ATI PN Comprehensive Predictor 2023 - Nurselytic

Correct Answer: D

Rationale: The correct answer is D. A sudden weight increase may indicate fluid retention, a complication of TPN therapy that should be reported. Options A, B, and C are within normal ranges and do not directly relate to TPN therapy complications. A blood glucose level of 120 mg/dL is normal, a white blood cell count of 8,000/mm³ is within the normal range, and a temperature of 37.2°C (99°F) is also normal.

Correct Answer: A

Rationale: The correct answer is to administer fluids. In a patient experiencing shock, the priority is to address inadequate perfusion by restoring circulating blood volume. Administering fluids helps improve perfusion and oxygen delivery to vital organs. Monitoring blood pressure, providing oxygen, and calling for assistance are important steps but administering fluids is the initial and most critical intervention in the management of shock.

Correct Answer: A

Rationale: The term 'fidelity' specifically refers to the agreement to keep promises. Fidelity in healthcare ethics emphasizes the importance of healthcare professionals keeping their commitments to patients.
Choice B, 'Non-maleficence,' relates to the ethical principle of doing no harm.
Choice C, 'Autonomy,' refers to respecting a patient's right to make decisions about their own healthcare.
Choice D, 'Justice,' pertains to fairness and equality in the distribution of healthcare resources.

Correct Answer: B

Rationale: Encouraging the client to gradually resume self-care tasks with frequent rest periods is the best strategy to promote self-care for a client who experienced an acute myocardial infarction and is experiencing fatigue. This approach helps the client regain independence while managing fatigue. Asking family members to assist with all self-care tasks (
Choice
A) may hinder the client's independence. Instructing the client to remain in bed until fully rested (
Choice
C) may lead to deconditioning and dependency. Assigning assistive personnel to complete self-care tasks for the client (
Choice
D) does not empower the client to regain independence or actively participate in self-care.

Correct Answer: A

Rationale: The correct way to assess and manage a patient with dehydration is to assess skin turgor and monitor intake/output. Skin turgor assessment helps in evaluating the degree of dehydration, while monitoring intake/output aids in maintaining fluid balance. Encouraging oral fluids only (
Choice
B) may not be sufficient for moderate to severe dehydration as patients may need intravenous fluids (IV) to rapidly rehydrate. Administering IV fluids immediately (
Choice
C) is not always the first step unless the patient is severely dehydrated. Checking for electrolyte imbalance and administering fluids (
Choice
D) is important but comes after assessing skin turgor and intake/output in the management of dehydration.