the purpose of chest percussion and vibration is to loosen secretions in the lungs the difference between the procedures is
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Nursing Elites

ATI RN

ATI Proctored Nutrition Exam 2019

1. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is:

Correct answer: D

Rationale: Chest percussion involves the use of rhythmic tapping to dislodge mucus from the lungs, facilitating its movement toward the larger airways where it can be expelled. This technique is particularly important in conditions where mucus retention is a significant risk factor for infection. The key difference between chest percussion and vibration is that percussion involves slapping the chest to loosen secretions, while vibration involves shaking the secretions along with the inhalation, aiding in moving the loosened secretions upwards for easier removal. Choices A, B, and C do not accurately describe the main difference between chest percussion and vibration, making them incorrect.

2. As the head nurse in the OR, how can you improve the effectiveness of clinical alarm systems?

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. How many calories are contained in a food that has 15 grams of carbohydrates, 4 grams of protein, and 10 grams of fat?

Correct answer: C

Rationale: To calculate the total calories in a food item, you can use the following conversions: every 1 gram of carbohydrate provides 4 calories, 1 gram of protein provides 4 calories, and 1 gram of fat provides 9 calories. Therefore, for this food item, multiply 15 grams of carbohydrates by 4 calories/gram, 4 grams of protein by 4 calories/gram, and 10 grams of fat by 9 calories/gram. The calculation would be (15 * 4) + (4 * 4) + (10 * 9) = 60 + 16 + 90 = 166 calories. Choice A (106) is incorrect because it does not consider the calories from fat. Choice B (124) is incorrect as it underestimates the calories by not including all macronutrients. Choice D (202) is incorrect as it overestimates the calories by adding up the values incorrectly.

4. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if pt:

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

5. A client with type 1 diabetes mellitus asks a nurse for a sweetener recommendation. Which of the following recommendations should the nurse make?

Correct answer: C

Rationale: The correct recommendation for a client with type 1 diabetes mellitus looking for a sweetener is a nonnutritive sugar substitute. Nonnutritive sugar substitutes do not significantly affect blood glucose levels, making them a suitable option for individuals with diabetes. Corn syrup and natural honey are high in sugar and can lead to spikes in blood glucose levels, which is not ideal for someone with diabetes. Guava nectar, while natural, is also high in sugar content and not recommended for individuals with diabetes.

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