ATI RN
ATI Perfusion Quizlet
1. Which assessment finding should the nurse caring for a patient with thrombocytopenia communicate immediately to the healthcare provider?
- A. The platelet count is 52,000/µL
- B. The patient is difficult to arouse
- C. There are purpura on the oral mucosa
- D. There are large bruises on the patient's back
Correct answer: B
Rationale: The correct answer is B. Difficulty in arousing the patient may indicate a cerebral hemorrhage, which is life-threatening and requires immediate action. While a low platelet count (choice A) is concerning in thrombocytopenia, it does not require immediate communication unless accompanied by active bleeding or other critical symptoms. Purpura on the oral mucosa (choice C) and large bruises on the patient's back (choice D) are important findings in thrombocytopenia but do not indicate an immediate life-threatening situation like a possible cerebral hemorrhage.
2. A client at 10 weeks of gestation with a history of UTIs is receiving teaching from a nurse. Which of the following statements should the nurse include?
- A. You should drink 240 ml (8 oz) of water before and after intercourse.
- B. You should avoid drinking orange juice because it increases the risk of infection.
- C. You should empty your bladder after intercourse to help prevent infection.
- D. You should take a hot bath to help prevent infection.
Correct answer: C
Rationale: The correct statement the nurse should include is to advise the client to empty their bladder after intercourse to help prevent UTIs. Emptying the bladder after intercourse helps reduce the risk of UTIs by flushing bacteria from the urethra. Choice A is incorrect as drinking water before and after intercourse is not specifically related to preventing UTIs. Choice B is incorrect as there is no direct correlation between orange juice consumption and UTI risk. Choice D is incorrect as taking a hot bath can actually increase the risk of UTIs by promoting bacterial growth.
3. A family came to the emergency department with complaints of food poisoning. Which client should the nurse see first?
- A. 32-year-old with diarrhea for 6 hours
- B. 2-year-old with 1 wet diaper in 24 hours
- C. 40-year-old with abdominal cramping
- D. 10-year-old who is nauseated
Correct answer: B
Rationale: In cases of food poisoning, a 2-year-old with reduced urine output is a critical finding indicating dehydration, requiring immediate attention to prevent complications. The reduced urine output is a sign of decreased fluid intake or increased fluid loss, putting the child at high risk for dehydration. This client should be seen first to assess hydration status, initiate necessary interventions, and prevent further complications. While the other symptoms presented by the other clients are concerning, the 2-year-old's decreased urine output poses the most immediate threat to their well-being.
4. A client with renal calculi is admitted. What is the priority nursing intervention?
- A. Monitor urinary output every shift.
- B. Administer pain medication as ordered.
- C. Strain all urine for stones.
- D. Increase fluid intake to flush the urinary tract.
Correct answer: C
Rationale: The correct answer is to strain all urine for stones. This is the priority nursing intervention for a client with renal calculi as it helps in identifying and preventing stones from passing unnoticed. Monitoring urinary output, administering pain medication, and increasing fluid intake are important aspects of care for this client, but the priority is to ensure that any passed stones are collected and analyzed to guide further treatment.
5. Freud's psychosexual stage that occurs between the ages of 3 and 5 and includes the Oedipal period is the ________ stage.
- A. genital
- B. oral
- C. phallic
- D. latency
Correct answer: C
Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5, including the Oedipal period, is the phallic stage. During this stage, children experience the Oedipus or Electra complex, where they develop unconscious sexual desires for the opposite-sex parent and see the same-sex parent as a rival. The genital stage (Choice A) is the final stage where mature sexual interests emerge, oral (Choice B) and anal stages precede the phallic stage, and latency (Choice D) is a stage following the phallic stage characterized by a focus on developing social and cognitive skills.
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