the nurse is caring for a client in a sickle cell crisis which is the pain regimen of choice to relieve the pain

ATI RN

ATI RN Custom Exams Set 1

1. The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?

A. Frequent aspirin (acetylsalicylic acid) and a non-narcotic analgesic
B. Motrin (ibuprofen), an NSAID, PRN
C. Demerol (meperidine), a narcotic analgesic, every four (4) hours
D. Morphine, a narcotic analgesic, every two (2) to three (3) hours PRN

Correct answer: D

Rationale: Morphine is the preferred analgesic in sickle cell crisis due to its potency and effectiveness in managing severe pain.

2. Which drugs contribute to peptic ulcers?

A. Antacids
B. Certain antibiotics
C. Cholesterol-lowering medications
D. Nonsteroidal anti-inflammatory drugs

Correct answer: D

Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to contribute to the development of peptic ulcers by affecting the protective lining of the stomach and increasing stomach acid production. This can lead to irritation and ulcer formation. Antacids are actually used to relieve symptoms of peptic ulcers by neutralizing stomach acid. Certain antibiotics may be prescribed to treat H. pylori infection, a common cause of peptic ulcers. Cholesterol-lowering medications are not typically associated with causing peptic ulcers.

3. What is a primary intervention for managing hyperphosphatemia?

A. Increasing calcium intake
B. Increasing phosphorus intake
C. Decreasing calcium intake
D. Administering phosphate binders

Correct answer: D

Rationale: Administering phosphate binders is a primary intervention for managing hyperphosphatemia. Phosphate binders work by binding phosphorus in the gut, preventing its absorption. Increasing calcium intake (Choice A) is not a primary intervention for hyperphosphatemia and can actually exacerbate the condition by potentially raising calcium levels. Increasing phosphorus intake (Choice B) is contraindicated in hyperphosphatemia. Decreasing calcium intake (Choice C) may help manage hypercalcemia but is not the primary intervention for hyperphosphatemia.

4. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task of 'Listening and responding to soldiers' suggestions and complaints'?

A. Accountability
B. Personal/professional development
C. Individual training
D. Military appearance/physical condition

Correct answer: A

Rationale: The correct answer is A: Accountability. Accountability in personnel management involves being responsible for one's actions and decisions. Part of being accountable includes listening to and addressing soldiers' suggestions and complaints. This helps in fostering a positive work environment and improving communication within the team. Choices B, C, and D are incorrect because while personal/professional development, individual training, and military appearance/physical condition are important aspects of personnel management, they do not directly relate to the specific task of listening and responding to soldiers' suggestions and complaints.

5. Which of the following is inappropriate in collecting mid stream clean catch urine specimen for urine analysis?

A. Collect early in the morning, First voided specimen
B. Do perineal care before specimen collection
C. Collect 5 to 10 ml for urine
D. Discard the first flow of the urine

Correct answer: A

Rationale: When collecting a mid-stream clean catch urine specimen for urine analysis, it is important to collect an adequate amount of urine for accurate testing. A volume of 30 to 60 ml is usually recommended for optimal results, so collecting only 5 to 10 ml would not provide enough urine for testing purposes. It is essential to follow proper collection techniques to ensure accurate and reliable test results.