ATI Nursing 137 Exam 3 Fall 2023 | Nurselytic

Questions 48

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ATI Nursing 137 Exam 3 Fall 2023 Questions

Extract:


Question 1 of 5

The nurse is assessing a female client who reports painful menstruation. Which of the following should the nurse document in the client's record about painful menstruation?

Correct Answer: A

Rationale: The correct answer is A: Dysmenorrhea. Dysmenorrhea refers to painful menstruation, which is the main concern reported by the client. Dysuria (
B) refers to painful urination and is unrelated to menstrual pain. Hematuria (
C) is the presence of blood in the urine, not related to menstrual pain. Dyschezia (
D) refers to painful bowel movements, which is also not related to painful menstruation.
Therefore, only dysmenorrhea accurately reflects the client's reported symptom of painful menstruation.

Question 2 of 5

The nurse is taking a health history from a client. The client tells the nurse that. "It feels like the room is spinning." How should the nurse document this finding?

Correct Answer: A

Rationale: The correct answer is A: Vertigo. Vertigo is a specific sensation of spinning or movement when there is no actual movement. The term "feels like the room is spinning" is characteristic of vertigo. Seizure activity (
B) presents with abnormal electrical activity in the brain, not a sensation of spinning. Dizziness (
C) is a vague term that can encompass various sensations, not specific to spinning. Syncope (
D) refers to a temporary loss of consciousness due to decreased blood flow to the brain, not a sensation of spinning.

Question 3 of 5

A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?

Correct Answer: D

Rationale:
Correct Answer: D. The enlargement of your prostate is caused by hormonal changes, and not cancer.


Rationale: Benign prostatic hypertrophy (BPH) is a non-cancerous condition commonly seen in older men due to hormonal changes. Prostate cancer is a separate condition. By reassuring the patient that BPH is not cancer-related and is due to hormonal changes, the nurse addresses the patient's fear and provides accurate information. This response helps alleviate the patient's concerns about dying from cancer, promoting understanding and reducing anxiety.

Summary:
A: Incorrect. Dismissing the patient's concerns without providing factual information can increase anxiety.
B: Incorrect. Chemotherapy is not a standard treatment for BPH and may confuse the patient.
C: Incorrect. Claiming that the swelling is temporary and will go away is inaccurate and may lead to false hopes.
D: Correct. Explains the cause of BPH, differentiating it from cancer, and provides reassurance.
E, F, G:

Question 4 of 5

The nurse teaches a client that there are shock absorbers in the back to cushion the spine and to help it move. The client understands that which of the following is another name for shock absorbers:

Correct Answer: B

Rationale: The correct answer is B: Intervertebral disks. These disks act as shock absorbers between the vertebrae, cushioning the spine and helping it move. They are made of a tough outer layer called the annulus fibrosus and a gel-like inner core called the nucleus pulposus. The other choices are incorrect because: A. Vertebral column refers to the entire spine, not just the shock absorbers. C. Vertebral foramen is the opening through which the spinal cord passes, not related to shock absorption. D. Nucleus pulposus is part of the intervertebral disk, not another name for shock absorbers.

Question 5 of 5

The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?

Correct Answer: D

Rationale: The correct answer is D: Glasgow coma scale of 5. A GCS of 5 indicates severe neurological impairment requiring immediate attention. It suggests significant brain dysfunction and potential life-threatening issues. Reporting this finding promptly is crucial for timely intervention.
Choice A is incorrect as it relates to swallowing function, which is not an immediate concern.
Choice B, mild headache, is a common symptom post-MVA and does not indicate a critical issue.
Choice C, weakness, is nonspecific and does not necessarily require immediate reporting. A GCS of 5 trumps all other findings due to its severe implications.

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