a nurse is caring for a client who is scheduled for surgery the client expresses fear of the surgery which response should the nurse make

ATI RN

ATI Comprehensive Exit Exam 2023 With NGN Quizlet

1. A client expresses fear of surgery. Which response should the nurse make?

A. Explain the risks of the surgery in detail.
B. Tell the client that many clients feel anxious before surgery.
C. Reassure the client that the surgical team is highly experienced.
D. Acknowledge the client's feelings and ask open-ended questions.

Correct answer: D

Rationale: When a client expresses fear of surgery, it is essential for the nurse to acknowledge their feelings and ask open-ended questions. This response shows empathy, validates the client's emotions, and encourages them to express their concerns further. Explaining the risks of the surgery in detail (Choice A) may increase the client's anxiety. Simply stating that many clients feel anxious before surgery (Choice B) does not address the client's specific fears. While reassuring the client about the surgical team's experience (Choice C) is important, it may not directly alleviate the client's fear.

2. Which medication is used to treat opioid overdose?

A. Naloxone
B. Epinephrine
C. Lidocaine
D. Atropine

Correct answer: A

Rationale: Naloxone is the correct answer. Naloxone is the standard medication for reversing opioid overdose by blocking opioid receptors. Choice B, Epinephrine, is used to treat severe allergic reactions (anaphylaxis) and cardiac arrest, not opioid overdose. Choice C, Lidocaine, is a local anesthetic used for numbing purposes and managing certain types of arrhythmias, not for opioid overdose. Choice D, Atropine, is used to treat bradycardia, organophosphate poisoning, and nerve agent toxicity, not opioid overdose.

3. A client with a new diagnosis of hypertension is being taught by a nurse. Which of the following statements by the client indicates an understanding of the teaching?

A. I should avoid eating foods high in potassium.
B. I will check my blood pressure at least once a week.
C. I should increase my intake of dairy products.
D. I should exercise for 30 minutes at least 5 days a week.

Correct answer: D

Rationale: The correct answer is D. Exercising for 30 minutes at least 5 days a week helps manage hypertension by promoting cardiovascular health. Statements A, B, and C are incorrect. Avoiding foods high in potassium is not necessary unless specifically advised by a healthcare provider. Checking blood pressure once a week is not frequent enough for effective monitoring. Increasing dairy product intake is not a recommended approach to managing hypertension.

4. A nurse is caring for a client who has pneumonia. Which of the following findings should the nurse report to the provider?

A. Productive cough with green sputum
B. Temperature of 37.1°C (98.8°F)
C. Crackles in the lung bases
D. Oxygen saturation of 95%

Correct answer: C

Rationale: In a client with pneumonia, crackles in the lung bases can indicate fluid accumulation, worsening of the condition, or development of complications such as pulmonary edema. This finding should be reported to the provider promptly for further evaluation and management. Choices A, B, and D are common in clients with pneumonia and may not necessarily require immediate reporting unless accompanied by other concerning symptoms or vital sign abnormalities.

5. How should a healthcare professional manage a patient with hypertension who is non-compliant with medication?

A. Provide education on the importance of medication
B. Refer the patient to a specialist
C. Discontinue the medication
D. Explore alternative treatment options

Correct answer: A

Rationale: Providing education on the importance of medication is crucial in managing hypertension in patients who are non-compliant. By educating the patient about the significance of taking medication as prescribed, the healthcare professional can help improve the patient's understanding and motivation to adhere to the treatment plan. Referring the patient to a specialist (Choice B) may be necessary in some cases but addressing non-compliance should start with education. Discontinuing the medication (Choice C) without addressing the root cause of non-compliance can worsen the patient's condition. Exploring alternative treatment options (Choice D) should come after ensuring the patient understands the importance of the current treatment regimen.