ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 46 Questions
Question 1 of 5
The nurse clarifies that which event happens to unconjugated bilirubin, which is made up of broken-down red cells?
Correct Answer: B
Rationale: Unconjugated bilirubin is a water-insoluble product that must be converted in the liver to conjugated bilirubin (water soluble) so that it may be excreted through the bowel.
Question 2 of 5
The patient with cirrhosis has an albumin of 2.8 g/dL. The nurse is aware that normal is 3.5 to 5 g/dL. Based on these findings, which would the nurse expect the patient to exhibit?
Correct Answer: B
Rationale: Low serum albumin levels result also from excessive loss of albumin into urine or into third-space volumes, causing ascites or edema.
Question 3 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 4 of 5
Which should the nurse expect of a patient with a malabsorption of vitamin K?
Correct Answer: C
Rationale: Prothrombin times are increased because malabsorption of vitamin K or inability to produce the clotting factors VII, IX, and X cause the patient to have bleeding tendencies.
Question 5 of 5
A patient was scheduled for a laparoscopic cholecystectomy, but complications developed and the patient underwent an open cholecystectomy with a T tube inserted into the common bile duct. Which is the purpose of the T tube?
Correct Answer: D
Rationale: If the stones are in the common bile duct and edema is present, a biliary drainage tube, or T tube, will be inserted to keep the duct open and allow drainage of the bile until the edema resolves.