*NURSING > AQA QUESTION and MARK SCHEMES > ATI RN MATERNAL NEWBORN PROCTORED EXAM 2023/2024 (All)

ATI RN MATERNAL NEWBORN PROCTORED EXAM 2023/2024

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ATI RN MATERNAL NEWBORN PROCTORED EXAM 2023/20242. The nurse is providing an education session to an adult community group about the effects of smoking on infection. Which information is mostimporta... nt for the nurse to include in the educational session? a. Smoke from tobacco products clings to your clothing and hair. b. Smoking affects the cilia lining the upper airways in the lungs. c. Smoking can affect the color of the patient’s fingernails. d. Smoking tobacco products can be very expensive. ANS: B A normal defense mechanism against infection in the respiratory tract is the cilia lining the upper airways of the lungs and normal mucus. When a patient inhales a microbe, the cilia and mucus trap the microbe and sweep them up and out to be expectorated or swallowed. Smoking may alter this defense mechanism and increase the patient’s potential for infection. Smoking can be expensive, the smell does cling to hair and clothing, and the tar within the smoke can alter the color of a patient’s nails. This information can be included in the education but does not constitute the most important point. 3. A female adult patient presents to the clinic with reports of a white discharge and itching in the vaginalarea. A nurse is taking a health history. Which question is the priority? “When was the last time you visited your primary health care a. provider?” b. “Has this condition affected your eating habits in any way?” c. “What medications are you currently taking?” d. “Are you able to sleep at night?” ANS: C Antibiotics and oral contraceptives can disrupt normal flora in the vagina, causing an overgrowth of Candida albicans in that area. It is important to ask the patient about current medications to obtain information that mayassist with diagnosis. The body contains normal flora (microorganisms) that live on the surface of skin, saliva, oral mucosa, gastrointestinal tract, and genitourinary tract. The normal flora of the vagina causes vaginal secretions to achieve a low pH, inhibiting the growth of many microorganisms. Visiting the primary health care provider is important for the patient’s health maintenance but is not the priority. Learning about the patient’s eating and sleeping habits will assist in the plan of care but is not the priority. 4. The nurse is caring for a school-aged child who has injured the right leg after a bicycle accident. Whichsigns and symptoms will the nurse assess for to determine if the child is experiencing a localized inflammatory response? Malaise, anorexia, enlarged lymph nodes, and increased white blood a. cells b. Chest pain, shortness of breath, and nausea and vomiting c. Dizziness and disorientation to time, date, and place [Show More]

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