ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Exposing the client's abdomen allows the nurse to visually assess for any signs of acute complications, such as distension, discoloration, or signs of infection. This action should be done first to quickly identify any immediate concerns that may require immediate intervention.
B: Determining areas of resonance is not the priority in this situation as sudden, severe abdominal pain indicates a potential acute issue that needs immediate attention.
C: Listening for bowel sounds can provide information about bowel motility but is not the priority when the client is experiencing sudden, severe abdominal pain.
D: Performing abdominal palpation may worsen the client's condition if there is a surgical complication present. It should be avoided until further assessment is done.
In summary, option A is the correct choice as it allows for a quick visual assessment to identify any urgent issues, while the other options are not as urgent in this scenario.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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