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ATI RN Comprehensive 2023 With NGN
Total Questions : 164
Showing 10 questions, Sign in for moreA nurse is discussing weight loss with a client who is concerned about losing 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb). The nurse should identify the weight loss as which of the following total percentages?
A nurse is caring for a client who has Graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurse's priority?
A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
A charge nurse is teaching a newly licensed nurse about the facility's computerized documentation system. Which of the following information should the nurse include?
A nurse is caring for a client who received 50,000 units of IV heparin rather than the prescribed 5,000 units. Which of the following actions should the nurse take first?
Assessment
1000:
Client is Gravida 1 Para 0 and reports headache, nausea, vomiting, and right upper abdominal pain.
Client is alert and oriented, appears restless. Client has gained 0.68 kg (1.5 lb) within the last week. Slight facial edema is present. Heart rate regular and without murmur.
Respirations even, non-labored. Lungs clear to auscultation. Abdomen gravid. Fundal height measurement 29 cm. 1+ dependent edema noted bilaterally. Deep tendon reflex (DTR) is 3+ bilaterally.
Applied external fetal heart monitor. No contractions noted. Fetal heart rate 140/min.
Vital Signs
1000:
Temperature 37.4" C (99.3° F) Heart rate 90/min
Respiratory rate 20/min
Blood pressure 148/94 mm Hg
Oxygen saturation 95% on room air 1100:
Temperature 37° C (98.6° F)
Heart rate 92/min
Respiratory rate 24/min
Blood pressure 156/96 mm Hg
Oxygen saturation 94% on room air
Laboratory Results
1100:
Bloodwork
WBC count 12,500 mm3 (5,000 to 15,000 mm3) Hemoglobin 12.5 g/dL (11 g/dL to 16 g/dL) Hematocrit 37% (33% to 47%)
Platelet count 98,000/mm3 (150,000 to 400,000/mm3) Fibrinogen 500 mg/dL (200 to 400 mg/dL)
BUN 23 mg/dL (10 to 20 mg/dL)
Creatinine 1.2 mg/dL (0.5 to 1.0 mg/dL)
Lactate dehydrogenase 220 units/L (100 to 190 units/L) Aspartate aminotransferase 38 units/L (0 to 35 units/L) Alanine aminotransferase 40 units/L (4 to 36 units/L)
Uric acid 8.5 mg/dL (2.7 to 7.3 mg/dL)
Urinalysis
Protein 25 mg/dL (0 to 8 mg/dL) Ketones none (none)
WBCS 2 (0 to 4 per low power field)
Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.
A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?
A nurse is caring for a 1-day-old newborn who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take?
A nurse is assessing the skin turgor of an older adult client. In which of the following areas should the nurse lift the skin?
A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?
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