ATI RN
ATI Community Health Nursing Ch 9
1. Which factor is critical to the success of community health programs?
- A. Adequate funding
- B. Community involvement
- C. Strong leadership
- D. Comprehensive planning
Correct answer: B
Rationale: Community involvement plays a critical role in the success of community health programs. It ensures that programs are tailored to meet the specific needs of the community, fostering ownership and sustainability.
2. A client requires seclusion to prevent harm to others on the unit. What action should the nurse take?
- A. Offer fluids every 2 hours.
- B. Document the client's behavior prior to being placed in seclusion.
- C. Discuss the client's inappropriate behavior prior to seclusion.
- D. Assess the client's behavior every hour.
Correct answer: B
Rationale: The correct answer is to document the client's behavior prior to being placed in seclusion. Documenting the behavior is crucial as it ensures that the decision to use seclusion is based on appropriate justifications and helps in monitoring the client's progress and response to the intervention. Offering fluids every 2 hours (Choice A) is not directly related to the need for seclusion. Discussing the client's behavior prior to seclusion (Choice C) may not be appropriate at the moment when immediate action is required to prevent harm. Assessing the client's behavior every hour (Choice D) is important but not as immediate as documenting the behavior prior to seclusion.
3. A patient with a history of osteoporosis is prescribed alendronate (Fosamax). What instructions should the nurse provide to ensure the effectiveness of the medication?
- A. Take the medication with a full glass of water and remain upright for at least 30 minutes to prevent esophageal irritation and ensure proper absorption.
- B. Take the medication with milk to enhance calcium absorption.
- C. Take the medication at bedtime to ensure absorption during sleep.
- D. Take the medication with food to prevent nausea.
Correct answer: A
Rationale: The correct answer is A. Alendronate should be taken with a full glass of water and patients should remain upright for at least 30 minutes to prevent esophageal irritation and ensure proper absorption. Taking the medication with milk (choice B) is not recommended as it may interfere with the absorption of alendronate. Taking the medication at bedtime (choice C) is not necessary for optimal absorption. Taking the medication with food (choice D) is also not recommended as food can reduce the absorption of alendronate.
4. A healthcare provider is teaching a client who has a new prescription for levothyroxine. Which of the following instructions should the healthcare provider include?
- A. Take this medication with meals.
- B. Take this medication at the same time every day.
- C. Report any chest pain to your healthcare provider immediately.
- D. Take an antacid if indigestion occurs.
Correct answer: B
Rationale: The correct instruction for a client prescribed levothyroxine is to take the medication at the same time every day. This consistency is important for maintaining stable thyroid hormone levels. Choice A is incorrect because levothyroxine should be taken on an empty stomach to ensure proper absorption. Choice C is important but not directly related to the administration of levothyroxine. Choice D is incorrect as antacids can interfere with the absorption of levothyroxine.
5. You are to apply a transdermal patch of nitoglycerin to your client. The following are important guidelines to observe EXCEPT:
- A. Apply to hairless clean area of the skin not subject to much wrinkling
- B. Patches may be applied to distal part of the extremities like forearm
- C. Change application and site regularly to prevent irritation of the skin
- D. Wear gloves to avoid any medication on your hand
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
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