ATI RN Fundamentals 2023 II | Nurselytic

Questions 60

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ATI RN Fundamentals 2023 II Questions

Extract:

Exibit 1
Medication Administration Record 0800:
Amoxicillin 500 mg PC every 8 hr
Exibit 2
Nurses' Notes
0800:
Antibiotic administered as prescribed.
Bilateral breath sounds clear and present throughout
0830
Client reports itching over the chest area and has urticaria over chest and trunk
Client states tongue feels swollen.
Bilateral breath sounds with scattered wheezing upon auscultation.

Exibit 3
Vital Signs
0800:
Temperature 37.6° C (99.7° F)
Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min
Pulse oximetry 97% on room air
0830
Temperature 37.5° C (99.5° F)
Blood pressure 88/56 mm Hg
Heart rate 104/min
Respiratory rate 24/min
Pulse oximetry 93% on room air


Question 1 of 5

A nurse is caring for a client. Select the 4 findings that require immediate follow-up.

Correct Answer: B,C,D,E

Rationale: The correct findings that require immediate follow-up are breath sounds, blood pressure, heart rate, and swollen tongue. Breath sounds are essential to assess respiratory status. Blood pressure and heart rate indicate cardiovascular function. A swollen tongue could indicate an allergic reaction or airway compromise. Temperature, urticaria, and an absent option do not necessarily require immediate follow-up as they may not directly impact the client's immediate health status.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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