ATI RN Fundamentals Exam 2 | Nurselytic

Questions 46

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ATI RN Fundamentals Exam 2 Questions

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Question 1 of 5

The nurse is assessing a client diagnosed with fluid overload. The nurse should implement priority interventions for which of the following assessment findings? (Select all that apply.)

Correct Answer: C,D

Rationale: The correct answer is C and D. A blood pressure of 180/100 indicates severe hypertension, which can be a sign of fluid overload. High blood pressure can lead to serious complications such as heart failure. A respiratory rate of 32 is also concerning as it can indicate respiratory distress related to fluid overload. Increased temperature (choice
A) is not typically associated with fluid overload. Increased hematocrit (choice
B) is more commonly seen in dehydration rather than fluid overload. A heart rate of 120 bpm (choice E) may be elevated but is not as indicative of fluid overload as high blood pressure and respiratory distress.

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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