a nurse in a clinic is assessing a client who has sinusitis which of the following techniques should the nurse use to identify manifestations of this

ATI RN

ATI Fundamentals

1. When assessing a client with sinusitis, which technique should the nurse use to identify manifestations of this disorder?

A. Percussion of the frontal sinuses
B. Auscultation of the trachea
C. Inspection of the nasal mucosa
D. Palpation of the orbital areas

Correct answer: D

Rationale: Sinusitis is an inflammation of the sinus cavities, which can cause tenderness and pain around the eyes (orbital areas). Palpation of the orbital areas can help identify tenderness and swelling associated with sinusitis. Auscultation of the trachea and percussion of the frontal sinuses are not relevant assessment techniques for sinusitis. Inspection of the nasal mucosa may reveal signs of inflammation, but palpation of the orbital areas is a more direct method to assess for tenderness and swelling in this specific condition.

2. What is the primary purpose of a platelet count?

A. Assessing clot formation potential
B. Assessing bleeding risk
C. Detecting antigen-antibody response
D. Identifying cardiac enzymes presence

Correct answer: B

Rationale: A platelet count is primarily used to assess the risk of bleeding. Platelets play a crucial role in blood clotting, so a low platelet count can lead to an increased risk of bleeding. Monitoring platelet levels helps healthcare providers evaluate a patient's ability to form clots and manage bleeding.

3. A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching?

A. ''OOB with assistance for breakfast''
B. ''Given 2 mg MSO4 IM for report of pain''
C. ''Dressing changed qd''
D. ''Administered 8 units of regular insulin subcutaneously''

Correct answer: D

Rationale: The correct answer demonstrates proper documentation by specifying the action taken ('Administered'), the dose ('8 units'), the medication ('regular insulin'), and the route of administration ('subcutaneously'). This notation ensures clarity and accuracy in recording the nursing intervention, aligning with best practices in documentation.

4. If a patient's blood pressure is 150/96, what is his pulse pressure?

A. 54
B. 96
C. 150
D. 246

Correct answer: A

Rationale: Pulse pressure is calculated by subtracting the diastolic pressure from the systolic pressure. In this case, the systolic pressure is 150 and the diastolic pressure is 96. Therefore, the pulse pressure is 150 - 96 = 54. Pulse pressure represents the force generated by the heart with each contraction and is an important indicator of cardiovascular health.

5. A client is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take?

A. Cleanse equipment before removal from the client's room.
B. Limit the client's visitors to 30 minutes per day.
C. Discard the client's linens in a double bag.
D. Discard the radioactive source in a biohazard bag

Correct answer: D

Rationale: When caring for a client receiving brachytherapy, it is crucial to handle radioactive sources appropriately. Discarding the radioactive source in a biohazard bag is essential to prevent exposure to radiation. Cleaning equipment before removal, limiting client's visitors, or discarding linens in a double bag are not specific to the management of radioactive sources in brachytherapy.