a nurse is reviewing the medical record of a client who is receiving total parenteral nutrition tpn which of the following findings should the nurse r

ATI RN

ATI Exit Exam 180 Questions Quizlet

1. A nurse is reviewing the medical record of a client who is receiving total parenteral nutrition (TPN). Which of the following findings should the nurse report to the provider?

A. Glucose 180 mg/dL
B. Sodium 136 mEq/L
C. Potassium 3.8 mEq/L
D. Albumin 3.5 g/dL

Correct answer: A

Rationale: The correct answer is A: "Glucose 180 mg/dL." Elevated glucose levels in a client receiving TPN may indicate hyperglycemia, which can lead to complications such as osmotic diuresis, dehydration, and electrolyte imbalances. It is essential to report this finding to the provider for further evaluation and management. Choices B, C, and D are within normal ranges and do not indicate immediate concerns related to TPN administration.

2. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take first?

A. Check the client's identification band
B. Verify the provider's prescription
C. Prime the IV tubing with 0.9% sodium chloride
D. Obtain the client's vital signs

Correct answer: A

Rationale: The correct first action for the nurse to take when preparing to administer a unit of packed RBCs is to check the client's identification band. This step is crucial to ensure that the correct blood is administered to the right client, preventing any errors or adverse reactions. Verifying the provider's prescription, priming the IV tubing, and obtaining the client's vital signs are important steps in the process but should follow the initial identification check to prioritize patient safety.

3. A healthcare professional is assessing a client who has a new prescription for digoxin. Which of the following findings is the priority for the healthcare professional to report to the provider?

A. Heart rate of 58/min
B. Weight gain of 1 kg (2.2 lb) in 24 hours
C. Respiratory rate of 20/min
D. Temperature of 37.3Â°C (99.1Â°F)

Correct answer: A

Rationale: The correct answer is A. A heart rate of 58/min is indicative of bradycardia, a potential sign of digoxin toxicity, which should be reported immediately. While weight gain, respiratory rate, and temperature are important parameters to monitor, they are not as critical as identifying bradycardia in a client taking digoxin.

4. What is the appropriate action for a patient experiencing chest pain?

A. Administer aspirin
B. Reposition the patient
C. Check oxygen saturation
D. Prepare for surgery

Correct answer: A

Rationale: The correct action for a patient experiencing chest pain is to administer aspirin. Aspirin helps reduce the risk of clot formation in patients with chest pain, as it has antiplatelet effects. Repositioning the patient may not address the underlying cause of the chest pain. Checking oxygen saturation is important but not the initial priority in this scenario. Surgery is not typically the first-line treatment for chest pain without further assessment and diagnostic procedures.

5. When should healthcare professionals perform hand hygiene?

A. Before and after patient contact
B. Before and after performing procedures
C. After using the restroom
D. After touching contaminated surfaces

Correct answer: A

Rationale: Healthcare professionals should perform hand hygiene before and after patient contact to prevent the spread of infections. While choices B, C, and D are also important times to practice hand hygiene, they are not as crucial as before and after patient contact because patient contact poses a higher risk of transmitting infections.