ATI RN
ATI RN Fundamentals 2019 II 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: D
Rationale: The correct answer is D: Expose the client's abdomen to look for changes in appearance. This action should be taken first as sudden severe abdominal pain post bowel resection could indicate complications such as bowel obstruction or perforation. By exposing the abdomen, the nurse can visually assess for signs of distension, redness, bruising, or any surgical site abnormalities. This immediate visual assessment can provide crucial information to guide further interventions.
A: Using a stethoscope to listen for bowel sounds may be important but does not provide immediate visual cues for acute complications.
B: Performing abdominal palpation can potentially worsen the client's condition if there is an underlying issue like a perforation.
C: Determining areas of resonance may not provide immediate information on the cause of sudden severe pain.
D: Exposing the client's abdomen is the most appropriate initial action to visually assess for acute complications.
E, F, G: Not applicable.
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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