ATI RN
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.