a nurse is caring for a client who is experiencing an acute exacerbation of asthma which medication should the nurse administer first
Logo

Nursing Elites

ATI RN

ATI Medical Surgical Proctored Exam 2023

1. A client is experiencing an acute exacerbation of asthma. Which medication should the nurse administer first?

Correct answer: A

Rationale: During an acute exacerbation of asthma, the priority is to administer a short-acting beta2-agonist like Albuterol (Proventil) first. Albuterol acts quickly to dilate the airways and provide immediate relief of bronchospasm. Ipratropium (Atrovent) is an anticholinergic that can be used as an adjunct therapy. Salmeterol (Serevent) is a long-acting beta2-agonist intended for maintenance therapy, not for acute exacerbations. Fluticasone (Flovent) is a corticosteroid used for long-term asthma control and should not be the initial medication given during an acute exacerbation.

2. A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience should the nurse provide this service?

Correct answer: A

Rationale: The correct answer is African American churches. African Americans in the United States have one of the highest rates of hypertension globally. By providing services at African American churches, the nurse can effectively reach this priority population. While hypertension education and screening are essential for all groups, African Americans are the priority population for this intervention due to their disproportionately high rates of hypertension.

3. A nurse assesses a client who has a mediastinal chest tube. Which symptoms require the nurse's immediate intervention? (Select ONE that does not apply)

Correct answer: A

Rationale: In a client with a mediastinal chest tube, the presence of pink sputum does not necessarily require immediate intervention. However, tracheal deviation could indicate a tension pneumothorax, sudden shortness of breath could signal tube issues or pneumothorax, and drainage exceeding 70 mL/hr might suggest hemorrhage. Disconnection at the Y site could lead to air entering the tubing, necessitating prompt attention.

4. A client with tuberculosis is starting combination drug therapy. Which of the following medications should the nurse NOT plan to administer?

Correct answer: C

Rationale: Acyclovir is an antiviral medication used to treat herpes virus infections, not tuberculosis. Rifampin, Isoniazid, and Pyrazinamide are all commonly used in the treatment of tuberculosis. Therefore, the nurse should not plan to administer Acyclovir to a client with tuberculosis.

5. When admitting a client with active tuberculosis to a room on a medical-surgical unit, which of the following room assignments should the nurse make?

Correct answer: A

Rationale: When admitting a client with active tuberculosis, it is crucial to assign them to a room with air exhaust directly to the outdoor environment to prevent the spread of infectious particles to other patients and healthcare workers. This setup helps in reducing the risk of transmission within the healthcare facility. Placing the client in a room with another nonsurgical client or in the ICU may increase the chances of spreading the infection. Additionally, placing the client in a room within view of the nurses' station does not address the need for proper ventilation to minimize transmission of tuberculosis.

Similar Questions

A healthcare provider is assessing a client immediately after the removal of the endotracheal tube. Which of the following findings should the provider report to the healthcare provider?
A client with COPD is developing a plan of care. Which of the following interventions should the nurse include in the plan?
A client with a history of gastrointestinal bleeding is taking warfarin (Coumadin). Which instruction should the nurse include in the teaching plan?
A client had a bronchoscopy 2 hours ago and asks for a drink of water. Which action should the nurse take next?
A client with newly diagnosed osteoporosis is being taught about lifestyle modifications. Which instruction should be included?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses