ATI Comprehensive Predictor Practice B Remediation

What symptom related to urine might a client experience during a vaso-occlusive crisis?

Hematuria

What could unexpected increased fremitus indicate in a respiratory assessment?

Pneumonia due to the presence of consolidated lung tissue

What is the immediate priority action when a nurse encounters a boggy uterus postpartum?

Massage the fundus

How can a nurse evaluate fluid intake for a client with COPD to ensure hydration and mucus liquification?

The nurse should encourage a fluid intake of at least 2 liters per day unless contraindicated, which helps to liquify mucus and promote adequate hydration

What INR value suggests that anticoagulation therapy should be adjusted?

An INR less than 2 for clients on warfarin suggests subtherapeutic anticoagulation

What is the typical age range of onset for schizophrenia?

Late adolescence or early adulthood

What are the key signs of internal bleeding in a postoperative patient?

Abdominal distention, visible hematoma, tachycardia, hypertension, increased pain, and restlessness

What nutritional deficiencies are commonly seen in patients with cystic fibrosis?

Cystic fibrosis patients often have deficiencies in fat-soluble vitamins (i.e., A, D, E, and K)

Which rare but serious adverse effect of captopril requires routine monitoring of WBC counts?

Neutropenia

What iron level may require further investigation?

Iron levels below 60 mcg/dL in females or 80 mcg/dL in males may indicate iron deficiency anemia

What does expiratory grunting in a newborn indicate regarding lung compliance?

Expiratory grunting suggests reduced lung compliance and the newborn’s effort to keep alveoli open for gas exchange

What could a nurse infer if a patient’s fremitus is symmetric but decreased overall?

It is likely related to hyperinflation of the lungs, commonly found in COPD

What is the preferred infusion method for IV potassium chloride to prevent fatal complications?

• IV potassium chloride must never be given as a bolus

• It should be administered using an infusion pump and diluted to prevent rapid infusion, which can lead to hyperkalemia

What does magical thinking in schizophrenia entail?

Magical thinking is the belief that one's actions or thoughts can control situations or affect others, such as believing that wearing a certain hat makes them invisible

What is the significance of increased blood amylase levels?

Increase blood amylase levels indicate pancreatic cell injury