ATI Capstone Medical Surgical Assessment 2 Quizlet - Nurselytic

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ATI Capstone Medical Surgical Assessment 2 Quizlet Questions

Question 1 of 5

When planning care for a patient with diabetes insipidus, what should the nurse include in the plan?

Correct Answer: B

Rationale: The correct answer is B: 'Avoid alcohol.' Alcohol consumption can exacerbate dehydration in patients with diabetes insipidus, so it is essential to advise them to avoid alcohol. Monitoring serum albumin levels (choice
A) is not directly related to managing diabetes insipidus. Teaching the patient to increase fluids (choice
C) is not recommended as it can worsen the condition by further diluting the urine. Increasing exercise to reduce stress (choice
D) is not a primary intervention for managing diabetes insipidus.

Question 2 of 5

What are the common manifestations of compartment syndrome?

Correct Answer: A

Rationale: The correct manifestations of compartment syndrome are unrelieved pain, pallor, and pulselessness. These symptoms indicate compromised blood flow and neurovascular compromise, necessitating immediate medical intervention. Redness and swelling (
Choice
B) are more commonly associated with inflammation or infection rather than compartment syndrome. Fever and infection (
Choice
C) are not typical manifestations of compartment syndrome. Swelling and redness (
Choice
D) are general signs that can be seen in various conditions and are not specific to compartment syndrome.

Question 3 of 5

What are the dietary recommendations for a patient with pre-dialysis end-stage kidney disease?

Correct Answer: A

Rationale: The correct recommendation for a patient with pre-dialysis end-stage kidney disease is to reduce phosphorus intake to 700 mg/day. High phosphorus levels can be harmful to individuals with kidney disease as the kidneys may not be able to filter it effectively. While limiting sodium intake to 1,500 mg/day and restricting protein intake to 0.55-0.60 g/kg/day are important in managing kidney disease, the primary concern for this patient population is to control phosphorus levels. Increasing protein intake is not recommended as it can put additional strain on the kidneys.
Therefore, option A is the most appropriate recommendation in this scenario.

Question 4 of 5

What precaution should be advised to patients following cataract surgery?

Correct Answer: A

Rationale: Patients who have undergone cataract surgery should wear dark glasses when outdoors to shield their eyes from light exposure, which can be uncomfortable or harmful during the recovery period. Using warm compresses (choice
B) is not typically recommended after cataract surgery as it's more relevant for certain eye conditions. Avoiding NSAIDs (choice
C) is advised to prevent bleeding complications, but it is not directly related to eye protection post-surgery. While avoiding bright lights (choice
D) is crucial, wearing dark glasses provides a practical solution to achieve this, making choice A the most appropriate precaution.

Question 5 of 5

What action should a healthcare provider take if a patient reports cramping during enema administration?

Correct Answer: A

Rationale: When a patient reports cramping during enema administration, the best action is to lower the height of the enema solution container. This adjustment helps relieve abdominal cramping by slowing down the flow of the enema, making it more comfortable for the patient. Increasing the flow of the solution (choice
B) would exacerbate the cramping. Stopping the procedure and removing the tubing (choice
C) may be necessary in some cases but should not be the first response to cramping. Continuing the enema at a slower rate (choice
D) might not be as effective as lowering the height of the solution container in addressing the cramping.

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