ATI RN
ATI Perfusion Quizlet
1. An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to
- A. provide a diet high in vitamin K
- B. alternate periods of rest and activity
- C. teach the patient how to avoid injury
- D. place the patient on protective isolation
Correct answer: B
Rationale: In severe hemolytic anemia, the priority nursing intervention is to alternate periods of rest and activity. This approach helps to balance activity levels to prevent excessive fatigue while promoting mobility and preventing complications such as muscle weakness or deconditioning. Providing a diet high in vitamin K (choice A) is not directly related to managing hemolytic anemia. Teaching the patient how to avoid injury (choice C) is important but may not be the immediate priority. Placing the patient on protective isolation (choice D) is not indicated for hemolytic anemia, as it is not a contagious condition.
2. Which of the following is not part of the female reproductive system?
- A. The uterus
- B. The uterine tube
- C. The vulva
- D. The bulbourethral gland
Correct answer: The bulbourethral gland
Rationale: The bulbourethral gland is not part of the female reproductive system. This gland is part of the male reproductive system and is responsible for producing a clear fluid that helps in lubrication during sexual activity. Choices A, B, and C are part of the female reproductive system. The uterus is where a fertilized egg implants and develops into a fetus. The uterine tube (fallopian tube) transports eggs from the ovary to the uterus. The vulva includes the external genital organs of the female.
3. A nurse is caring for a client who has a prescription for spironolactone. Which of the following foods should the nurse recommend?
- A. Chicken breast
- B. Pasta
- C. Spinach
- D. Yogurt
Correct answer: A
Rationale: Correct Answer: Chicken breast. Spironolactone is a potassium-sparing diuretic, meaning it helps the body retain potassium. Foods high in potassium, like spinach and yogurt, should be avoided when taking spironolactone to prevent hyperkalemia. Chicken breast, being a low-potassium protein source, is a suitable recommendation for clients on spironolactone therapy.
4. A patient refused a newly opened fentanyl patch. Which of the following actions should the nurse take?
- A. Ask another nurse to witness the disposal of the new patch
- B. Dispose of the patch in a sharps container
- C. Send the patch back to the pharmacy
- D. Document the refusal and remove the patch
Correct answer: A
Rationale: When a patient refuses a newly opened fentanyl patch, the nurse should ask another nurse to witness the disposal of the new patch. This action ensures accountability, proper protocol, and prevents any potential diversion or misuse of the medication. Disposing of the patch in a sharps container (Choice B) is not sufficient as it does not address the need for witness accountability. Sending the patch back to the pharmacy (Choice C) may not be appropriate without proper documentation and witness. Simply documenting the refusal and removing the patch (Choice D) may lack the necessary verification of proper disposal.
5. The understanding of genetic influences on behavior may never be fully achieved due to ________.
- A. the ease of researching to differentiate between the effects of the environment and genes.
- B. the likelihood that most behaviors are determined by the interaction of many genes and the environment.
- C. the reliance on twin studies in genetic research.
- D. our significant understanding of how genes impact brain chemistry.
Correct answer: B
Rationale: The correct answer is B because most behaviors are influenced by the interaction of multiple genes and the environment. Choice A is incorrect because it suggests that researching the effects of the environment and genes is easy, which is not the case. Choice C is incorrect as it focuses on a specific method (twin studies) rather than the broader concept of gene-environment interaction. Choice D is incorrect as the statement implies a high level of understanding that contradicts the idea that genetic influences on behavior may never be fully understood.
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