Questions 64

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ATI n269 Med Surg Exam 3 Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

Correct Answer: A

Rationale: Reducing protein intake decreases ammonia production, aiding in managing hepatic encephalopathy.

Question 2 of 5

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer: B

Rationale: Urine output less than 400 mL per 24 hr defines the oliguric phase of acute kidney injury.

Question 3 of 5

A nurse is teaching a client who has hepatitis A about preventing transmission of the virus. Which of the following strategies should the nurse include in the teaching?

Correct Answer: A

Rationale: Effective hand hygiene prevents hepatitis A transmission via the fecal-oral route.

Question 4 of 5

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Spironolactone, a diuretic, promotes sodium excretion, leading to decreased sodium levels.

Question 5 of 5

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

Correct Answer: A

Rationale: Nausea and vomiting are common manifestations of peritonitis, indicating peritoneal irritation and inflammation.

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