ATI RN Pharmacology 2023 -Nurselytic

Correct Answer: A

Rationale: The correct answer is A. A 21-year-old client who had a normal Pap test one year ago should be referred for a Pap test. The rationale is that for individuals with a normal Pap test, regular screening is recommended every 3 years starting at age 21. This client falls within the age group for routine screening and has had a normal result in the past, indicating the need for follow-up.

For the other choices:
B: A 32-year-old client who had a total vaginal hysterectomy last year does not have a cervix, so a Pap test is not necessary.
C: A 47-year-old client who had a negative combined Pap and HPV test 5 years ago should follow guidelines for repeat testing, which may not require a Pap test at this time.
D: A 15-year-old client who completed the HPV vaccine series does not need a Pap test at this time as screening typically starts at age 21.

Correct Answer: C

Rationale: The correct answer is C: Cover the nose and mouth with a damp cloth before exiting a smoke-filled area. This is important because it helps filter out some of the harmful smoke particles, reducing the risk of inhalation-related injuries. It is crucial to include this information in fire safety teaching as it can potentially save lives in emergency situations.

Explanation of why other choices are incorrect:
A: Placing multiple smoke detectors in the same area of the home does not provide additional coverage and may lead to false alarms.
B: Changing the batteries in smoke detectors every 2 years is not frequent enough; batteries should be changed at least once a year.
D: Opening a window to let smoke out before leaving the home can actually worsen the fire by providing more oxygen to fuel it.

Correct Answer: A

Rationale:
Correct
Answer: A. Asking the client if they understand the procedure is crucial in ensuring informed consent. This step confirms the client's comprehension and ability to make a decision. It promotes autonomy and ensures the client is making an informed choice.
Summary of Other

Choices:
B. Describing the procedure is important but does not ensure the client's understanding.
C. Informing about alternative treatments is valuable but may not be directly related to confirming understanding.
D. Explaining risks is essential, but understanding them doesn't guarantee comprehension of the overall procedure.

Correct Answer: A,B,C

Rationale: The correct answer is A, B, and C. Hypocalcemia is a condition characterized by low levels of calcium in the blood. Positive Trousseau's sign, muscle cramps, and tingling sensation around the lips are common findings in hypocalcemia. Trousseau's sign is a carpal spasm induced by inflating a blood pressure cuff above systolic pressure, indicating neuromuscular irritability due to hypocalcemia. Muscle cramps are a result of calcium's role in muscle contraction. Tingling sensation around the lips is a manifestation of hypocalcemia affecting the nervous system.

Choices D and E are incorrect. Negative Chvostek's sign is associated with hypocalcemia, not a negative sign. Abdominal distention is not a typical finding in hypocalcemia.

Correct Answer: A

Rationale: The correct answer is A because administering the wrong medication is a clear example of negligence in nursing practice. Negligence involves failing to provide care that a reasonably prudent person would under similar circumstances. Administering the wrong medication can lead to harm or injury to the client.
Choice B involves a violation of policy but may not necessarily result in harm to the client.
Choice C refers to inappropriate behavior but is not a clear example of negligence.
Choice D is a breach of confidentiality but not negligence unless harm results.