ATI Fundamentals Quiz | Nurselytic

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Extract:

History and Physical
A 24-year-old female client reports throbbing pain, swelling, discoloration, and warmth in right calf for three days. Also reports shortness of breath for one day. Denies anything that makes it better or worse and denies any other symptoms. Client reports pain as 7 on a scale of 0 to 10.
Reports that only medication is a combined hormonal oral contraceptive
Vital Signs
Temperature 37.2° C (99° F)
Heart rate 98/min
Respiration rate 18/min
Blood pressure 118/78 mm Hg
Oxygen saturation 94% on room air

Admission Assessment

1807:
Lungs clear to auscultation bilaterally, no wheezes or crackles. 51, 52 normal, no extra heart sounds noted. Warm, discoloration, and pitting edema 1+ noted on right calf. Right calf swollen and tender upon palpation.
Laboratory Results
2030:
D-dimer 1.0 mcg/mL (Less than 0.4 mcg/ml)


Question 1 of 5

A nurse is assessing a 24-year-old female client. Exhibits: Drag words from the choices below to fill in each blank in the following sentence.The client is exhibiting clinical manifestations of--------------- and --------------------

Correct Answer: C,E

Rationale: Action to Take: Assess for Deep Venous Thrombosis, Evaluate for Pulmonary Embolism; Potential Condition: Deep venous thrombosis; Parameter to Monitor: Signs of pulmonary embolism, Blood oxygen levels.


Rationale: Deep venous thrombosis and pulmonary embolism are both conditions associated with blood clots in the veins. The client's clinical manifestations suggest a possible clot formation, such as swelling, pain, and redness in the affected area. Assessing for deep venous thrombosis and evaluating for pulmonary embolism are appropriate actions to take to confirm the presence of blood clots. Monitoring signs of pulmonary embolism, such as shortness of breath and chest pain, along with blood oxygen levels, can help in early detection and management of complications. The other choices do not align with the client's clinical manifestations and are not relevant in this context.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

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Question 5 of 5

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Rationale:

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