during the first 24 hours after the thermal injury you should asses sergio for
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Nursing Elites

ATI RN

Nutrition ATI Test

1. During the first 24 hours after the thermal injury, you should assess Sergio for:

Correct answer: D

Rationale: During the initial phase after a thermal injury, the major concern is the release of potassium due to cell damage, leading to hyperkalemia. Hypernatremia is not typically a primary concern in the immediate post-injury phase. Hyponatremia is less likely to occur initially after a burn injury. Therefore, the correct assessment for Sergio during the first 24 hours after the thermal injury would be hyperkalemia and hypernatremia.

2. Which is NOT a prudent recommendation for a menopausal patient?

Correct answer: A

Rationale: Excessive supplementation of calcium and vitamin D beyond the upper intake level is not recommended unless under medical supervision, as it can cause adverse health effects.

3. Before administration of blood and blood products, the nurse should first:

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

4. Which factor has been shown to increase the risk of development of atherosclerosis?

Correct answer: A

Rationale: The correct answer is A: Menopause. Menopause is associated with an increased risk of atherosclerosis due to hormonal changes that affect lipid profiles and vascular health. Conversely, B: Age older than 35 is not necessarily a risk factor for atherosclerosis on its own, though atherosclerosis risk does generally increase with age. C: Increased levels of arachidonic acid is not specifically linked to atherosclerosis; it's a fatty acid that can be both beneficial and harmful to health depending on its metabolic pathway. D: Elevated HDL cholesterol is actually beneficial rather than harmful because HDL cholesterol is known as 'good' cholesterol that helps to reduce the risk of heart disease and atherosclerosis.

5. Overweight and obesity often accompany conditions such as _____ that limit mobility or result in short stature, which can lead to feeding difficulties.

Correct answer: C

Rationale: The correct answer is C, Down syndrome. Down syndrome is often associated with short stature and limited mobility, which can contribute to feeding difficulties and obesity. Parkinson's disease (choice A) primarily affects motor function, but it is not typically associated with short stature. Muscular dystrophy (choice B) primarily impacts muscle strength and does not necessarily lead to short stature. Multiple sclerosis (choice D) is a neurological condition affecting the central nervous system and does not directly cause short stature or feeding difficulties as seen in Down syndrome.

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