ATI RN Pharmacology 2023 -Nurselytic

Correct Answer: B,C,D,E,F

Rationale:
To determine the appropriate actions for the care of the client, we need to consider the client's overall well-being and potential needs.
B: Encouraging deep-breathing exercises helps improve lung function and oxygenation, aiding in respiratory health.
C: Checking for pain is crucial to address any discomfort or underlying issues that may affect the client's well-being.
D: Encouraging the client to increase fiber in their diet promotes gastrointestinal health and aids in preventing constipation.
E: Promoting intake of oral fluids is essential for hydration and overall health maintenance.
F: Applying barrier ointment after bowel movements helps protect the skin and prevent irritation.
These actions encompass respiratory, pain assessment, nutrition, hydration, and skin care, covering a holistic approach to the client's care needs.

Correct Answer: B,C,E,D,A

Rationale: The correct sequence for providing foot care to an ambulatory client is as follows:
B: Assist the client into a sitting position in a chair - Ensures client comfort and accessibility for foot care.
C: Soak the client's feet in warm water - Helps soften calluses and relaxes the client.
E: Rub callused areas of the client's feet using a washcloth - Allows for gentle exfoliation.
D: Apply lotion to the client's feet - Moisturizes and nourishes the skin.
A: Gently dry the client's feet and areas between the toes with a towel - Completes the foot care process.
Incorrect choices:
C: Soaking the feet first allows for better callus removal, so applying lotion before this step would be less effective.
E: Rubbing callused areas should be done after soaking to avoid harsh exfoliation on dry skin.
D: Applying lotion before exfoliation can hinder the removal of dead skin cells.

Correct Answer: D

Rationale: The correct answer is D because advocating for clients involves promoting their best interests and well-being. Discussing alternative treatments that may harm the client goes against this principle.
Choice A is incorrect as it suggests passing off responsibility to another professional.
Choice B is incorrect as it prioritizes the nurse's opinions over the client's autonomy.
Choice C is incorrect as it does not actively advocate for the client but rather provides a passive solution.

Correct Answer: D

Rationale: The correct answer is D: Occupational therapist. An occupational therapist can assess the client's abilities and living environment to provide tailored interventions to enhance independence in daily activities. This is crucial for improving the client's quality of life. Referral to a community health nurse (
A) may focus more on medical needs rather than functional abilities. Respite care provider (
B) offers temporary relief for caregivers but doesn't directly address the client's needs. While a dietician (
C) is important for overall health, it may not be the most pressing need in this situation.

Correct Answer: C

Rationale: The correct answer is C: Heart rate of 112/min. An elevated heart rate can indicate internal bleeding as the body tries to compensate for decreased blood volume by increasing cardiac output. A temperature of 38°C may indicate infection, a respiratory rate of 10/min may suggest respiratory distress, and a blood pressure of 136/88 mm Hg is within normal range.
Therefore, choice C is the best indicator of potential internal bleeding.