which intervention would be the most important for the nurse to implement for the client with a left nephrectomy

ATI RN

ATI RN Custom Exams Set 2

1. What intervention would be the most important for the nurse to implement for the client with a left nephrectomy?

A. Assess the intravenous fluids for rate and volume
B. Change the surgical dressing every day at the same time
C. Monitor the client’s medication levels daily
D. Monitor the percentage of each meal eaten

Correct answer: A

Rationale: The most important intervention for a client with a left nephrectomy is to assess the intravenous fluids for rate and volume. After nephrectomy, monitoring intravenous fluids is crucial to ensure proper hydration and kidney function. Changing the surgical dressing daily, monitoring medication levels, and tracking meal intake are also important aspects of care but not as critical as ensuring adequate intravenous fluid management post-surgery.

2. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task 'Educate soldiers in the history and traditions of the service'?

A. Accountability
B. Personal/professional development
C. Individual training
D. Military appearance/physical condition

Correct answer: B

Rationale: The appropriate category for the task 'Educate soldiers in the history and traditions of the service' is 'Personal/professional development.' This category involves educating individuals in various aspects, including history and traditions, to enhance their overall growth and knowledge. Choices A, C, and D are incorrect because 'Accountability' focuses on responsibility and answerability, 'Individual training' refers to specific skill development, and 'Military appearance/physical condition' pertains to physical fitness and presentation, none of which directly align with educating soldiers in history and traditions.

3. What is the combat health support system in the field designed to do?

A. Provide evacuation to the far rear for treatment and delay return to duty
B. Project, sustain, and protect the health of the soldier in war and operations other than war
C. Provide rearward evacuation and reassignment
D. Provide far rear area care and delayed return to duty

Correct answer: B

Rationale: The combat health support system in the field is primarily designed to project, sustain, and protect the health of soldiers during war and other operations. Choice A is incorrect as it focuses solely on evacuation and delaying return to duty, missing the broader scope of health support. Choice C is incorrect as it only mentions rearward evacuation and reassignment, which is not the sole purpose of the combat health support system. Choice D is also incorrect as it emphasizes far rear area care and delayed return to duty, neglecting the comprehensive nature of health support in combat situations.

4. A true statement about medications is that:

A. Over-the-counter medications are unlikely to interact with food or nutrients
B. Prescription medications always have significant interactions with food
C. Prescription and nonprescription drugs and herbal remedies interact with food
D. Herbal products are generally safe since they are natural

Correct answer: C

Rationale: The correct answer is C. This statement is true because both prescription and over-the-counter medications, as well as herbal remedies, can interact with food. Choice A is incorrect because over-the-counter medications can also interact with food or nutrients. Choice B is incorrect as not all prescription medications have significant interactions with food. Choice D is incorrect because natural herbal products can also have side effects and interactions with other substances.

5. One potential side effect associated with the use of nonsteroidal anti-inflammatory drugs is:

A. Stomach irritation and bleeding
B. Stomatitis and esophagitis
C. Impaired folate absorption
D. Increased potassium excretion

Correct answer: A

Rationale: The correct answer is A: Stomach irritation and bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) can lead to stomach irritation and bleeding by affecting the gastric mucosa. Stomatitis and esophagitis (choice B) are not commonly associated with NSAIDs. Impaired folate absorption (choice C) is not a typical side effect of NSAIDs. Increased potassium excretion (choice D) is not a common side effect of NSAIDs.