the nurse notes that the fall might also cause a possible head injury she will be observed for signs of increased intracranial pressure which include
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Nursing Elites

ATI RN

Nutrition ATI Test

1. The nurse notes that the fall might also cause a possible head injury. The patient will be observed for signs of increased intracranial pressure which include:

Correct answer: C

Rationale: Periorbital edema is a sign of increased intracranial pressure. It is caused by fluid accumulation around the eyes due to compromised drainage. Narrowing of the pulse pressure is more indicative of shock than increased intracranial pressure. While vomiting can be a sign of increased intracranial pressure, it is not as specific as periorbital edema. A positive Kernig's sign is associated with meningitis, not increased intracranial pressure.

2. A nurse is completing a nutritional assessment of an adult female client. Which of the following findings should indicate to the nurse that the client is at an increased risk of developing cancer?

Correct answer: C

Rationale: The correct answer is C because limiting alcohol consumption to 2 drinks per day is still above the recommended limit for reducing cancer risk. The recommended limit for women is 1 drink per day to lower the risk of developing cancer. Choices A, B, and D are not indicative of an increased risk of developing cancer as they all align with a healthy diet and lifestyle, which can actually help reduce the risk of cancer.

3. Select all that apply. Characteristics of the 2 main types of essential fatty acids discussed in class include:

Correct answer: A

Rationale: The correct answer is A: 'they must be supplied by the diet.' Essential fatty acids, like omega-3 and omega-6, cannot be produced by the body and must be obtained through the diet. They are polyunsaturated fatty acids, playing vital roles in inflammation and cell membrane structure. Choice B is incorrect because essential fatty acids cannot be produced by dehydrogenation, a process of removing hydrogen. Choice C is incorrect as not all essential fatty acids are anti-inflammatory; some have pro-inflammatory roles. Choice D is incorrect because not all essential fatty acids are polyunsaturated; omega-9, for example, is a monounsaturated essential fatty acid.

4. A common side effect of diuretic medications is _____.

Correct answer: A

Rationale: Diuretic medications can lead to dry mouth due to increased fluid loss through urination, reducing saliva production.

5. The counting of sponges is done by the Surgeon together with the:

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

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