ATI RN
ATI Capstone Medical Surgical Assessment 2 Quizlet
1. What are the common manifestations of compartment syndrome?
- A. Unrelieved pain, pallor, pulselessness
- B. Redness and swelling
- C. Fever and infection
- D. Swelling and redness
Correct answer: A
Rationale: The correct manifestations of compartment syndrome are unrelieved pain, pallor, and pulselessness. These symptoms indicate compromised blood flow and neurovascular compromise, necessitating immediate medical intervention. Redness and swelling (Choice B) are more commonly associated with inflammation or infection rather than compartment syndrome. Fever and infection (Choice C) are not typical manifestations of compartment syndrome. Swelling and redness (Choice D) are general signs that can be seen in various conditions and are not specific to compartment syndrome.
2. What medication should be administered first for wheezing due to an allergic reaction?
- A. Albuterol via nebulizer
- B. Cromolyn via nebulizer
- C. Methylprednisolone IV
- D. Aminophylline IV
Correct answer: A
Rationale: The correct answer is A, Albuterol via nebulizer. Albuterol is the first-line treatment for wheezing caused by an allergic reaction because it quickly opens the airways by relaxing the muscles around the airways. Cromolyn (choice B) is used more for prevention rather than immediate relief of symptoms. Methylprednisolone (choice C) and Aminophylline (choice D) are not the first-line treatments for acute wheezing due to an allergic reaction.
3. What are the early signs of compartment syndrome?
- A. Unrelieved pain, pallor, and pulselessness
- B. Localized redness and swelling
- C. Fever and infection
- D. Loss of sensation in the affected area
Correct answer: A
Rationale: The correct answer is A: Unrelieved pain, pallor, and pulselessness. These signs are typical early indicators of compartment syndrome, suggesting compromised circulation. Choice B, localized redness and swelling, can be seen in conditions like cellulitis but are not specific to compartment syndrome. Choice C, fever and infection, are not characteristic early signs of compartment syndrome. Choice D, loss of sensation in the affected area, is more indicative of nerve damage rather than being one of the early signs of compartment syndrome.
4. A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome. Which of the following statements should indicate to the nurse that the client understands the teaching?
- A. I can expect swelling in my hands and on my face.
- B. The amount of protein in my blood is high.
- C. I might have some pain and gas in my stomach from this condition.
- D. I will use a soft bristle toothbrush to prevent bleeding gums.
Correct answer: A
Rationale: The correct answer is A. Nephrotic syndrome leads to edema, especially of the face and dependent areas, due to the loss of protein in the urine. Choice B is incorrect because nephrotic syndrome leads to protein loss in the urine, not an increase in blood protein levels. Choice C is incorrect as stomach pain and gas are not typical symptoms of nephrotic syndrome. Choice D is incorrect as using a soft bristle toothbrush is not directly related to the manifestations of nephrotic syndrome.
5. A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instructions should the nurse include?
- A. Eat three large meals daily
- B. Consume high-calorie foods
- C. Limit caffeinated drinks to two per day
- D. Drink fluids during meal time
Correct answer: B
Rationale: The correct answer is B: 'Consume high-calorie foods.' Clients with COPD often have increased energy needs due to the work of breathing. Consuming high-calorie, high-protein foods can help provide the necessary energy and prevent weight loss. Choice A is incorrect because eating three large meals daily may lead to increased shortness of breath due to a full stomach putting pressure on the diaphragm. Choice C is incorrect because caffeinated drinks can contribute to dehydration, which is not ideal for clients with COPD. Choice D is incorrect because drinking fluids during mealtime can cause bloating and early satiety, making it difficult for clients to consume enough calories.
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