Questions 42

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ATI Medical Surgery Exam Custom GI Questions

Extract:


Question 1 of 5

A nurse is collecting data from a client who has obstruction and inflammation of the common bile duct due to cholelithiasis. Which of the following findings is expected for this condition?

Correct Answer: D

Rationale: Obstruction of the common bile duct impairs fat digestion, leading to fatty stools due to malabsorption.

Question 2 of 5

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client's plan of care? (Select all that apply.)

Correct Answer: A,D,E

Rationale: See rationale for question 2, as this is a repeated question.

Question 3 of 5

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client's plan of care? (Select all that apply.)

Correct Answer: A,D,E

Rationale: See rationale for question 2, as this is a repeated question.

Question 4 of 5

A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client's water pitcher had 300 ml and 200 ml remains. The client also had IV fluids infusing as 40 mL/hr via an infusion pump. How many ml should the nurse document as the client's total Intake for the shift?

Correct Answer: 1110 ml

Rationale:
Total intake is calculated as: coffee (8 oz × 30 ml/oz = 240 ml), juice (3 oz × 30 ml/oz = 90 ml), soda (12 oz × 30 ml/oz = 360 ml), water (300 ml - 200 ml = 100 ml), IV fluids (40 ml/hr × 8 hr = 320 ml). Sum: 240 + 90 + 360 + 100 + 320 = 1110 ml.

Question 5 of 5

A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: A purplish stoma indicates potential ischemia, requiring immediate reporting to the provider.

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