Adult Health Nursing Study Guide Answers

Questions 164

ATI RN

ATI RN Test Bank

Adult Health Nursing Study Guide Answers Questions

Question 1 of 5

A client with end-stage renal disease decides against further treatment and requests a "Do Not Resuscitate" (DNR) order. The DNR status is part of the change-of-shift report. The client stops breathing and a nurse begins cardiopulmonary resuscitation. The family is upset and makes a complaint to the charge nurse. The charge nurse appropriately identifies that nurse has committed:

Correct Answer: C

Rationale: Battery occurs when there is an intentional touching of another person without their consent. In this case, the nurse began cardiopulintary resuscitation on a client who had requested a "Do Not Resuscitate" (DNR) order, which means the client did not consent to the resuscitation. This action can be considered as battery because the client's wishes were not respected, and the nurse proceeded with a medical intervention against those wishes, leading to harm and potential legal consequences. This is different from assault, which involves a threat of force, and from defamation and fraud, which are not applicable to this situation.

Question 2 of 5

A patient presents with a thyroid nodule and compressive symptoms such as difficulty swallowing and breathing. Fine-needle aspiration biopsy reveals colloid nodules. Which endocrine disorder is most likely responsible for these symptoms?

Correct Answer: D

Rationale: Thyroid nodules are abnormal growths of thyroid cells that form a lump within the thyroid gland. When a thyroid nodule becomes large enough, it can cause compressive symptoms such as difficulty swallowing and breathing. The presence of colloid nodules on fine-needle aspiration biopsy indicates a benign and common type of thyroid nodule. In this case, the symptoms are likely due to the physical pressure exerted by the thyroid nodule, rather than an underlying endocrine disorder like Hashimoto's thyroiditis, Graves' disease, or diabetes mellitus. Therefore, the most likely cause of the patient's symptoms is the thyroid nodule itself.

Question 3 of 5

A patient presents with gradual-onset memory loss, impaired judgment, and personality changes. Over time, the patient develops difficulty with language, motor function, and coordination. Which of the following neurological conditions is most likely responsible for these symptoms?

Correct Answer: B

Rationale: The symptoms described such as memory loss, impaired judgment, personality changes, difficulty with language, motor function, and coordination all point towards Alzheimer's disease. Alzheimer's is a progressive neurodegenerative disease that primarily affects memory and cognitive functions. Over time, it leads to severe impairment in daily activities and overall functioning. While Parkinson's disease, Huntington's disease, and ALS can also present with neurological symptoms, the combination of gradual-onset memory loss, cognitive decline, and functional impairments seen in this scenario is most characteristic of Alzheimer's disease.

Question 4 of 5

During a patient consultation, the nurse notices the patient seems anxious and is avoiding eye contact. What is the most appropriate action for the nurse to take?

Correct Answer: B

Rationale: The most appropriate action for the nurse to take when noticing that the patient seems anxious and is avoiding eye contact is to ask the patient if they are feeling anxious and if they would like to talk about it. This approach shows empathy, concern, and openness to addressing the patient's emotional state. By directly acknowledging the patient's behavior and giving them the opportunity to express their feelings, the nurse can create a supportive and caring environment that promotes effective communication and trust between the patient and healthcare provider. It is important to consider the patient's emotional well-being alongside their physical health during consultations.

Question 5 of 5

A patient with a history of peptic ulcer disease is prescribed proton pump inhibitors (PPIs) for ulcer healing. Which information is important for the nurse to include in patient education about PPI therapy?

Correct Answer: C

Rationale: While proton pump inhibitors (PPIs) are commonly prescribed for the treatment of peptic ulcer disease to help heal ulcers and reduce acid production, it is important for the nurse to educate the patient about potential risks associated with PPI therapy. PPIs have been associated with an increased risk of gastrointestinal bleeding, especially in patients with a history of peptic ulcer disease. It is crucial for the patient to be aware of this risk and to take precautions, such as avoiding other medications that can increase bleeding risk and informing healthcare providers about any signs of bleeding, such as black stools or abdominal pain. Educating the patient about this potential adverse effect allows for early recognition and prompt intervention if necessary.

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