ATI RN
ATI Capstone Medical Surgical Assessment 1 Quizlet
1. What is the appropriate electrical intervention for a patient with ventricular tachycardia and a pulse?
- A. Defibrillation
- B. Synchronized cardioversion
- C. Pacing
- D. Medication administration
Correct answer: B
Rationale: Synchronized cardioversion is the correct electrical intervention for a patient with ventricular tachycardia and a pulse. This procedure delivers a synchronized electrical shock to the heart during a specific phase of the cardiac cycle, aiming to restore the heart's normal rhythm. Defibrillation (choice A) is used for pulseless ventricular tachycardia or ventricular fibrillation. Pacing (choice C) is typically used for bradycardias or certain types of heart blocks. Medication administration (choice D) may be used in some cases, but in the scenario of ventricular tachycardia with a pulse, synchronized cardioversion is the preferred intervention.
2. A nurse is planning to teach a client about a low-potassium diet. Which of the following foods should the nurse instruct the client to avoid?
- A. Butter
- B. Poultry
- C. Yogurt
- D. Orange juice
Correct answer: D: Orange juice
Rationale: Orange juice is high in potassium and should be avoided in a low-potassium diet. Butter, poultry, and yogurt are low-potassium food choices and can be included in a low-potassium diet. Poultry is a good source of lean protein, yogurt is a good source of calcium and protein, and butter is low in potassium. Therefore, the nurse should instruct the client to avoid orange juice as it is high in potassium, which is not suitable for a low-potassium diet.
3. Which of the following best describes a blood clot stimulating further clotting?
- A. a positive feedback mechanism.
- B. a negative feedback mechanism.
- C. a process turning itself off.
- D. nervous system communication
Correct answer: a positive feedback mechanism.
Rationale: A blood clot stimulating further clotting is an example of a positive feedback mechanism. In positive feedback, the response enhances or amplifies the original stimulus, leading to an increase in the activity. In this case, the formation of a blood clot triggers more clotting activity, creating a cycle of increasing clot formation. Negative feedback mechanisms, on the other hand, work to maintain homeostasis by counteracting changes. Choices B, C, and D are incorrect as they do not accurately describe the situation of a blood clot stimulating further clotting.
4. A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?
- A. Assist the client to orthopneic position
- B. Offer the client a bedpan for toileting
- C. Offer a protein-rich diet
- D. Turn the client every 2 hours
Correct answer: Turn the client every 2 hours
Rationale:
5. A client with osteoporosis needs to increase calcium intake. Which of the following foods should be recommended by the nurse?
- A. Carrots
- B. Broccoli
- C. Chicken
- D. Bananas
Correct answer: B
Rationale: The correct answer is B: Broccoli. Broccoli is rich in calcium and is a suitable food to recommend to clients with osteoporosis to increase their calcium intake. Carrots, chicken, and bananas are not as high in calcium content compared to broccoli and therefore not the most appropriate choices for increasing calcium intake in clients with osteoporosis.
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