Concepts for Nursing Practice Giddens Test Bank

Questions 14

ATI RN

ATI RN Test Bank

Concepts for Nursing Practice Giddens Test Bank Questions

Question 1 of 5

The nurse is concerned after performing a neurovascular assessment on an older patient with a lower arm cast. Which finding caused the nurse to become concerned?

Correct Answer: A

Rationale: A neurovascular assessment is performed to evaluate nerve function, circulation, and tissue perfusion. Pale, cold fingers indicate poor circulation, which can be a sign of compromised blood flow from the cast causing decreased oxygen supply to the tissues. This finding is concerning as it suggests potential nerve or vascular compromise, which could lead to serious complications if not addressed promptly. It is important for the nurse to report this finding to the healthcare provider for further evaluation and intervention.

Question 2 of 5

The nurse is providing discharge instructions to an older adult client who is going home after having a total knee replacement. Which should the nurse include in the discharge teaching to decrease the client's risk for developing a thrombosis or pulmonary embolism (PE)? Select all that apply.

Correct Answer: B

Rationale: - Compression stockings help promote blood circulation in the legs, decreasing the risk of blood clots forming. This is important after surgery, especially in older adults who may have a higher risk.

Question 3 of 5

A nurse caring for a client in the in the intensive care unit (ICU) notes that the client is experiencing a ventricular tachycardia dysrhythmia. Which rhythm is a type of ventricular tachycardia?

Correct Answer: D

Rationale: Torsades de Pointes is a specific type of ventricular tachycardia characterized by a distinctive twisting pattern on an ECG. It is often associated with a prolonged QT interval and can potentially lead to a life-threatening arrhythmia known as ventricular fibrillation. Sinus tachycardia, atrial flutter, and junctional escape rhythms are not forms of ventricular tachycardia.

Question 4 of 5

The nurse is concerned after performing a neurovascular assessment on an older patient with a lower arm cast. Which finding caused the nurse to become concerned?

Correct Answer: A

Rationale: A neurovascular assessment is performed to evaluate nerve function, circulation, and tissue perfusion. Pale, cold fingers indicate poor circulation, which can be a sign of compromised blood flow from the cast causing decreased oxygen supply to the tissues. This finding is concerning as it suggests potential nerve or vascular compromise, which could lead to serious complications if not addressed promptly. It is important for the nurse to report this finding to the healthcare provider for further evaluation and intervention.

Question 5 of 5

The nurse is assessing a client who is 20 weeks pregnant. Which health issue should the nurse recognize as increasing this client's risk for the development of preeclampsia?

Correct Answer: D

Rationale: Obesity is a significant risk factor for the development of preeclampsia in pregnancy. Preeclampsia is characterized by high blood pressure and signs of damage to other organ systems, typically after 20 weeks of pregnancy. Obesity can lead to increased inflammation and affect the function of blood vessels, which can contribute to the development of preeclampsia. It is essential for the nurse to recognize obesity as a risk factor in this scenario to provide appropriate monitoring and interventions to ensure the health and safety of both the client and the baby.

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