ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse receives a patient who has been in the intensive care unit for three weeks after a motor vehicle accident. The nurse assesses the patient who reports fatigue. The nurse notes increased heart rate and decreased blood pressure when the patient moves from lying to sitting. When developing the plan of care, what problem label should the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Activity Intolerance. The patient's symptoms of fatigue, increased heart rate, and decreased blood pressure upon position change indicate an inability to tolerate physical activity. This is common in patients who have been immobile for an extended period, such as those in the ICU. By selecting this problem label, the nurse can focus on interventions to gradually increase the patient's activity level to improve tolerance.
A: Risk for alteration in skin integrity - This choice is not supported by the patient's symptoms and presentation.
C: Risk for Infection - The patient's symptoms do not indicate a risk for infection.
D: Deficient Fluid volume - The patient's symptoms are not indicative of fluid volume deficit.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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