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    ATI RN Pharmacology 2023 proctored exam

    A nurse is caring for a client. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The nurse is assessing the client. The client's dropdown and dropdown are the priority findings.

    Explanation & Rationale

    Rationale for Correct Choices: Heart rate: The client’s heart rate has increased from 58/min to 118/min, indicating possible thyrotoxicosis or over-replacement of levothyroxine. Tachycardia is a priority finding because it can lead to cardiovascular complications such as arrhythmias or chest pain. Pain: The client reports chest pain, which, combined with tachycardia and elevated blood pressure, may indicate cardiac strain or complications. Prompt assessment of pain helps identify potential cardiovascular compromise requiring urgent intervention. Rationale for Incorrect Choices Weight: While notable changes in weight are important for monitoring thyroid treatment, they are not immediately life-threatening compared with tachycardia and chest pain. Skin: Skin changes provide supportive assessment information but are less immediately critical than cardiovascular status. Temperature: Elevated temperature indicates hypermetabolism or possible infection, but it is not as immediately life-threatening as the tachycardia and chest pain. Bowel sounds: Hyperactive bowel sounds reflect increased GI motility but are less urgent compared with cardiovascular and metabolic indicators.

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