a nurse is caring for a client who is scheduled for a thoracentesis which of the following supplies should the nurse ensure are not in the clients roo

ATI RN

ATI Fundamentals

1. A client is scheduled for a thoracentesis. Which of the following supplies should NOT be in the client's room?

A. Oxygen equipment
B. Incentive spirometer
C. Pulse oximeter
D. Sterile dressing

Correct answer: B

Rationale: During a thoracentesis procedure, the focus is on draining fluid or air from the pleural space. An incentive spirometer, which helps improve lung function, is not a necessary supply for this specific procedure. Oxygen equipment, pulse oximeter for monitoring oxygen saturation levels, and sterile dressing for wound care may be needed during or after the procedure.

2. Which of the following is the correct meaning of CBR?

A. Cardiac Board Room
B. Complete Bathroom
C. Complete Bed Rest
D. Complete Board Room

Correct answer: C

Rationale: In medical terminology, 'CBR' stands for Complete Bed Rest. This term indicates the necessity for a patient to remain in bed without engaging in any physical activities beyond what is essential for daily living, to aid in the recovery process or to prevent further health complications. Choices A, B, and D are incorrect as they do not reflect the medical meaning of CBR.

3. When reviewing the prescriptions for a client with a pneumothorax, which of the following actions should the nurse perform first?

A. Assess the client's pain.
B. Obtain a large-bore IV needle for decompression.
C. Administer lorazepam.
D. Prepare for chest tube insertion.

Correct answer: B

Rationale: In a client with a pneumothorax, the priority action for the nurse is to obtain a large-bore IV needle for decompression. This intervention helps to relieve the pressure in the pleural space, allowing the lung to re-expand. Prompt decompression is crucial in managing a tension pneumothorax, which can be life-threatening. Assessing pain, administering medication, and preparing for chest tube insertion are important, but they should follow the immediate intervention of decompression in a critical situation like a tension pneumothorax.

4. How many liters are equal to 1800 ml?

A. 1.8
B. 18000
C. 180
D. 2800

Correct answer: A

Rationale: To convert milliliters (ml) to liters, divide by 1000 since 1 liter is equal to 1000 ml. Therefore, 1800 ml is equal to 1800/1000 = 1.8 liters. Choice A (1.8) is correct. Choice B (18000) is incorrect as it equates to 18000 liters, not 1.8 liters. Choice C (180) is incorrect as it represents 180 liters, not 1.8 liters. Choice D (2800) is incorrect as it does not reflect the conversion of 1800 ml to liters.

5. A healthcare professional is preparing to assess a 2-week-old newborn. Which of the following actions should the professional plan to take?

A. Obtain the newborn's body temperature using a tympanic thermometer.
B. FACES pain scale.
C. Auscultate the newborn's apical pulse for 60 seconds.
D. Measure the newborn's head circumference over the eyebrows and below the occipital prominence.

Correct answer: C

Rationale: Assessing the apical pulse in newborns is important to evaluate their cardiac function. The normal heart rate for a newborn is typically between 100-160 beats per minute. Auscultating the apical pulse for a full 60 seconds allows for an accurate assessment of the newborn's heart rate. This is a crucial component of the newborn assessment to ensure the baby's cardiovascular system is functioning within the expected range.