Which outcome should the nurse identify for the client diagnosed with fluid volume excess?

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ATI RN Custom Exams Set 4 Questions

Question 1 of 5

Which outcome should the nurse identify for the client diagnosed with fluid volume excess?

Correct Answer: C

Rationale: The correct answer is C. Absence of adventitious breath sounds indicates that fluid is not accumulating in the lungs, a key outcome in managing fluid volume excess. Choices A, B, and D are incorrect. A client with fluid volume excess may not necessarily void a minimum of 30 mL per hour, have elastic skin turgor, or have a specific serum creatinine level. The absence of adventitious breath sounds is a more direct indicator of managing fluid volume excess.

Question 2 of 5

In a routine sputum analysis, which of the following indicates proper nursing action before sputum collection?

Correct Answer: A

Rationale: Corrected Rationale: Before sputum collection, it is crucial to use a clean container to prevent specimen contamination. This step is essential to ensure accurate test results and to avoid introducing external particles or bacteria into the sample. Choice B is incorrect because discarding the container if the outside becomes soiled is not a standard practice before collection. Choice C is incorrect as rinsing the client's mouth with Listerine after collection can introduce unnecessary substances into the specimen. Choice D is incorrect as the amount of sputum needed should be determined by the healthcare provider, not the client.

Question 3 of 5

What nutrient can be obtained from broccoli and is related to the concept of increased excretion?

Correct Answer: C

Rationale: The correct answer is C, Broccoli. Broccoli is a good source of potassium. Increased excretion can be related to the dietary intake of nutrients like potassium. Choice A, Potassium, is a nutrient obtained from broccoli but is not directly related to increased excretion. Choice B, Increased excretion, is a process rather than a nutrient obtained from broccoli, making it an incorrect choice.

Question 4 of 5

People at higher risk for drug-nutrient interactions include:

Correct Answer: D

Rationale: Older men and women are at a higher risk for drug-nutrient interactions due to factors like polypharmacy, changes in metabolism, and physiological changes associated with aging. Infants are less likely to be exposed to a wide range of medications, reducing their risk. People with diabetes and women of childbearing age may have specific nutrient needs or considerations, but they are not typically at a higher risk for drug-nutrient interactions compared to older adults.

Question 5 of 5

Where do most peptic ulcers occur?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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