while the client has pulse oximeter on his fingertip you notice that the sunlight is shining on the area where the oximeter is your action will be to

ATI RN

Nutrition ATI Test

1. While the client has a pulse oximeter on his fingertip, you notice that sunlight is shining on the area where the oximeter is. Your action will be to:

A. Set and turn on the alarm of the oximeter
B. Do nothing since there is no identified problem
C. Cover the fingertip sensor with a towel or bedsheet
D. Change the location of the sensor every four hours

Correct answer: B

Rationale: In this scenario, the correct action is to do nothing since there is no identified problem with the sunlight shining on the area where the oximeter is placed. The functionality of the oximeter is not affected by sunlight, so covering it or changing its location unnecessarily could disrupt the monitoring process. Setting the alarm or changing the sensor location every four hours is not indicated in this situation and may lead to unnecessary interventions. It's essential to assess the situation carefully and intervene only when necessary, ensuring that care provided is appropriate and effective.

2. What outcome has been shown to be a benefit of breastfeeding that directly impacts the mother?

A. conserving calcium stores
B. contracting the uterus
C. protecting against future hypertension
D. speeding the resumption of ovulation

Correct answer: B

Rationale: The correct answer is B, contracting the uterus. Breastfeeding helps contract the uterus after childbirth, reducing postpartum bleeding and helping the uterus return to its pre-pregnancy size more quickly. Choices A, C, and D are incorrect because conserving calcium stores, protecting against future hypertension, and speeding the resumption of ovulation are not direct benefits of breastfeeding to the mother.

3. What action should the nurse take first for a client with Listeria food poisoning?

A. Educate the client on safe food practices.
B. Start a traceback to identify the source of the outbreak.
C. Report the case to the county board of health.
D. Ask the client if they have consumed any unpasteurized products.

Correct answer: D

Rationale: Identifying the source of Listeria is crucial for preventing further cases.

4. Which of the following amino acids are considered indispensable?

A. Lysine
B. Methionine
C. Tryptophan
D. Valine

Correct answer: A

Rationale: The correct answer is A: Lysine. Indispensable amino acids are those that the body cannot synthesize and must be obtained from the diet. Lysine, methionine, and tryptophan are all examples of indispensable amino acids. However, the question specifically asked for 3 out of the 9 indispensable amino acids, making 'Lysine' the correct choice. Choices B, C, and D are also indispensable amino acids but are not the focus of the question.

5. The priority nursing diagnosis for a client with major depression is:

A. Altered nutrition
B. Altered thought process
C. Self care deficit
D. Risk for injury

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.