Questions 87

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ATI 24 Spns 126 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?

Correct Answer: A

Rationale: Determining tubing patency is the first action to check for blockages, preventing complications like bladder distention.

Question 2 of 5

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

Correct Answer: A

Rationale: Confusion is a unique symptom of urinary tract infections (UTIs) in older adults, often being the first or only symptom, making it a critical indicator for this age group.

Question 3 of 5

A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

Correct Answer: A,D,E

Rationale: Orange juice, watermelon, and bananas are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.

Question 4 of 5

A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?

Correct Answer: A

Rationale: Abduction prevents hip dislocation by keeping the leg away from the midline, maintaining joint stability post-arthroplasty.

Question 5 of 5

A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?

Correct Answer: C

Rationale: Increasing water intake to 2 liters daily supports joint lubrication and overall health in osteoarthritis management.

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