Questions 87

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ATI 24 Spns 126 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is collecting data from a client who has systemic lupus erythematosus. Which of the following findings is the highest priority to report to the provider?

Correct Answer: D

Rationale: Peripheral edema is the highest priority as it may indicate kidney involvement, a serious SLE complication requiring immediate attention.

Question 2 of 5

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Difficulty starting urine flow is common in BPH due to prostate enlargement obstructing the urethra.

Question 3 of 5

A nurse is reinforcing dietary instructions with a client who has episodes of biliary colic from chronic cholecystitis. Which of the following diets should the nurse reinforce in the teaching plan?

Correct Answer: D

Rationale: A low fat diet is recommended for clients with biliary colic from chronic cholecystitis as it reduces the workload on the gallbladder and decreases the risk of gallstone formation.

Question 4 of 5

A nurse is collecting data on a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should recognize which of the following findings is the priority?

Correct Answer: D

Rationale: Bright red urine indicates active bleeding, a serious complication requiring immediate attention to prevent hemorrhage.

Question 5 of 5

A nurse is reinforcing discharge instructions to a client who is postoperative from a hip arthroplasty. Which of the following statements by the client indicates a correct understanding of the teaching?

Correct Answer: C

Rationale: Avoiding crossing the legs for the first 3 months after surgery helps prevent dislocation of the hip joint and promotes proper healing.

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