ATI RN
ATI Mental Health 2023 II Questions
Extract:
Vital Signs
Admission, 1600:
Temperature 36.1° C (97° F)
Blood pressure 98/66 mm Hg
Heart rate 76/min
Respiratory rate 10/min
Pulse oximetry 95% on room air
Day 2, 0800:
Temperature 37.3° C (99.1° F)
Blood pressure 198/86 mm Hg
Heart rate 116/min
Respiratory rate 22/min
Nurses' Notes
Client brought in by a family member who states that the client has been drinking "nonstop since the death of the client's parents 3 months ago."
Client has a history of alcohol use disorder for over 20 years.
Client attended inpatient rehabilitation program 5 years ago and remained sober until several months ago when both parents died.
According to the client's family member, the client has been unable to cope with the sudden death of their parents.
Client is currently unemployed after being laid off.
Client's family member states, "Everything combined caused the drinking to start again." Family member estimates the client's last drink was 2 hr ago.
Day 2, 0800:
Client is in the bathroom vomiting. Assisted the client with oral feeding.
Question 1 of 5
The nurse should first administer ___ followed by administering ___
Correct Answer: A,B
Rationale: Action to Take: A, B; Potential Condition: Nausea/Vomiting; Parameter to Monitor: Blood pressure, Heart rate.
Rationale: Metoclopramide is commonly used to treat nausea/vomiting, making it a suitable initial choice. Propranolol can be administered to manage symptoms of anxiety or tremors that may occur. Monitoring blood pressure and heart rate is crucial due to potential side effects of these medications on cardiovascular function. Methadone, a pain medication, is not appropriate for this scenario. Propanolol is misspelled and not relevant.
Extract:
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: