during the first 24 hours of burn nursing measures should focus on which of the following
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Nursing Elites

ATI RN

Nutrition ATI Proctored Exam 2023

1. During the first 24 hours of burn, nursing measures should focus on which of the following?

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

2. In any event of an adverse hemolytic reaction during blood transfusion, Nursing intervention should focus on:

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

3. Which is NOT a classification of carbohydrate?

Correct answer: D

Rationale: The correct answer is D, Triglycerides. Triglycerides are a type of fat, not a carbohydrate. Monosaccharides, disaccharides, and polysaccharides are all classifications of carbohydrates based on the number of sugar units they contain. Monosaccharides are the simplest form with one sugar unit, disaccharides contain two sugar units, and polysaccharides have multiple sugar units linked together.

4. An adolescent client has bloodshot eyes, a voracious appetite, and dry mouth. Which drug abuse would the nurse most likely suspect?

Correct answer: A

Rationale: The symptoms described, including bloodshot eyes, a voracious appetite, and dry mouth, are consistent with marijuana use. Bloodshot eyes are a common side effect of marijuana due to its effect on blood vessels in the eyes. Marijuana also often causes an increase in appetite (known as 'the munchies') and can result in dry mouth. Amphetamines typically cause symptoms like increased alertness, energy, and decreased appetite. Barbiturates and anxiolytics would not typically cause bloodshot eyes, a voracious appetite, and dry mouth as described in the scenario. Therefore, the most likely drug abuse the nurse would suspect in this case is marijuana.

5. Which of the following amino acids are considered indispensable?

Correct answer: A

Rationale: The correct answer is A: Lysine. Indispensable amino acids are those that the body cannot synthesize and must be obtained from the diet. Lysine, methionine, and tryptophan are all examples of indispensable amino acids. However, the question specifically asked for 3 out of the 9 indispensable amino acids, making 'Lysine' the correct choice. Choices B, C, and D are also indispensable amino acids but are not the focus of the question.

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