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Questions 85

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ATI Fundamental Exams Questions

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Question
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1 of 5

A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as Indications that the client has an infection? (Select all that apply)

Correct Answer: A,E

Rationale: Localized edema and an increase in neutrophils are indicative of infection in a diabetic client with foot pain. Edema, along with erythema and warmth, suggests inflammation due to infection. Neutrophilia reflects the immune response to bacterial infection. Increased RBCs (erythrocytosis), bradycardia, and increased platelets (thrombocytosis) are not typical infection markers.

Question 2 of 5

A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as Indications that the client has an infection? (Select all that apply)

Correct Answer: A,E

Rationale: Localized edema and an increase in neutrophils are indicative of infection in a diabetic client with foot pain. Edema, along with erythema and warmth, suggests inflammation due to infection. Neutrophilia reflects the immune response to bacterial infection. Increased RBCs (erythrocytosis), bradycardia, and increased platelets (thrombocytosis) are not typical infection markers.

Question 3 of 5

A nurse is teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include?

Correct Answer: D

Rationale: Palliative care can be integrated with curative treatment, focusing on symptom management and quality of life, not limited to facilities or terminal illness, and not aimed at curing.

Question 4 of 5

A nurse is assessing a client who has a wrist restraint applied. For which of the following findings should the nurse loosen the restraint?

Correct Answer: A

Rationale: A cool, pale hand indicates impaired circulation, likely from a tight restraint, requiring loosening. Full range of motion and rapid capillary refill are normal, and attempting removal suggests looseness, not tightness.

Question 5 of 5

A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?

Correct Answer: B

Rationale: Sudden interruption of TPN can cause hypoglycemia due to halted glucose infusion, leading to shakiness and diaphoresis. Thirst and urination indicate hyperglycemia, hypertension and crackles suggest fluid overload, and fever and chills indicate infection, not directly related to TPN cessation.

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