a nurse is assessing a newborn who has a blood glucose level of 30 mgdl which manifestation should the nurse expect
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Nursing Elites

ATI RN

ATI Exit Exam

1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which manifestation should the nurse expect?

Correct answer: B

Rationale: Jitteriness is a common symptom of neonatal hypoglycemia. When a newborn has a low blood glucose level, they may exhibit signs of central nervous system dysfunction, such as jitteriness. Loose stools (Choice A) are not typically associated with neonatal hypoglycemia. Hypertonia (Choice C) refers to increased muscle tone, which is not a common manifestation of hypoglycemia in newborns. Abdominal distention (Choice D) is more often associated with gastrointestinal issues rather than hypoglycemia.

2. A nurse is planning care for a client who has chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse include in the plan of care?

Correct answer: C

Rationale: The correct answer is C: Teach the client pursed-lip breathing technique. Pursed-lip breathing helps clients with COPD improve oxygenation and reduce shortness of breath. Choice A is incorrect because deep breathing and coughing are not recommended every 4 hours for clients with COPD. Choice B is incorrect because a diet high in carbohydrates and low in protein is not specifically indicated for COPD. Choice D is incorrect because fluid restriction is not a standard intervention for COPD unless the client has comorbid conditions that necessitate it.

3. A nurse is assessing a client who has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect?

Correct answer: C

Rationale: A sodium level of 125 mEq/L indicates hyponatremia, which can lead to hypotension. Hyponatremia is associated with signs such as confusion and weakness, rather than increased appetite, dry mucous membranes, or hyperreflexia. Therefore, the nurse should expect hypotension as a finding in a client with a sodium level of 125 mEq/L.

4. A nurse is providing dietary teaching to a client who has a new prescription for warfarin. Which of the following client statements indicates an understanding of the teaching?

Correct answer: C

Rationale: Clients taking warfarin should avoid foods high in vitamin K, as it can interfere with the effectiveness of the medication.

5. What is the recommended dietary restriction for a patient with chronic kidney disease?

Correct answer: B

Rationale: The correct answer is to limit fluid intake for a patient with chronic kidney disease. This restriction helps manage fluid balance to prevent fluid overload. Choices A, C, and D are incorrect. Limiting potassium intake is essential for some patients with kidney disease, but it is not the primary dietary restriction. Increasing protein intake is usually not recommended due to the impaired kidney function in these patients. Increasing carbohydrate intake is also not a standard recommendation for patients with chronic kidney disease.

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