ATI RN
Multi Dimensional Care | Final Exam
1. What are nonsurgical treatment options for carpal tunnel syndrome? (Select all that apply)
- A. Using a splint
- B. Ultrasound therapy
- C. Endoscopic carpal tunnel release
- D. All of the above
Correct answer: D
Rationale: The correct answer is D, 'All of the above.' Non-surgical treatments for carpal tunnel syndrome include using a splint, ultrasound therapy, corticosteroid injections, and NSAIDs. Choice A is correct as using a splint helps to keep the wrist in a neutral position, reducing pressure on the median nerve. Choice B is correct as ultrasound therapy can help reduce inflammation and alleviate symptoms. Choice C, 'Endoscopic carpal tunnel release,' is incorrect as it is a surgical procedure, not a nonsurgical treatment option for carpal tunnel syndrome.
2. A nurse is teaching a patient about the use of raloxifene (Evista) for the prevention of osteoporosis. What is the primary therapeutic action of this medication?
- A. It decreases the absorption of calcium from the intestines.
- B. It decreases bone resorption and increases bone density.
- C. It increases the excretion of calcium through the kidneys.
- D. It stimulates the formation of new bone.
Correct answer: B
Rationale: The correct answer is B. Raloxifene, a selective estrogen receptor modulator (SERM), works by decreasing bone resorption and increasing bone density. This action helps in preventing osteoporosis by maintaining bone strength. Choice A is incorrect as raloxifene does not affect the absorption of calcium from the intestines. Choice C is incorrect as raloxifene does not increase the excretion of calcium through the kidneys. Choice D is incorrect as raloxifene does not directly stimulate the formation of new bone; instead, it primarily works by reducing bone loss.
3. Which best describes an outcome of successful health promotion?
- A. Reduced incidence of chronic diseases
- B. Increased health care costs
- C. Improved patient compliance
- D. Decreased use of emergency services
Correct answer: A
Rationale: The correct answer is A: Reduced incidence of chronic diseases. Successful health promotion aims to prevent diseases and improve health outcomes, leading to a decrease in the occurrence of chronic conditions. This outcome reflects positive changes in health behaviors and conditions, ultimately contributing to better overall health in populations.
4. During the later stages of chronic kidney disease, what is the recommended protein intake in grams per kilogram of body weight per day?
- A. 0.6 to 0.75
- B. 1.2 to 1.55
- C. 1.0 to 1.2
- D. 0.8 to 1.0
Correct answer: A
Rationale: In the later stages of chronic kidney disease, the recommended protein intake is typically restricted to 0.6 to 0.75 grams per kilogram of body weight per day. This lower protein intake helps reduce the workload on the kidneys, as excessive protein can be challenging for the kidneys to process. Choice B (1.2 to 1.55) is incorrect as it suggests a higher protein intake, which is not recommended for individuals with advanced kidney disease. Choices C (1.0 to 1.2) and D (0.8 to 1.0) also advocate for protein intakes higher than what is typically advised for individuals in later stages of chronic kidney disease.
5. A nurse is providing dietary teaching to a client who has a new diagnosis of hypertension. Which of the following foods should the nurse instruct the client to avoid?
- A. Canned soup.
- B. Lean cuts of beef.
- C. Bananas.
- D. Baked chicken.
Correct answer: A
Rationale: The correct answer is A: Canned soup. Canned soups are usually high in sodium, which can increase blood pressure and should be avoided by clients with hypertension. Lean cuts of beef, bananas, and baked chicken are healthier options for individuals with hypertension as they are lower in sodium and can be included in a balanced diet to manage blood pressure levels.
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