ATI RN
ATI Pathophysiology Exam 2
1. What important instruction should the nurse provide regarding the application of testosterone gel in a patient with hypogonadism?
- A. Apply the gel to the chest or upper arms and allow it to dry completely before dressing.
- B. Apply the gel to the face and neck for maximum absorption.
- C. Apply the gel to the genitals for improved results.
- D. Apply the gel to the scalp and back for better results.
Correct answer: A
Rationale: The correct instruction for applying testosterone gel in a patient with hypogonadism is to apply it to the chest or upper arms and allow it to dry completely before dressing. This method helps avoid transfer to others. Applying the gel to the face, neck, or genitals is not recommended as it can lead to unintended exposure to others. Additionally, applying the gel to the scalp and back is not a standard or effective route of administration for testosterone gel. Therefore, choice A is the correct answer as it ensures proper application and safety.
2. Which of the following is considered correct in dealing with a patient who has gastric cancer?
- A. After total gastrectomy, patient will have to increase fluids during meals
- B. After total gastrectomy, patient will need lots of fiber in the diet
- C. After total gastrectomy, patient will have to walk about after meals
- D. After total gastrectomy, patient will have to lie flat on bed after meals
Correct answer: D
Rationale: After a total gastrectomy, where the entire stomach is removed, patients can experience dumping syndrome due to the rapid passage of food into the small intestine. This condition can lead to symptoms such as nausea, vomiting, diarrhea, and abdominal cramps. Lying flat after meals can help slow down the movement of food into the intestines, reducing the risk of dumping syndrome. It's important for patients to follow dietary recommendations and positioning strategies to manage symptoms effectively.
3. Which factor is critical to the success of community health programs?
- A. Adequate funding
- B. Community involvement
- C. Strong leadership
- D. Comprehensive planning
Correct answer: B
Rationale: Community involvement plays a critical role in the success of community health programs. It ensures that programs are tailored to meet the specific needs of the community, fostering ownership and sustainability.
4. How can health professionals address social determinants of health?
- A. Providing direct care to underserved populations
- B. Advocating for policy changes
- C. Conducting health screenings
- D. Educating about healthy lifestyle behaviors
Correct answer: B
Rationale: Advocating for policy changes is an effective way for health professionals to address social determinants of health. By influencing policies related to housing, education, employment, and healthcare access, health professionals can create systemic changes that benefit entire communities and address the root causes of health disparities.
5. When providing teaching to a client starting therapy with trastuzumab, which finding should the nurse instruct the client to report?
- A. Dyspnea
- B. Constipation
- C. Tinnitus
- D. Dry mouth
Correct answer: A
Rationale: The correct answer is A: Dyspnea. The nurse should instruct the client to report dyspnea because it can indicate pulmonary toxicity, a serious adverse effect of trastuzumab. Monitoring and early reporting of respiratory symptoms like dyspnea are essential to prevent further complications and ensure timely intervention. Choices B, C, and D are incorrect because constipation, tinnitus, and dry mouth are not typically associated with trastuzumab therapy and are not priority symptoms that require immediate reporting for this specific medication.
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