ATI LPN
ATI PN Comprehensive Predictor 2023 Quizlet
1. A client has developed phlebitis at the IV site. What should the nurse do immediately?
- A. Apply a warm compress over the IV site
- B. Discontinue the IV and notify the provider
- C. Monitor the site for signs of infection
- D. Administer an anti-inflammatory medication
Correct answer: B
Rationale: When a client develops phlebitis at the IV site, the immediate action the nurse should take is to discontinue the IV and notify the provider. Phlebitis is inflammation of the vein, and if left untreated, it can lead to serious complications such as infection, thrombosis, or sepsis. Removing the IV line helps prevent further irritation and infection. Applying a warm compress (Choice A) may provide some relief but does not address the root cause. Monitoring for signs of infection (Choice C) is important but not the immediate action needed to address phlebitis. Administering an anti-inflammatory medication (Choice D) may be prescribed by the provider but is not the first step in managing phlebitis.
2. A client is postoperative following hip replacement surgery. Which of the following instructions should the nurse include in preventing dislocation of the prosthesis?
- A. Cross your legs at the knees
- B. Avoid bending your hip more than 90 degrees
- C. Sit with your legs elevated
- D. Avoid placing a pillow under your knees
Correct answer: B
Rationale: To prevent dislocation of the prosthesis after hip replacement surgery, it is essential to avoid bending the hip more than 90 degrees. This precaution helps maintain the stability of the hip joint and reduces the risk of prosthesis dislocation. Crossing legs at the knees (Choice A) can increase pressure on the hip joint, leading to instability. Sitting with legs elevated (Choice C) and avoiding placing a pillow under the knees (Choice D) do not directly address the risk of prosthesis dislocation.
3. A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Which of the following should the nurse assess for?
- A. Respiratory rate
- B. Chest pain
- C. Use of accessory muscles
- D. Oxygen saturation
Correct answer: C
Rationale: In a client with COPD, the nurse should assess for the use of accessory muscles. This is important because COPD can lead to increased work of breathing, causing the client to engage accessory muscles to help with respiration. Assessing for the use of accessory muscles provides crucial information about the client's respiratory effort. Respiratory rate (Choice A) is a standard assessment parameter but may not specifically indicate the severity of COPD. Chest pain (Choice B) is not typically associated with COPD unless there are complicating factors. Oxygen saturation (Choice D) is essential to monitor in COPD clients, but assessing for the use of accessory muscles takes priority as it directly reflects the client's respiratory status in COPD.
4. A client with chronic kidney disease needs dietary restrictions. What restriction is necessary?
- A. Increase protein intake
- B. Limit potassium-rich foods
- C. Increase fluid intake to prevent dehydration
- D. Increase phosphorus intake
Correct answer: B
Rationale: The correct answer is to limit potassium-rich foods for clients with chronic kidney disease. Excessive potassium can be harmful to individuals with compromised kidney function, leading to complications. This restriction helps in managing the condition and preventing further health issues. Choice A is incorrect because increasing protein intake can put additional stress on the kidneys. Choice C is incorrect as excessive fluid intake can burden the kidneys. Choice D is incorrect as increasing phosphorus intake can be harmful for individuals with kidney disease.
5. A patient with schizophrenia is being educated about the significance of medication adherence. Which statement by the patient indicates understanding?
- A. I will take my medication only when I feel symptoms returning.
- B. I understand that taking my medication regularly is important to manage my symptoms.
- C. I can stop taking my medication once I feel better.
- D. I should take my medication on an as-needed basis.
Correct answer: B
Rationale: The correct answer is B because acknowledging the importance of consistently taking medication is crucial for effectively managing symptoms of schizophrenia. It is essential for patients with schizophrenia to adhere to their medication regimen to stabilize their condition and prevent symptom exacerbation. Waiting for symptoms to return before taking medication, stopping medication once feeling better, or taking medications on an as-needed basis are not recommended practices for managing schizophrenia effectively.
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