ATI Fundamentals · Question 12 of 75
⏱ Scoring On🔖 11 Marked📊 78%
Readiness 78%
Answered 356
Remaining 879
Correct 84%
SCENARIO — APPLIES TO THE NEXT 3 ITEMS
A nurse is caring for a 52-year-old client admitted a few hours ago with acute pancreatitis. The client reports severe epigastric pain radiating to the back. Vital signs: BP 102/68 mmHg, HR 112 bpm, RR 22/min, Temp 38.4°C. Labs: serum amylase 480 U/L, lipase 920 U/L, calcium 7.8 mg/dL, glucose 150 mg/dL.
QUESTION 12 OF 75 · PRIORITY
A nurse is caring for a client admitted a few hours ago with acute pancreatitis. Which finding is of the highest priority to the nurse?
✗
Nausea and vomiting
✓
Tingling of the face and hands
Abdominal pain rated at 7 out of 10
Blood glucose level of 150 mg/dL
EXPLANATION — RATIONALE FOR CORRECT ANSWER
Tingling of the face and hands indicates hypocalcemia, a potentially life-threatening complication of acute pancreatitis. Hypocalcemia can rapidly progress to severe neuromuscular and cardiac issues, making it the highest priority. Immediate intervention is necessary to prevent serious complications such as cardiac arrhythmias or respiratory distress.
QUESTION 13 OF 75 · SELECT ALL THAT APPLY
A client presents to the emergency department with a head injury following a fall. Which findings indicate early signs of raised intracranial pressure? Select all that apply.
Increased blood pressure
✓
Vomiting
✓
Blurry vision
Irregular breathing pattern
✓
Headache