a client is hospitalized with a second episode of pulmonary embolism pe recent genetic testing reveals the client has an alteration in the gene cyp2c1 a client is hospitalized with a second episode of pulmonary embolism pe recent genetic testing reveals the client has an alteration in the gene cyp2c1
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Nursing Elites

ATI RN

ATI Medical Surgical Proctored Exam

1. A client is hospitalized with a second episode of pulmonary embolism (PE). Recent genetic testing reveals the client has an alteration in the gene CYP2C19. What action by the nurse is best?

Correct answer: B

Rationale: Clients with an alteration in the CYP2C19 gene do not metabolize warfarin (Coumadin) well, leading to higher blood levels and more side effects. As this client is a poor candidate for warfarin therapy, the prescriber will most likely recommend the implantation of an inferior vena cava (IVC) filter. This device helps prevent blood clots from reaching the lungs, reducing the risk of pulmonary embolism.

2. The recent discovery of taste receptors that detect sweetness in the small intestine illustrates that

Correct answer: new discoveries about anatomy and physiology are still being made.

Rationale: The recent discovery of taste receptors in the small intestine illustrates that new discoveries about anatomy and physiology are still being made. This finding demonstrates that our understanding of the human body is continuously evolving. Choice A is incorrect because the discovery does not imply that chemical responses occur in only one part of the body but rather showcases a specific new discovery. Choice C is incorrect as it is highly improbable that everything about anatomy and physiology has been discovered given the complexity of the human body. Choice D is incorrect as while the molecular and cellular level is important in anatomy and physiology, the primary focus of this discovery is on the new findings about the taste receptors in the small intestine.

3. Which of the following is a common effect of persistent discrimination?

Correct answer: C

Rationale: The correct answer is C: Cardiovascular reactivity. Persistent discrimination can have negative impacts on an individual's physical health, leading to increased cardiovascular reactivity. This can manifest as higher blood pressure, heart rate, and overall stress on the cardiovascular system. Choices A, B, and D are incorrect because persistent discrimination typically does not result in increased happiness, greater intelligence and wisdom, or increased consciousness. Instead, it often leads to detrimental effects on mental and physical health.

4. A nurse is caring for clients with electrolyte imbalances on a medical-surgical unit. Which clinical manifestations are correctly paired with the contributing electrolyte imbalance? (Select all that do not apply.)

Correct answer: Hyperphosphatemia Paresthesia with sensations of tingling and numbness

Rationale:

5. A nurse is caring for a child who has a new diagnosis of osteomyelitis. Which of the following actions should the nurse take?

Correct answer: C

Rationale: The nurse should monitor the child�s weight daily to assess the effectiveness of treatment for osteomyelitis and detect potential complications.

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