ATI RN
ATI Fluid Electrolyte and Acid-Base Regulation
1. You are caring for a patient with a secondary diagnosis of hypermagnesemia. What assessment finding would be most consistent with this diagnosis?
- A. Hypertension
- B. Kussmaul respirations
- C. Increased DTRs
- D. Shallow respirations
Correct answer: Shallow respirations
Rationale:
2. A common side effect of diuretic medications is _____.
- A. dry mouth
- B. urinary tract infection
- C. increased taste perception
- D. nausea
Correct answer: A
Rationale: Diuretic medications can lead to dry mouth due to increased fluid loss through urination, reducing saliva production.
3. A male patient is being treated with testosterone gel for hypogonadism. What important instruction should the nurse provide?
- A. Apply the gel to the face and neck for maximum absorption.
- B. Apply the gel to the chest or upper arms and allow it to dry completely before dressing.
- C. Apply the gel to the scalp and back.
- D. Apply the gel to the genitals for improved results.
Correct answer: B
Rationale: The correct instruction for applying testosterone gel is to apply it to the chest or upper arms and allow it to dry completely before dressing. This is important to prevent the transfer of the medication to others. Applying it to the face and neck (Choice A) is incorrect as these areas are not recommended. Similarly, applying it to the scalp and back (Choice C) or the genitals (Choice D) is also incorrect and can lead to inappropriate absorption or undesirable effects.
4. Which of the following organs is in the abdominopelvic cavity?
- A. The heart
- B. The trachea
- C. The thymus
- D. The liver
Correct answer: The liver
Rationale: The correct answer is the liver. The liver is located in the abdominopelvic cavity, which is the space between the diaphragm and the pelvic floor. The heart, trachea, and thymus are not located in the abdominopelvic cavity. The heart is situated in the thoracic cavity, the trachea is in the neck region, and the thymus is located in the upper chest. Understanding the anatomical locations of organs is crucial for medical professionals to accurately diagnose and treat patients.
5. What dietary recommendations should be given to a patient with pre-dialysis end-stage kidney disease?
- A. Reduce phosphorus intake to 700 mg/day
- B. Increase sodium intake
- C. Increase protein intake
- D. Increase potassium intake
Correct answer: A
Rationale: The correct recommendation for a patient with pre-dialysis end-stage kidney disease is to reduce phosphorus intake to 700 mg/day. High phosphorus levels can lead to complications in such patients. Increasing sodium intake (Choice B) is generally not recommended due to its association with hypertension and fluid retention. While protein is essential, increasing protein intake (Choice C) in kidney disease can be harmful as it can lead to increased waste products that the kidneys may struggle to excrete. Increasing potassium intake (Choice D) is not advisable as well, as patients with kidney disease may already have difficulty excreting potassium, leading to hyperkalemia.
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