Ati Pn Fundamental Proctored Newest 2024 Test Bank 370 Questions And Correct Detailed Answers With Rationales (Verified Answers) |Already Graded A+

ATI PN FUNDAMENTAL PROCTORED NEWEST 2024 TEST BANK 370 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ *cardiovascular changes* due to immobility - ANSWER-- orthostatic hypotension; - less fluid volume in circulatory system; - stasis of blood in the legs --- increased risk of thrombus development; - diminished autonomic response; - decreased cardiac output --- leads to poor cardiac effectiveness --- which results in increased cardiac workload; - increased oxygenation requirement .*gastrointestinal changes* due to immobility - ANSWER-- decreased peristalsis; - constipation, then fecal impaction, then diarrhea .*genitourinary changes* due to immobility - ANSWER-- urinary stasis; - change in calcium metabolism w/hypercalcemia ---can result in renal calculi; - decreased fluid intake, poor perineal care, and indwelling urinary catheters = UTIs .*Medical* asepsis [AKA: "Clean Technique"] - ANSWER-- practices* to reduce* the number, growth, and spread of micro-organisms; - Used for: admin oral meds, managing NG tubes, providing personal hygiene, etc. .*musculoskeletal changes* due to immobility - ANSWER-- atrophy of muscles, decreased muscle endurance, strength, and mass; - impaired balance, decreased stability; - altered calcium metabolism = osteoporosis; - contractures; - foot drop; - altered joint mobility .*respiratory changes* due to immobility - ANSWER-- decreased respiratory movement --- results in decreased O2 and CO2 exchange; - stasis of secretions and decreased and weakened respiratory muscles --- results in atelectasis and hypostatic pneumonia; - decreased cough response .*Surgical* asepsis [AKA: "Sterile Technique"] - ANSWER-- practices *to eliminate* all micro-organisms from an object or area to prevent contamination; - Used for: parenteral med admin, insertion of urinary catheters, surgical procedures, sterile dressing changes, etc. .1. When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. When preparing the sterile field, it is important that the nurse A. keep the sterile field at least 6 ft away from the client's bedside. B. instruct the client to refrain from coughing and sneezing during the dressing change. C. place a mask on the client to limit the spread of micro-organisms into the surgical wound. D. keep a box of facial tissues nearby for the client to use during the dressing change. - ANSWER-C. place a mask on the client to limit the spread of micro-organisms into the surgical wound. .2. A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects may the nurse touch without breaching sterile technique? (Select all that apply.) A. A bottle containing a sterile solution B. The edge of the sterile drape at the base of the field C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field E. One gloved hand with the other gloved hand - ANSWER-C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field E. One gloved hand with the other gloved hand .3 Classes of fire extinguishers - ANSWER-A - for paper, wood, upholstery, rags, or other types of trash fires; B - for flammable liquids and gas fires; C - for electrical fires .3-Point Gait - ANSWER-Weight is distributed on both crutches and then on the *unaffected* leg -- then repeat sequence .3. A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? A. The flap closest to the body B. The right side flap C. The left side flap D. The flap farthest from the body - ANSWER-D. The flap farthest from the body Unless the nurse pulls *the top flap [the one furthest from her body]* away from her body first, she risks touching part of the inner surface of the wrap and thus contaminating it. .4. A nurse is reviewing hand hygiene techniques with a group of assistive personnel (AP). Which of the following instructions should the nurse include when discussing handwashing? (Select all that apply.) A. Apply 3 to 5 mL of liquid soap to dry hands. B. Wash the hands with soap and water for at least 15 seconds. C. Rinse the hands with hot water. D. Use a clean paper towel to turn off hand faucets. E. Allow the hands to air dry after washing. - ANSWER-B. Wash the hands with soap and water for at least 15 seconds. D. Use a clean paper towel to turn off hand faucets. .5. A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? (Select all that apply.) A. The provider drops a sterile instrument onto the near side of the sterile field. B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field. C. The procedure is delayed 1 hr because the provider receives an emergency call. D. The nurse turns to speak to someone who enters through the door behind the nurse. E. The client's hand brushes against the outer edge of the sterile field. - ANSWER-B. The nurse *moistens* a cotton ball with sterile normal saline and places it on the sterile field. C. The procedure is *delayed* 1 hr because the provider receives an emergency call. D. The nurse *turns* to speak to someone who enters through the door behind the nurse. .A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence - ANSWER-B. Autonomy In this situation, the client is exercising his right to make his own personal decision about surgery, regardless of others' opinions of what is "best" for him. This is an example of autonomy. .A nurse is caring for a client who has left-sided hemiplegia resulting from a cerebrovascular accident. The client works as a carpenter and is now experiencing a situational role change based on physical limitations. The client is the primary wage earner in the family. Which of the following best describes the client's role problem? A. Role conflict B. Role overload C. Role ambiguity D. Role strain - ANSWER-A. Role conflict ____________________ A. CORRECT: The client is experiencing role conflict because his career is extremely physical, and he can no longer perform his job duties. However, the client is the primary wage earner in the family. B. INCORRECT: Although the client may feel overloaded and overwhelmed, role overload occurs when the client is trying to juggle too many roles. C. INCORRECT: The client is not experiencing role ambiguity because his job duties and his physical limitations are quite clear.