ATI RN
ATI Fluid Electrolyte and Acid-Base Regulation
1. You are called to your patients room by a family member who voices concern about the patients status. On assessment, you find the patient tachypnic, lethargic, weak, and exhibiting a diminished cognitive ability. You also find 3+ pitting edema. What electrolyte imbalance is the most plausible cause of this patients signs and symptoms?
- A. Hypocalcemia
- B. Hyponatremia
- C. Hyperchloremia
- D. Hypophosphatemia
Correct answer: Hyperchloremia
Rationale:
2. A client has a new prescription for Warfarin. Which of the following herbal supplements should the client be instructed to avoid?
- A. St. John's wort
- B. Echinacea
- C. Garlic
- D. Ginseng
Correct answer: A
Rationale: St. John's wort should be avoided by clients taking Warfarin as it can reduce the medication's effectiveness by affecting its metabolism. Echinacea, garlic, and ginseng are also known to interact with Warfarin, either by increasing the risk of bleeding or altering its anticoagulant effects. However, St. John's wort is particularly significant due to its potent enzyme-inducing properties that can lead to subtherapeutic levels of Warfarin, potentially increasing the risk of blood clots.
3. A nurse is providing discharge teaching to a client following a colon resection and a new colostomy. What dietary advice should the nurse provide?
- A. Avoid foods that are high in protein.
- B. Consume foods high in fiber and low in fat.
- C. Eat foods high in vitamin C to promote healing.
- D. Avoid all raw vegetables.
Correct answer: B
Rationale: The correct answer is B: Consume foods high in fiber and low in fat. Following a colon resection and a new colostomy, a high-fiber, low-fat diet is recommended to promote healing and reduce the risk of complications. Foods high in fiber help maintain bowel regularity and prevent constipation, which is crucial after this type of surgery. Choices A, C, and D are incorrect because avoiding foods high in protein, consuming foods high in vitamin C, or avoiding all raw vegetables are not the most appropriate dietary advice in this situation.
4. The nurse is preparing a discharge teaching plan for the client who had an umbilical hernia repair. Which of the following would the nurse include in the plan?
- A. Restricting pain medication
- B. Maintaining bedrest
- C. Avoiding coughing
- D. Irrigating the drain
Correct answer: C
Rationale: To prevent strain on the surgical site and avoid disruption of tissue integrity, the client should avoid coughing after an umbilical hernia repair.
5. In a longitudinal design, participants are studied repeatedly at different ages, and changes are noted as they get older.
- A. cross-sectional
- B. experimental
- C. longitudinal
- D. correlational
Correct answer: C
Rationale: The correct answer is C: longitudinal. In a longitudinal design, participants are followed and studied over an extended period, allowing researchers to observe changes and continuity in development as individuals age. This design is crucial for understanding how individuals grow and change over time. Cross-sectional studies (Choice A) involve comparing different groups at the same time point, while experimental studies (Choice B) involve manipulating variables to observe their effects. Correlational studies (Choice D) examine relationships between variables but do not involve studying participants over time.
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