a nurse is assessing clients on a medical surgical unit which clients are at increased risk for hypophosphatemia select all that do not apply a nurse is assessing clients on a medical surgical unit which clients are at increased risk for hypophosphatemia select all that do not apply
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Nursing Elites

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ATI Fluid Electrolyte and Acid-Base Regulation

1. A nurse is assessing clients on a medical-surgical unit. Which clients are at increased risk for hypophosphatemia? (Select all that do not apply.)

Correct answer: A 76-year-old who is prescribed antacids

Rationale:

2. Which type of facilities are capable of performing minor surgeries and simple laboratory examinations?

Correct answer: C

Rationale: Intermediate level of care facilities are equipped to perform minor surgeries and conduct basic laboratory tests. These facilities bridge the gap between primary health care centers and hospitals offering specialized tertiary care services.

3. In which type of shock does the patient experience a mismatch of blood flow to the cells?

Correct answer: A

Rationale: The correct answer is A: Distributive shock. Distributive shock is characterized by a widespread increase in vascular permeability leading to a relative hypovolemia and a mismatch of blood flow to the cells. Choice B, Cardiogenic shock, is due to the heart's inability to pump effectively. Choice C, Hypovolemic shock, results from a decrease in intravascular volume. Choice D, Septic shock, is caused by a systemic response to infection.

4. A patient with schizophrenia is prescribed clozapine. Which potential side effect requires regular monitoring?

Correct answer: C

Rationale: When a patient with schizophrenia is prescribed clozapine, regular monitoring for agranulocytosis is essential. Agranulocytosis is a severe reduction in white blood cells that can be life-threatening. Monitoring white blood cell counts is crucial to detect this side effect early and prevent serious complications. Weight loss (Choice A) is not a common side effect of clozapine. Hypertension (Choice B) and hyperthyroidism (Choice D) are also not typically associated with clozapine use, making them incorrect choices for regular monitoring.

5. What is the mission of the Army Medical Department?

Correct answer: C

Rationale: The correct answer is C: 'Maintain the health of the Army and preserve its combat effectiveness.' This mission statement reflects the primary goal of the Army Medical Department, which is to ensure that military personnel remain healthy and fit for duty to preserve the Army's fighting strength. Choices A, B, and D are incorrect because they do not capture the core purpose of the Army Medical Department, which is focused on the health and readiness of the military forces, rather than performing annual physical examinations, responding to disasters, or providing education and training.

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