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1. Arthur Thomason 56-year-old
Alteration in comfort: True
MVA victim, fourth day post Alteration in gas exchange:
op with a splenectomy and True Inettectual airway
femur repair. He clearance: True
is experiencing new onset of short- Potential for shock: True
ness of breath and has a nasal can- Prolonged confusion: True
nula with 2L of Oxygen in condition.
place. He is restless with
slight confu- sion but is easily 2. Charlie Raymond 65-year-old
orientated with attempts male who was admitted to a
from nurse. Temperature negative pressure room on
spiked during the night to Med-Surg for
102.4, BP now 146/94 which is
slightly el- evated, respirations
at 30 bpm and slightly labored,
heart rate 102 ver- sus 84
from last night shift. Skin
cool to touch and appears
pale.
His coughing, to clear his
airway, appears ineffective.
Recent chest X-ray shows
diffuse bilateral inter- stitial
infiltrates in all lobes. Recent
blood gases demonstrate
falling PaO2 (hypoxemia) and
increasing CO2 (Hypercapnia).
Mr. Thomason is anxious and
is obviously wors- ened from
the shift before in over- all
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, Swift River- ATI Exam Questions With All Correct Answers 2025
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Anxiety/fear: True
Potential for failure to thrive: True
Acute discomfort False
Alteration in body image
False
COVID precautions.. He has a
histo- ry of COPD, hypertension,Alteration in gas exchange
True
diabetes
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, Swift River- ATI Exam Questions With All Correct Answers 2025
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type II, and a recent myocardial in-
farction. He is a retired postal work- Alteration in physical mobility True
er who lives at home with his
wife. He is on Claforan Alteration in skin integrity False
(cefotaxime) 2 g IV q4hr and
.Bleeding False
sliding scale insulin.
Initially this cardiologist was
con-
cerned about congestive heart fail- Death anxiety True
ure and Mr. Raymond is receiving
Furosemide (Lasix) 20 mg IV Esteem False
twice a day for pulmonary
edema. Vital Signs: BP is .Inettectual breathing pattern True
145/78, Pulse 89 Res-
pirations 24 and slightly Knowledge deficit True
labored, Temperature 100.2
SaO2 94% on 2L
cannula. The patient/family is
nasal
fearing the worst due to COVID-19 Sudden confusion False
Pandemic.
3. Donald Lyles 52-year old male, was Select appropriate nursing concerns below
based upon
admitted yesterday evening for sta- patient report above:
bilization of his uncontrolled type
II diabetes. He is married, Acute discomfort False
and his
wife is requesting to stay at his
side. His HbgA1c is 10.6%. He Alteration in comfort
False
has a his-
tory of a Myocardial and has refused all cardiac
Infarction, MI, one year ago, rehab, and has not had an-
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, Swift River- ATI Exam Questions With All Correct Answers 2025
Latest Up- date!!!
other cardiac event. He
Knowledge Deficit True
refuses to comply with
dietary recommenda- tions. Nausea False
His BMI is 37. Vital signs are:
BP: 146/94, P: 88, R: 22, T: Potential for falls False
99.2,
Potential for infection True
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