ATI RN
ATI Capstone Adult Medical Surgical Assessment 1
1. A nurse is planning care for a client who has acute post-streptococcal glomerulonephritis. Which of the following interventions should the nurse include in the client's plan?
- A. Encourage a high-protein diet
- B. Increase the client's fluid intake
- C. Administer diuretics
- D. Weigh the client twice a week
Correct answer: C
Rationale: Administering diuretics is a crucial intervention for a client with acute post-streptococcal glomerulonephritis as it helps reduce edema by increasing urine output and managing symptoms of glomerulonephritis. Encouraging a high-protein diet (Choice A) is not recommended in this case because it can put additional stress on the kidneys. Increasing fluid intake (Choice B) may worsen edema in these clients. Weighing the client twice a week (Choice D) is important for monitoring fluid balance but is not as immediate and directly beneficial as administering diuretics.
2. What measure of fluid balance status is most useful in a child with acute glomerulonephritis?
- A. Proteinuria
- B. Daily weight
- C. Specific gravity
- D. Intake and output
Correct answer: B
Rationale: Daily weight is the most accurate measure of fluid balance in children with acute glomerulonephritis, as it reflects changes in body fluid status more reliably than other measures like proteinuria or specific gravity.
3. Which suggestion is most appropriate to increase calorie intake for a patient with stomach cancer, aiming to prevent weight loss and wasting?
- A. Replace whole fat milk with skim milk or water
- B. Avoid peanut butter and other nuts
- C. Choose high-fat meat instead of lean meat
- D. Limit alcohol intake to two drinks per day
Correct answer: C: Choose high-fat meat instead of lean meat
Rationale: The correct answer is C: Choose high-fat meat instead of lean meat. High-fat meats are more calorie-dense than lean meats, which makes them a good choice for increasing calorie intake. This is crucial for patients with stomach cancer who want to avoid weight loss and wasting. Choice A is incorrect because skim milk or water contains fewer calories than whole fat milk. Choice B is also incorrect because peanut butter and nuts are high in calories and therefore should not be avoided when trying to increase calorie intake. Finally, choice D is not a good suggestion to increase calorie intake as alcohol does not provide the necessary nutrients needed for a balanced diet. In fact, excessive alcohol can harm the liver and other organs, and it's not a reliable source of calories.
4. Select all that apply. Characteristics of the 2 main types of essential fatty acids discussed in class include:
- A. they must be supplied by the diet
- B. they can be produced by a process called dehydrogenation
- C. they are anti-inflammatory
- D. they are all polyunsaturated fatty acids
Correct answer: A
Rationale: The correct answer is A: 'they must be supplied by the diet.' Essential fatty acids, like omega-3 and omega-6, cannot be produced by the body and must be obtained through the diet. They are polyunsaturated fatty acids, playing vital roles in inflammation and cell membrane structure. Choice B is incorrect because essential fatty acids cannot be produced by dehydrogenation, a process of removing hydrogen. Choice C is incorrect as not all essential fatty acids are anti-inflammatory; some have pro-inflammatory roles. Choice D is incorrect because not all essential fatty acids are polyunsaturated; omega-9, for example, is a monounsaturated essential fatty acid.
5. When evaluating infants and young children in early intervention services, which of the following is recommended?
- A. Gain information from family, caregivers, professionals, and the child to create a total picture of the child's strengths and challenges
- B. Report test scores and therapist observations rather than parent reports
- C. Identify the areas of concern, weaknesses, and deficits to best address the child's and family's needs
- D. Observe the child in one setting with objective data from professionals
Correct answer: A
Rationale: When evaluating infants and young children in early intervention services, it is crucial to gather information from multiple sources, including family, caregivers, professionals, and the child. This holistic approach helps create a comprehensive understanding of the child's strengths and challenges, leading to a more effective intervention plan.
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