL of ranitidine should the nurse administer to this client per dose?
Correct Answer: 0.6 mL
Rationale: The infant weighs 10 pounds (4.53692 kg). The dose is 2 mg/kg, so 9.07384 mg per dose. The elixir is 15 mg/mL, so 9.07384 mg ÷ 15 mg/mL = 0.60492267 mL, rounded to 0.6 mL.