the client is diagnosed with hereditary spherocytosis which treatmentprocedure would the nurse prepare the client to receive

ATI RN

ATI RN Custom Exams Set 2

1. The client is diagnosed with hereditary spherocytosis. Which treatment/procedure would the nurse prepare the client to receive?

A. Bone marrow transplant
B. Splenectomy
C. Frequent blood transfusions
D. Liver biopsy

Correct answer: B

Rationale: The correct answer is B: Splenectomy. Splenectomy is the treatment of choice for hereditary spherocytosis as it helps prevent hemolysis and improve anemia. Removing the spleen reduces the destruction of the abnormal red blood cells. Choice A, Bone marrow transplant, is not a standard treatment for hereditary spherocytosis. Choice C, Frequent blood transfusions, may be used to manage anemia in some cases but is not the primary treatment for hereditary spherocytosis. Choice D, Liver biopsy, is not a treatment for hereditary spherocytosis; it is a procedure used to diagnose liver conditions, not related to this hematologic disorder.

2. A client who _ diet requires _ amounts of vitamin C.

A. Follows a vegan diet
B. Smokes cigarettes
C. Follows a ketogenic diet
D. Is lactose intolerant

Correct answer: B

Rationale: Clients who smoke require more vitamin C due to increased oxidative stress and depletion of vitamin C. Smoking leads to higher levels of oxidative stress in the body, which in turn increases the utilization of vitamin C to counteract the damage caused by free radicals. Choices A, C, and D do not directly impact the body's need for vitamin C as smoking does.

3. Patients with gallbladder disease should reduce their intake of:

A. Protein
B. Sodium
C. Cholesterol
D. Fat

Correct answer: D

Rationale: Patients with gallbladder disease should reduce their intake of fat because high-fat foods can trigger gallbladder symptoms such as pain and indigestion. While proteins, sodium, and cholesterol may also need to be moderated for overall health, reducing fat intake is particularly crucial for managing gallbladder issues.

4. Which situations are classified as natural disasters?

A. Blizzards
B. A, C
C. Volcanic eruptions
D. Structural collapse

Correct answer: B

Rationale: The correct answer is B. Blizzards and volcanic eruptions are both examples of natural disasters caused by natural forces such as extreme weather conditions and tectonic activities. On the other hand, structural collapse is typically a result of man-made factors like poor construction or maintenance. Therefore, choices A, C, and D are incorrect as only blizzards and volcanic eruptions are classified as natural disasters.

5. The nurse is caring for the client recovering from a percutaneous renal biopsy. Which data indicate that the client is complying with client teaching?

A. The client lies flat in the supine position for 12 hours
B. The client continues oral fluids restriction while on bed rest
C. The client’s family changed the dressing on return to the room
D. The family activates the patient-controlled analgesia pump

Correct answer: A

Rationale: The correct answer is A. Lying flat in the supine position for 12 hours after a renal biopsy is essential to prevent bleeding and promote recovery. This position helps apply pressure to the biopsy site, reducing the risk of bleeding. Choices B, C, and D are incorrect because continuing oral fluids restriction, changing the dressing, and activating the patient-controlled analgesia pump do not directly indicate compliance with the crucial post-biopsy teaching of maintaining the supine position.