LPN LPN
ATI PN Comprehensive Predictor 2023 Quizlet
1. What should a healthcare provider prioritize for a client diagnosed with bipolar disorder?
- A. Monitor for hyperactivity
- B. Monitor for signs of depression
- C. Monitor for changes in self-esteem
- D. Monitor for changes in energy levels
Correct answer: B
Rationale: When caring for a client diagnosed with bipolar disorder, the priority is to monitor for signs of depression. Individuals with bipolar disorder are at risk of severe depressive episodes, making it crucial to watch for signs of depression. While changes in energy levels and self-esteem are common in bipolar disorder, they are not the primary focus. Hyperactivity is a characteristic of the manic phase of bipolar disorder, so monitoring for depression is the priority in this case.
2. A nurse is providing teaching to a client who is to start taking digoxin. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication with food.
- B. I will contact my provider if my heart rate is below 60 beats per minute.
- C. I should take an antacid with this medication to prevent gastrointestinal upset.
- D. I will need to take this medication for 14 days.
Correct answer: B
Rationale: The client should contact their provider if their heart rate drops below 60 beats per minute, as this could indicate digoxin toxicity.
3. A client is scheduled for a lumbar puncture. The nurse should assist the client into which of the following positions?
- A. Supine with head elevated
- B. Lateral recumbent
- C. Prone with arms at sides
- D. Sitting with back rounded
Correct answer: B
Rationale: The correct position for a lumbar puncture is the lateral recumbent position. This position allows the spine to curve naturally, widening the spaces between the vertebrae, making it easier and safer to perform the procedure. Supine with head elevated (Choice A) would not provide the proper positioning for a lumbar puncture as it does not allow for proper access to the lumbar area. Prone with arms at sides (Choice C) would not be suitable as it would not facilitate the procedure. Sitting with back rounded (Choice D) is also incorrect as it does not allow for the proper alignment of the spine needed for a lumbar puncture.
4. A client has developed phlebitis at the IV site. What should the nurse do immediately?
- A. Apply a warm compress over the IV site
- B. Discontinue the IV and notify the provider
- C. Monitor the site for signs of infection
- D. Administer an anti-inflammatory medication
Correct answer: B
Rationale: When a client develops phlebitis at the IV site, the immediate action the nurse should take is to discontinue the IV and notify the provider. Phlebitis is inflammation of the vein, and if left untreated, it can lead to serious complications such as infection, thrombosis, or sepsis. Removing the IV line helps prevent further irritation and infection. Applying a warm compress (Choice A) may provide some relief but does not address the root cause. Monitoring for signs of infection (Choice C) is important but not the immediate action needed to address phlebitis. Administering an anti-inflammatory medication (Choice D) may be prescribed by the provider but is not the first step in managing phlebitis.
5. What are the primary differences between Type 1 and Type 2 diabetes in terms of pathophysiology and treatment?
- A. Type 1: No insulin production; Type 2: Insulin resistance
- B. Type 1: Insulin resistance; Type 2: Insulin deficiency
- C. Type 1: Autoimmune; Type 2: Lifestyle-related
- D. Type 1: Insulin therapy; Type 2: Diet modification
Correct answer: A
Rationale: The correct answer is A. Type 1 diabetes is characterized by the absence of insulin production, while Type 2 diabetes involves insulin resistance. Choice B is incorrect because Type 1 diabetes is not related to insulin resistance. Choice C is inaccurate as Type 1 diabetes is autoimmune while Type 2 diabetes is more associated with lifestyle factors. Choice D is not correct since insulin therapy is primarily used in Type 1 diabetes, whereas diet modification is a common approach in managing Type 2 diabetes.
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