the nurse suspects fluid overload in an infant receiving intravenous fluids what clinical manifestation is suggestive of water intoxication the nurse suspects fluid overload in an infant receiving intravenous fluids what clinical manifestation is suggestive of water intoxication
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Nursing Elites

ATI RN

RN Nursing Care of Children Online Practice 2019 A

1. The nurse suspects fluid overload in an infant receiving intravenous fluids. What clinical manifestation is suggestive of water intoxication?

Correct answer: C

Rationale: Water intoxication can lead to cerebral edema, causing neurological symptoms such as irritability and seizures. Oliguria, weight loss, and muscle weakness are not typical signs of water intoxication.

2. What term refers to the awareness that other people have their own intentions, desires, wants, and motives?

Correct answer: A

Rationale: The correct answer is 'Theory of mind.' Theory of mind is the understanding that others have their own thoughts, feelings, and intentions. This ability allows individuals to attribute mental states to others, enabling them to understand and predict behavior based on those mental states. Choices B, C, and D are incorrect because they do not specifically address the awareness of others' intentions, desires, wants, and motives.

3. What should a healthcare provider teach a patient who has experienced an acute episode of gastritis?

Correct answer: A

Rationale: The correct answer is A: Avoid foods high in potassium. During an acute episode of gastritis, it is advisable to avoid foods high in potassium as they can exacerbate symptoms. Potassium-rich foods may irritate the stomach lining, leading to increased discomfort. Choices B, C, and D are incorrect. Avoiding foods high in sodium is not specifically related to managing gastritis. Increasing exercise to reduce stress is a good general recommendation but not directly related to managing gastritis symptoms. Drinking milk as a snack is not recommended for gastritis as dairy products can sometimes worsen symptoms due to their fat content.

4. Instruction on health promotion regarding urinary elimination is important. Which would you include?

Correct answer: D

Rationale: The correct answer is to instruct the client to empty the bladder at each voiding. This is essential to prevent urinary retention and reduce the risk of urinary tract infections. Choice A is incorrect because holding urine for prolonged periods can lead to urinary retention and increase the risk of infections. Choice B is incorrect as pineapple juice can exacerbate a burning sensation due to its acidity; the correct approach is to drink water to dilute the urine. Choice C is incorrect as wiping from the anal area towards the pubis can introduce bacteria into the urinary tract, potentially causing infections.

5. A client has developed atelectasis postoperatively. Which of the following findings should the nurse expect?

Correct answer: Increasing dyspnea

Rationale: Atelectasis is a condition where the alveoli in the lungs collapse, leading to impaired gas exchange. As a result, the client may experience increasing dyspnea (difficulty breathing) due to the decreased lung capacity for oxygen exchange. Facial flushing, decreasing respiratory rate, and friction rub are not typically associated with atelectasis.

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