Review ATI custom fundamentals chapter 31 ALL (2024)

Review ATI custom fundamentals chapter 31 ALL (1)

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ATI custom fundamentals chapter 31 ALL

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Question 1:

A nurse is reinforcing teaching about pain control with a client who has acute pain following a subtotal gastric resection.
Which of the following client statements indicates an understanding of pain control?

Answer and Explanation

This statement is not indicative of an understanding of pain control. The client's concern about addiction may lead to undermedication, potentially compromising pain management. Opioid addiction is a valid concern but should be addressed separately from pain control.

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Question 2:

A nurse is reinforcing teaching with a client about using a PCA for postoperative pain management.
Which of the following statements should the nurse make?

Answer and Explanation

This statement is not accurate and may confuse the client. In a Patient-Controlled Analgesia (PCA) system, a predetermined dose is delivered when the patient activates the device. The dose is usually controlled to prevent excessive medication administration.

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Question 3:

A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit.
The nurse will initially:.

Answer and Explanation

Placing electrodes on all four extremities is not the initial step in using a Transcutaneous Electrical Nerve Stimulator (TENS) unit. It may not be necessary for the specific pain management needs of the patient and can be uncomfortable or impractical.

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Question 4:

The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:.

Answer and Explanation

rationale:
Patient-controlled analgesia (PCA) is a method of pain management that allows the patient to administer their own pain medication within specified limits, but it doesn't reduce the workload of the nurse. The nurse is responsible for setting up and monitoring the PCA pump, educating the patient, assessing their pain, and ensuring safety. Therefore, this choice is incorrect.

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Question 5:

A nurse caring for a patient with a Fentanyl patch assesses that the patient is abnormally sleepy, is slurring words, and is unsteady when ambulating.
The nurse should:.

Answer and Explanation

If a patient with a Fentanyl patch is experiencing symptoms like abnormal sleepiness, slurred speech, and unsteadiness when ambulating, it could indicate an overdose or adverse reaction to the Fentanyl. In such cases, the patch should be removed immediately to stop the further absorption of the drug. Wiping off the skin can also help remove any residual medication. This is the correct choice as it addresses the issue at its source.

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Question 6:

A patient who has difficulty falling asleep at night because of anxiety over family problems asks if he should start taking sedative pills from the pharmacy to sleep better.
The best advice to give this patient is that these pills can be used for:.

Answer and Explanation

It is not advisable to use sedative pills for long periods of time without consulting a primary care provider. Prolonged use of sedatives can lead to dependence and other adverse effects. Therefore, this choice is incorrect.

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Question 7:

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.
To try to alleviate the problem, the nurse counsels her to try:.

Answer and Explanation

Sleeping with the window open for fresh air may not be the best solution in this scenario. While fresh air can be beneficial for sleep, it might not effectively block out the noise from the freeway and the nearby apartment complex. Furthermore, depending on the climate and location, having the window open might lead to discomfort or temperature-related issues.

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Question 8:

A nurse evaluating the effectiveness of an Aquathermia K pad for the leg is aware that the patient who has the least risk for burn injury from this device would be the patient with:.

Answer and Explanation

A patient with a decreased level of consciousness from a stroke may not be able to provide feedback or recognize discomfort or pain, which can increase the risk of burn injury when using a heating pad. This choice increases the risk rather than reducing it.

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Question 9:

The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:.

Answer and Explanation

NREM (Non-Rapid Eye Movement) sleep is characterized by slow-wave sleep and is often considered restorative. It is the stage of sleep where the body repairs and regenerates tissues, and it is essential for feeling rested and rejuvenated. NREM sleep consists of three stages, with stages 3 and 4 being the deepest and most restful, also known as slow-wave sleep. These stages are essential for physical recovery.

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Question 10:

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting to the patient that they:.

Answer and Explanation

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting that the patient exercises in the mornings. Morning exercise can help regulate the circadian rhythm and improve sleep-wake patterns. It helps to reset the internal body clock, making it easier to fall asleep at night. However, exercise should not be too close to bedtime, as it may have a stimulating effect.

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Review ATI custom fundamentals chapter 31 ALL (2)

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Review ATI custom fundamentals chapter 31 ALL (2024)
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