ATI Mental Health 2023 II | Nurselytic

Questions 68

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ATI Mental Health 2023 II Questions

Extract:

Diagnostic Results
Day 1 at 1530:
WBC count 7,700/mm3 (5,000 to 10,000/mm3)
Indicates Potential Improvement
Indicates Potential
Worsening
Hgb 14% (12% to 16%)
Hct 42% (37% to 47%)
Day 2 at 0600:
Lithium level 1.9 mEq/L (less than 1.5 mEq/L) Glucose level 90 mg/dL (74 to 106 mg/dL)
Vital Signs
Day 1 at 1600:
Temperature 37° C (98.6° F) Respiratory rate 18/min
Pulse rate 84/min
Blood pressure 114/64 mm Hg
Day 2 at 0800:
Temperature 36.9° C (98.4° F)
Respiratory rate 16/min
Pulse rate 88/min
Blood pressure 98/56 mm Hg

Medical History
Day 1 at 1500:
Bipolar disorder
Laparoscopic appendectomy at age 8 years old
Physical Examination
Day 1 at 1600:
Client reports mild nausea. Fine hand tremors noted. Lungs clear, bowel sounds active
Day 2 at 0630:
Client awake but appears fatigued. Movements and speech somewhat slowed. Lungs clear, abdomen soft with active bowel sounds. Client voided a large amount of dilute yellow urine. Uncoordinated gait noted when ambulating to bathroom. Client reports blurred vision and noted to frequently rub eyes. Client fell asleep prior to end of assessment.
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Question 1 of 5

The nurse is reviewing the client’s medical record at 0830 on day 2 of admission. For each finding, click to specify whether the finding indicates a potential improvement in or a potential worsening of the client’s condition.

OptionsIndicates PotentialIndicates Potential
Blurred vision
Blood pressure
Urine amount and color
Lithium level
Gait when ambulating

Correct Answer:

Rationale:
Correct
Answer:


Rationale:
Blurred vision can indicate a potential worsening of the client's condition, as it may suggest neurological issues or medication side effects. Blood pressure can indicate potential improvement or worsening depending on the context. Urine amount and color are crucial indicators of renal function, so changes can indicate improvement or worsening. Lithium level monitoring is essential for clients on lithium therapy to prevent toxicity or ineffectiveness. Gait when ambulating is not provided in the choices, so it does not apply to this scenario.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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