jarvis health assessment test bank

Questions 84

ATI RN

ATI RN Test Bank

jarvis health assessment test bank Questions

Question 1 of 5

A nurse is caring for a patient with asthma who is using a metered-dose inhaler (MDI). The nurse should instruct the patient to:

Correct Answer: D

Rationale: The correct answer is D: Hold the breath for at least 5 seconds after inhaling the medication. Holding the breath after inhaling the medication allows for better absorption of the medication into the lungs. This helps ensure the medication reaches the target area for optimal effectiveness. Exhaling deeply before using the inhaler (Choice A) is not necessary and can actually reduce the amount of medication reaching the lungs. Using the inhaler only when asthma symptoms are severe (Choice B) is not recommended as it is important to use the inhaler as prescribed by the healthcare provider. Inhaling deeply while activating the inhaler (Choice C) is important, but holding the breath after inhaling the medication is crucial for optimal medication delivery.

Question 2 of 5

A nurse is teaching a patient with chronic kidney disease (CKD) about lifestyle modifications. Which of the following statements by the patient indicates proper understanding?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Sodium restriction helps prevent fluid retention and high blood pressure in CKD. 2. Limiting sodium intake is crucial in managing CKD-related complications. 3. Excess sodium can worsen fluid retention and strain the kidneys. 4. Proper understanding of sodium limitation shows patient's grasp of CKD management. Incorrect Choices: B. Increasing fluid intake can worsen fluid retention in CKD patients. C. Excessive protein intake can burden the kidneys in CKD. D. High potassium levels in CKD can lead to dangerous heart rhythm abnormalities.

Question 3 of 5

What is the key to resolving problems for a nurse caring for multiple clients with complex care?

Correct Answer: C

Rationale: The correct answer is C: Critical thinking. Critical thinking involves analyzing information, evaluating options, and making sound decisions. When caring for multiple clients with complex care, critical thinking enables nurses to prioritize tasks, anticipate complications, and adapt care plans accordingly. Diagnostic reasoning (A) is important but focuses on identifying specific health issues. Physical assessment (B) is crucial but only addresses one aspect of care. Nursing care plans (D) are essential tools but rely on critical thinking for effective implementation. In conclusion, critical thinking is the key as it encompasses all aspects of problem-solving in complex care situations.

Question 4 of 5

What are the goals of palliative care?

Correct Answer: A

Rationale: The correct answer is A: Giving the client the best quality of life possible. Palliative care aims to improve quality of life for individuals facing serious illnesses through symptom management, emotional support, and enhancing overall well-being. It focuses on promoting comfort and relief from pain, rather than curing the illness. Choice B is also relevant as palliative care considers the holistic needs of the individual. Choices C and D are incorrect as palliative care is not restricted to end-of-life care only and involves supporting both the patient and their family throughout the illness journey.

Question 5 of 5

What is the most important nursing intervention for a client with an open fracture?

Correct Answer: A

Rationale: The correct answer is A: Apply a sterile dressing. This is the most important intervention to prevent infection and protect the wound. Applying a sterile dressing helps maintain a clean environment, reduces the risk of contamination, and promotes wound healing. Administering fluids (B) may be necessary but is not the top priority. Administering IV antibiotics (C) may be required but is secondary to wound care. Monitoring for bleeding (D) is important but addressing the wound with a sterile dressing takes precedence to prevent infection.

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