ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nursing diagnosis of "Risk for Deficient Fluid Volume" related to excessive fluid loss,secondary to diarrhea and vomiting was implemented for a home health client who began with these symptoms 5 days ago. A goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B, "Document that the problem has been resolved and the goal has been met." This is the correct choice because the client has not experienced diarrhea or vomiting for the past 5 days, which indicates that the symptoms have been eliminated. The goal set was to have the symptoms eliminated within 48 hours, and the client has now been symptom-free for an extended period.
Therefore, the nurse should document that the problem has been resolved and the goal has been met.
Choice A is incorrect because the problem has already been resolved, not just prevented.
Choice C is incorrect because assuming the symptoms may return contradicts the fact that the client has been symptom-free for 5 days.
Choice D is incorrect because keeping the problem on the care plan when it has already been resolved is unnecessary.
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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