ATI LPN
ATI Learning System PN Medical Surgical Final Quizlet Questions
Question 1 of 5
A client with acute pancreatitis is experiencing severe abdominal pain. Which enzyme level should the nurse monitor closely?
Correct Answer: A
Rationale: In acute pancreatitis, serum amylase is a crucial enzyme to monitor as it is typically elevated in this condition. Elevated serum amylase levels are a key diagnostic marker for acute pancreatitis, aiding in the assessment and management of the patient's condition.
Question 2 of 5
Which problem in a client requires the most immediate intervention by the nurse?
Correct Answer: B
Rationale: Increasing sharp pain related to compartment syndrome necessitates immediate intervention as it may lead to permanent damage to muscles and nerves. Compartment syndrome is a serious condition that requires urgent medical attention to prevent further complications such as tissue necrosis and nerve injury.
Question 3 of 5
A patient who is receiving chemotherapy for breast cancer develops thrombocytopenia. What should the nurse include in the care plan?
Correct Answer: B
Rationale: Thrombocytopenia is a condition characterized by a low platelet count, which can lead to an increased risk of bleeding. To minimize this risk, patients with thrombocytopenia should avoid activities that can cause injury or bleeding, such as intramuscular injections. Encouraging light exercise can be beneficial, as it promotes circulation without increasing the risk of trauma. Aspirin should be avoided as it can further impair platelet function. Additionally, using a soft toothbrush for oral care is recommended to prevent gum bleeding in patients with thrombocytopenia.
Question 4 of 5
The patient admitted with diabetic ketoacidosis has rapid, deep respirations. What action should the nurse take?
Correct Answer: C
Rationale: The rapid, deep (Kussmaul) respirations in a patient with diabetic ketoacidosis indicate a metabolic acidosis, necessitating correction with a saline bolus to prevent hypovolemia, followed by insulin administration to facilitate glucose re-entry into cells. Oxygen therapy is not warranted as the increased respiratory rate is not due to hypoxemia but is compensatory in response to acidosis. Encouraging slow breathing or administering lorazepam would be inappropriate as they can worsen the acidosis by suppressing the compensatory respiratory effort.
Question 5 of 5
What instructions should the nurse give to a patient with cervical cancer who is planned to receive external-beam radiation to prevent complications from the effects of the radiation?
Correct Answer: C
Rationale: When a patient with cervical cancer is receiving external-beam radiation, the radiation to the abdomen can affect organs in its path, such as the bowel, leading to complications like frequent diarrhea. Cleaning the perianal area carefully after each bowel movement is crucial to decrease the risk of skin breakdown and infection. Testing stools for blood is not necessary since inflammation associated with radiation may lead to occult blood in stools. Maintaining a low-residue diet is actually recommended to prevent bowel irritation. Radiation to the abdomen does not cause stomatitis, so inspecting the mouth and throat for thrush is not directly related to the effects of external-beam radiation in this context.
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