ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 46 Questions
Question 1 of 5
Viral hepatitis may be treated at home. Which should be taught to the patient's family?
Correct Answer: A,B,D
Rationale: For the patient with viral hepatitis being cared for in the home, the family needs to be taught necessary precautions. Clothes should be laundered separately with hot water. Personal items used by the patient should not be shared. Articles soiled with feces must be disinfected. Any contaminated items should be disposed of properly.
Question 2 of 5
The tumor marker that is elevated in patients with pancreatic cancer is
Correct Answer: CA19-9
Rationale: The tumor marker CA19-9 is elevated in the presence of pancreatic cancer.
Question 3 of 5
The nurse is aware that an elevated serum amylase is diagnostic of pancreatitis at an early stage as an elevation can be assessed as early as how many hours after the onset of pancreatic disease?
Correct Answer: A
Rationale: An increase in the serum amylase can be detected as early as 2 hours after the onset of pancreatic disease. In simple acute pancreatitis, the level returns to normal in about 36 hours. In chronic disease, it remains elevated.
Question 4 of 5
Which is an essential nursing measure to prevent injury to the patient who is to receive a paracentesis?
Correct Answer: D
Rationale:
To prevent the puncturing of the bladder, the patient must void immediately before the procedure. A permit is required but it is not a safety precaution for the patient. There is no contrast media used in a paracentesis.
Question 5 of 5
Which assessment is the priority assessment for a patient who will be undergoing intravenous cholangiography?
Correct Answer: C
Rationale: If the patient is allergic to the radiographic dye, a potentially life-threatening anaphylactic reaction could occur. Assessing for patency of the intravenous line and ensuring the patient is fasting prior to the exam are important, but these would not likely cause a potentially life-threatening problem. It is crucial to determine if the patient has signed a consent form, but this is would not be life threatening to the patient. There would be legal ramifications for the nurse, health care provider, and facility.