ATI RN
ATI Community Health Nursing Ch 9
1. Which strategy can improve teamwork in community health settings?
- A. Clearly defining roles and responsibilities
- B. Increasing funding for team activities
- C. Holding regular team meetings
- D. Delegating tasks to appropriate team members
Correct answer: A
Rationale: Clear communication within a team is crucial for effective teamwork. By clearly defining roles and responsibilities, team members have a better understanding of their individual contributions, which can lead to improved collaboration. This clarity helps avoid confusion, reduces duplication of efforts, and enhances overall team performance in community health settings.
2. A client has a new prescription for Clonidine. Which of the following instructions should the nurse include?
- A. Expect to feel drowsy.
- B. Increase your intake of high-potassium foods.
- C. Take the medication with grapefruit juice.
- D. Avoid foods high in fat.
Correct answer: A
Rationale: The correct answer is to expect to feel drowsy. Clonidine is known to cause drowsiness, especially at the beginning of treatment. It is important for clients to be cautious with activities that require alertness until they understand how the medication affects them. Choice B is incorrect as there is no specific need to increase high-potassium foods with Clonidine. Choice C is incorrect as grapefruit juice can interact with many medications but is not a typical instruction for Clonidine. Choice D is incorrect as there is no specific indication to avoid foods high in fat with Clonidine.
3. A nurse is providing dietary teaching to a client with irritable bowel syndrome (IBS). What recommendation should be included?
- A. Consume foods high in bran fiber.
- B. Increase intake of milk products.
- C. Sweeten foods with fructose corn syrup.
- D. Increase intake of foods high in gluten.
Correct answer: A
Rationale: The correct answer is A: Consume foods high in bran fiber. Bran fiber is recommended for clients with IBS as it promotes regularity and helps reduce symptoms. Choices B, C, and D are incorrect. Increasing milk products may exacerbate symptoms in some individuals with IBS due to lactose intolerance. Sweetening foods with fructose corn syrup can worsen symptoms as it is a type of sugar that can lead to gastrointestinal discomfort. Increasing intake of foods high in gluten is not recommended for individuals with IBS, especially those with gluten sensitivity, as it may trigger or worsen symptoms.
4. A client with heart failure at risk for pulmonary edema should receive which intervention to improve oxygenation?
- A. Place the client in a supine position.
- B. Encourage the client to increase fluid intake.
- C. Elevate the client's legs when in bed.
- D. Administer oxygen via non-rebreather mask.
Correct answer: D
Rationale: Administering oxygen via a non-rebreather mask is the appropriate intervention for a client at risk for pulmonary edema as it helps improve oxygenation by delivering a high concentration of oxygen. Placing the client in a supine position can exacerbate pulmonary edema by increasing venous return to the heart, leading to fluid overload. Encouraging increased fluid intake is contraindicated in clients with heart failure and at risk for pulmonary edema, as it can worsen fluid accumulation. Elevating the client's legs when in bed is more appropriate for clients with conditions such as venous insufficiency or edema in the lower extremities, not for pulmonary edema.
5. When caring for a client with acute pancreatitis, what intervention is most appropriate?
- A. Encourage a high-protein diet.
- B. Administer pain medication as needed.
- C. Provide small, frequent meals.
- D. Increase oral fluid intake.
Correct answer: B
Rationale: Administering pain medication as needed is the most appropriate intervention for a client with acute pancreatitis. Pain management is crucial as pancreatitis can cause severe and debilitating pain. Providing pain relief is essential to improve the client's comfort and well-being.
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