ATI n269 Med Surg Exam 3

Question 1 of 5

A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?

A. Secure the drain to the client's bed sheet.B. Measure the drainage every hour for the first 8 hours postoperative.C. Remove the JP drain when the drainage has ceased, covering the opening with sterile gauze.D. Expel the air from the JP bulb after emptying to re-establish suction.

Correct Answer: D

Rationale: Expelling air from the JP bulb re-establishes suction for effective drainage.

Question 2 of 5

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

A. HypolipidemiaB. Diabetes mellitusC. GallstonesD. COPD

Correct Answer: C

Rationale: Gallstones are a common cause of acute pancreatitis by blocking the pancreatic duct.

Question 3 of 5

A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? Select all that apply.

A. Informed consent obtained by MDB. Obtain coagulation studiesC. Administer diphenhydramine (Benadryl) prior to the procedure.D. Obtain a urine specimen prior to the procedureE. Maintain NPO status prior to the procedure.

Correct Answer: A,B,D,E

Rationale: Informed consent, coagulation studies, urine specimen, and NPO status are critical for a safe kidney biopsy.

Question 4 of 5

A nurse is preparing to obtain a 24-hour urine collection from a client. Which of the following actions should the nurse plan to take?

A. Refrigerate the urine during the collection time period.B. Discard the client's last void at the end of the collection time period.C. Save the first void at the start of the collection time period.D. Include toilet paper with the collected urine.

Correct Answer: A

Rationale: Refrigerating the urine preserves sample integrity by preventing bacterial growth and chemical changes.

Question 5 of 5

A nurse is teaching a newly licensed nurse about an ileal conduit. The nurse should include which of the following information?

A. Achent has control rion through an ileal conduit.B. Stool is passed through an ileal conduit located on a client's abdomen.C. An ileal conduit is a tube that directly connects a client's kidney to an external pouch.D. A client's ureters are attached to a section of the client's small intestine to form an ileal conduit.

Correct Answer: D

Rationale: The ureters are attached to the ileum to divert urine to an external pouch.

ATI n269 Med Surg Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN