Adult Health Med Surg Nursing Test Banks

Questions 165

ATI RN

ATI RN Test Bank

Adult Health Med Surg Nursing Test Banks Questions

Question 1 of 5

A patient with chronic kidney disease is prescribed erythropoietin-stimulating agents (ESAs) to manage anemia. Which laboratory parameter should be monitored closely during ESA therapy?

Correct Answer: C

Rationale: Erythropoietin-stimulating agents (ESAs) are prescribed to manage anemia in patients with chronic kidney disease. Monitoring the hemoglobin level closely during ESA therapy is crucial to ensure that the treatment is effective in increasing red blood cell production without causing excessive elevation. Hemoglobin levels should be checked regularly to adjust the ESA dosage accordingly and prevent risks associated with high hematocrit levels, such as increasing blood viscosity and cardiovascular events. Monitoring serum potassium, creatinine, and platelet count are important in the management of chronic kidney disease for different reasons, but for ESA therapy, monitoring hemoglobin is the most essential parameter.

Question 2 of 5

Which is the best strategy to control Incidence of Rabies in the community

Correct Answer: C

Rationale: The best strategy to control the incidence of rabies in the community is to promote responsible pet ownership. Responsible pet owners ensure that their pets are vaccinated against rabies, kept on a leash or within a confined area, and are not allowed to roam freely. By doing so, the chances of their pets contracting and spreading rabies are greatly reduced. This approach focuses on prevention rather than reactive measures such as impounding or killing dogs, which may not effectively tackle the root cause of the problem. Additionally, fining the owner may serve as a deterrent, but it does not address the overall issue of preventing rabies transmission. Encouraging responsible pet ownership is a sustainable and humane way to reduce the incidence of rabies in the community.

Question 3 of 5

In planning for Jose's oxygen therapy, the nurse shall consider which of the following, EXCEPT

Correct Answer: C

Rationale: When planning for Jose's oxygen therapy, the nurse should consider the need for a humidifier to prevent drying of the mucous membranes, the appropriate length of tubing for mobility and safety reasons, and the manner of administering oxygen (continuous or intermittent) based on Jose's condition and oxygen requirements. However, determining Jose's age is not a relevant factor in planning for his oxygen therapy. The decision-making process should be based on his specific medical needs and condition rather than his age.

Question 4 of 5

A 28-year-old woman presents with lower abdominal pain, dyspareunia, and dysmenorrhea that worsens during menstruation. On pelvic examination, tender nodules are palpated along the uterosacral ligaments. Which condition is most likely to be responsible for these findings?

Correct Answer: B

Rationale: The clinical presentation of lower abdominal pain, dyspareunia (pain during sexual intercourse), dysmenorrhea (painful periods), and tender nodules along the uterosacral ligaments is highly suggestive of endometriosis. Endometriosis is a condition where the tissue that lines the uterus (endometrium) grows outside the uterus, commonly on the pelvic organs such as the ovaries, fallopian tubes, and the peritoneum. The characteristic tender nodules along the uterosacral ligaments are known as "nodularity" and are a classic finding in endometriosis.

Question 5 of 5

A patient with chronic kidney disease is prescribed calcium carbonate as a phosphate binder. Which instruction should the nurse provide to the patient regarding calcium carbonate administration?

Correct Answer: A

Rationale: Calcium carbonate should be taken with meals because it requires the presence of stomach acid to be properly absorbed. Taking it with meals helps ensure optimal absorption and effectiveness as a phosphate binder in patients with chronic kidney disease. Administering calcium carbonate on an empty stomach may lead to gastrointestinal side effects such as upset stomach, bloating, and constipation. Taking it with a full glass of water is also recommended to help prevent potential gastrointestinal issues and to ensure proper hydration. Crushing tablets before administration is not advised unless specifically instructed by a healthcare provider, as it can alter the drug's release and absorption properties.

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