ATI RN Comprehensive 2023 with NGN
Study online at https://quizlet.com/_h3se54
1. NGN: A nurse is caring for a recently admitted 18-year-old client.
Condition Most Likely Experi- Nurses' Notes:
encing 1000:
Client admitted to behavioral health unit for prolonged weight
Action to Take loss and refusal to eat. Client collapsed at school. The client's
parents were called. They contacted the primary care provider,
Parameters to Monitor
who arranged for a direct admission.
Weight 37.2 kg (82 lb).
Height 157.5 cm (62 inches).
BMI 15.
1200:
Client observed during noon meal. Client pushed food around
Answer:
the plate. Intake 10% of meal. Offered nutritional supplement.
Client declined. Reports feeling anxious due to admission and
Condition Most Likely * mealtime. Client states, "I cannot eat this with you watching
Anorexia nervosa me.".
Actions to Take:*Provide a 1500:.
structured meal environment Snack provided. Client observed throwing snack into the trash
- Helps the client feel secure can. When realized they had been observed, they admitted to
and reduces anxiety around their action and asked for a second snack. Client ate 10% of
eating.D. Encourage the client their snack.
to limit fasting - Regular Laboratory Results :
meals help stabilize nutrition 1130:
and reduce the effects of pro- Sodium 145 mEq/L (136 to 145 mEq/L) Potassium 2.8 mEq/L
longed fasting. (3.5 to 5.0 mEq/L)
Parameters to Monitor:A. Chloride 110 mEq/L (98 to 106 mEq/L) BUN 20 mg/dL (10 to
Weight on a daily basis - 20 mg/dL) Magnesium
Monitoring weight is crucial 1.2 mEq/L (1.3 to 2.1 mEq/L) Total calcium 9.5 mg/dL (9.0 to
for tracking progress and 10.5 mg/dL) Phosphate
re-feeding.C. Cardiac function 3.2 mg/dL (3.0 to 4.5 mg/dL) Glucose 74 mg/dL (74 to 106
with ECG - Important due mg/dL) Total protein 4.8
, ATI RN Comprehensive 2023 with NGN
Study online at https://quizlet.com/_h3se54
to risks of arrhythmias from g/dL (6.4 to 8.3 g/dL) Albumin 2.7 g/dL (3.5 to 5.0 g/dL)
malnutrition and electrolyte Admission Assessment:
imbalances. Skin dry and flakey, lanugo. Lips dry and chapped. Hair thin
and dull, buccal mucosa dry.
Diminished bowel sounds. Abdomen swollen and bloated.
Lungs clear to auscultation. Respirations regular and unla-
bored.
Heart rate regular 50/min.
Client reports no menstrual cycle for past 3 months.
Client reports feeling depressed. Reports starting diet 6
months ago because they "felt fat" compared to the "popular
kids at school.".
Vital Signs:
1000:.
T 36.1° C (97° F).
P 50/min.
R 16/min.
BP 90/62 mm Hg.
O2: 98% room air.
1400:
T 36.2° C (97.2° F).
P 48/min.
R 16/min.
BP 88/60 mm Hg.
2. NGN Supplement feeding with sterile water - Contraindicated
A nurse is caring for a 36 hr Dress in only a diaper - Indicated
old infant. Cover newborn's eyes with a shield - Indicated
Apply lotion to skin every 4 hr. - Contraindicated
Newborn is alert & active Breastfeed every 2 to 3 hr - Indicated
when awake. Respirations
easy and unlabored. Buccal
, ATI RN Comprehensive 2023 with NGN
Study online at https://quizlet.com/_h3se54
membranes jaundiced. New-
born nursing every 2 to 4
hr. Passed meconium stool.
Small amount of urine noted
in diaper. Bilirubin 10 mg/dL
36 hr of age:
Newborn sleeping on birthing
parent's chest. Birthing par-
ent reports difficulty keeping
newborn awake during feed-
ings.
Bilirubin 15.5 mg/dL Etc...
The nurse is preparing the
infant for phototherapy. For
each nursing action, click to
specify if the action is indicat-
ed or contraindicated for the
newborn.
3. Complete the following sen- Client presents to the clinic with reports of restlessness, ab-
tence by using the lists of op- dominal pain, disorientation, and fever for the past 12 hr.
tions. States, "I don't know what is wrong with me." Client denies
recent illness. Denies fatigue and chills.
The client is at risk for devel- Reports falling yesterday but didn't hit their head. Reports
oping Select an option : taking ibuprofen for muscle soreness. Client reports continued
psychosis sleep disturbances, feelings of hopelessness, and a disinterest
mania in activities.
serotonin syndrome Complete the following sentence by using the lists of options.
The client is at risk for developing Select an option (psy-
due to Select an option :
chosis/mania/serotonin syndrome ) due to Select an option
anxiety
, ATI RN Comprehensive 2023 with NGN
Study online at https://quizlet.com/_h3se54
feelings of hopelessness (anxiety/feelings of hopelessness/adverse effects of paroxe-
adverse effects of paroxetine tine)
Submit Answer
Submit Answer
The client is at risk for de-
veloping serotonin syndrome
due to the adverse effects of
paroxetine.
Explanation:
*Serotonin syndrome is a po-
tentially life-threatening con-
dition caused by excessive
serotonin, often due to med-
ication changes or interac-
tions (like with SSRIs such as
paroxetine).
*The symptoms of restless-
ness, abdominal pain, dis-
orientation, fever, and sleep
disturbances align with sero-
tonin syndrome.
4. Select words from the choices A nurse is caring for a client who presents to the emergency
below : department.
To further evaluate the client, History and Physical
the nurse anticipates the Day 1:
Study online at https://quizlet.com/_h3se54
1. NGN: A nurse is caring for a recently admitted 18-year-old client.
Condition Most Likely Experi- Nurses' Notes:
encing 1000:
Client admitted to behavioral health unit for prolonged weight
Action to Take loss and refusal to eat. Client collapsed at school. The client's
parents were called. They contacted the primary care provider,
Parameters to Monitor
who arranged for a direct admission.
Weight 37.2 kg (82 lb).
Height 157.5 cm (62 inches).
BMI 15.
1200:
Client observed during noon meal. Client pushed food around
Answer:
the plate. Intake 10% of meal. Offered nutritional supplement.
Client declined. Reports feeling anxious due to admission and
Condition Most Likely * mealtime. Client states, "I cannot eat this with you watching
Anorexia nervosa me.".
Actions to Take:*Provide a 1500:.
structured meal environment Snack provided. Client observed throwing snack into the trash
- Helps the client feel secure can. When realized they had been observed, they admitted to
and reduces anxiety around their action and asked for a second snack. Client ate 10% of
eating.D. Encourage the client their snack.
to limit fasting - Regular Laboratory Results :
meals help stabilize nutrition 1130:
and reduce the effects of pro- Sodium 145 mEq/L (136 to 145 mEq/L) Potassium 2.8 mEq/L
longed fasting. (3.5 to 5.0 mEq/L)
Parameters to Monitor:A. Chloride 110 mEq/L (98 to 106 mEq/L) BUN 20 mg/dL (10 to
Weight on a daily basis - 20 mg/dL) Magnesium
Monitoring weight is crucial 1.2 mEq/L (1.3 to 2.1 mEq/L) Total calcium 9.5 mg/dL (9.0 to
for tracking progress and 10.5 mg/dL) Phosphate
re-feeding.C. Cardiac function 3.2 mg/dL (3.0 to 4.5 mg/dL) Glucose 74 mg/dL (74 to 106
with ECG - Important due mg/dL) Total protein 4.8
, ATI RN Comprehensive 2023 with NGN
Study online at https://quizlet.com/_h3se54
to risks of arrhythmias from g/dL (6.4 to 8.3 g/dL) Albumin 2.7 g/dL (3.5 to 5.0 g/dL)
malnutrition and electrolyte Admission Assessment:
imbalances. Skin dry and flakey, lanugo. Lips dry and chapped. Hair thin
and dull, buccal mucosa dry.
Diminished bowel sounds. Abdomen swollen and bloated.
Lungs clear to auscultation. Respirations regular and unla-
bored.
Heart rate regular 50/min.
Client reports no menstrual cycle for past 3 months.
Client reports feeling depressed. Reports starting diet 6
months ago because they "felt fat" compared to the "popular
kids at school.".
Vital Signs:
1000:.
T 36.1° C (97° F).
P 50/min.
R 16/min.
BP 90/62 mm Hg.
O2: 98% room air.
1400:
T 36.2° C (97.2° F).
P 48/min.
R 16/min.
BP 88/60 mm Hg.
2. NGN Supplement feeding with sterile water - Contraindicated
A nurse is caring for a 36 hr Dress in only a diaper - Indicated
old infant. Cover newborn's eyes with a shield - Indicated
Apply lotion to skin every 4 hr. - Contraindicated
Newborn is alert & active Breastfeed every 2 to 3 hr - Indicated
when awake. Respirations
easy and unlabored. Buccal
, ATI RN Comprehensive 2023 with NGN
Study online at https://quizlet.com/_h3se54
membranes jaundiced. New-
born nursing every 2 to 4
hr. Passed meconium stool.
Small amount of urine noted
in diaper. Bilirubin 10 mg/dL
36 hr of age:
Newborn sleeping on birthing
parent's chest. Birthing par-
ent reports difficulty keeping
newborn awake during feed-
ings.
Bilirubin 15.5 mg/dL Etc...
The nurse is preparing the
infant for phototherapy. For
each nursing action, click to
specify if the action is indicat-
ed or contraindicated for the
newborn.
3. Complete the following sen- Client presents to the clinic with reports of restlessness, ab-
tence by using the lists of op- dominal pain, disorientation, and fever for the past 12 hr.
tions. States, "I don't know what is wrong with me." Client denies
recent illness. Denies fatigue and chills.
The client is at risk for devel- Reports falling yesterday but didn't hit their head. Reports
oping Select an option : taking ibuprofen for muscle soreness. Client reports continued
psychosis sleep disturbances, feelings of hopelessness, and a disinterest
mania in activities.
serotonin syndrome Complete the following sentence by using the lists of options.
The client is at risk for developing Select an option (psy-
due to Select an option :
chosis/mania/serotonin syndrome ) due to Select an option
anxiety
, ATI RN Comprehensive 2023 with NGN
Study online at https://quizlet.com/_h3se54
feelings of hopelessness (anxiety/feelings of hopelessness/adverse effects of paroxe-
adverse effects of paroxetine tine)
Submit Answer
Submit Answer
The client is at risk for de-
veloping serotonin syndrome
due to the adverse effects of
paroxetine.
Explanation:
*Serotonin syndrome is a po-
tentially life-threatening con-
dition caused by excessive
serotonin, often due to med-
ication changes or interac-
tions (like with SSRIs such as
paroxetine).
*The symptoms of restless-
ness, abdominal pain, dis-
orientation, fever, and sleep
disturbances align with sero-
tonin syndrome.
4. Select words from the choices A nurse is caring for a client who presents to the emergency
below : department.
To further evaluate the client, History and Physical
the nurse anticipates the Day 1:
