ATI RN
Multi Dimensional Care | Exam | Rasmusson
1. A nurse is teaching a client who has fibromyalgia about strategies that might help reduce her symptoms. What should the nurse include in the client education?
- A. Avoid exercise during flare-ups
- B. Do high impact exercises like running
- C. Establish a regular sleep pattern
- D. Increase calcium and caffeine intake
Correct answer: Establish a regular sleep pattern
Rationale:
2. Which action demonstrates health advocacy?
- A. Providing direct patient care
- B. Working to change policies that affect health care access
- C. Educating patients about their health conditions
- D. Conducting health screenings in underserved areas
Correct answer: B
Rationale: Health advocacy involves advocating for policies that positively impact health care access for all individuals. By working to change policies, a person promotes equitable access to necessary care and resources, which aligns with the principles of health advocacy.
3. A client is receiving brachytherapy for the treatment of prostate cancer. Which of the following actions should the nurse take?
- A. Cleanse equipment before removal from the client's room
- B. Limit the client's visitors to 30 minutes per day
- C. Discard the client's linens in a double bag
- D. Discard the radioactive source in a biohazard bag
Correct answer: B
Rationale: The correct action the nurse should take when caring for a client receiving brachytherapy is to limit the client's visitors to 30 minutes per day. This is crucial to reduce exposure to radiation and maintain safety during the brachytherapy procedure. Cleansing equipment before removal from the client's room may be important for infection control but is not directly related to brachytherapy procedures. Discarding the client's linens in a double bag and discarding the radioactive source in a biohazard bag are incorrect choices as they do not specifically address the safety measures needed during brachytherapy for prostate cancer.
4. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:
- A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
- B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
- C. I collaborated with the social work services team when I noted that my patient was unhoused.
- D. I taught the newly pregnant mom about necessary vaccinations to have at this time.
Correct answer: C
Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.
5. A patient is receiving intravenous amphotericin. Which of the following assessments warrants the discontinuation of the antifungal agent?
- A. Sodium level of 138 mEq/L
- B. Hematocrit of 39%
- C. Blood urea nitrogen of 60 mg/dL
- D. AST level of 10 Unit/L
Correct answer: C
Rationale: Intravenous amphotericin can cause nephrotoxicity, leading to increased blood urea nitrogen levels. Elevated blood urea nitrogen (BUN) indicates impaired renal function, which is a known adverse effect of amphotericin. Therefore, a BUN level of 60 mg/dL warrants the discontinuation of the antifungal agent. The other options, such as a sodium level of 138 mEq/L, hematocrit of 39%, and AST level of 10 Unit/L, are within normal ranges and not indicative of the need to discontinue amphotericin therapy.
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