Questions 78

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ATI Advanced Med Surg Final Exam 0924 Questions

Extract:


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?

Correct Answer: B

Rationale: Expelling the air from the JP bulb after emptying to re-establish suction is necessary to ensure that the drain continues to function correctly by maintaining negative pressure.

Question 2 of 5

A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?

Correct Answer: A

Rationale: Morphine can cause decreased gastrointestinal motility, which can exacerbate a paralytic ileus.

Question 3 of 5

A nurse is caring for a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer: A,B,C,D

Rationale: Bone pain, hearing loss, cranial enlargement, and vision deficits are all potential symptoms of Paget's disease due to abnormal bone remodeling and nerve compression.

Question 4 of 5

A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client whose leg is in Buck's traction. Which of the following statements indicates the AP understands the teaching?

Correct Answer: B

Rationale: The footplate helps to prevent foot drop by maintaining proper alignment of the foot and leg in Buck's traction.

Question 5 of 5

A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy (DIC). Which of the following values should the nurse report to the provider?

Correct Answer: B

Rationale: A fibrinogen level of 85 mg/dL is low. In DIC, fibrinogen levels decrease due to increased clotting and subsequent consumption of clotting factors.

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