Questions 49

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ATI Nur285 Med Surg Fall Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: C

Rationale: Drip rate (gtt/min) = (
Total volume (mL) × Drop factor (gtt/mL)) /
Total minutes = (1000 mL × 10 gtt/mL) / 360 minutes ‰ˆ 28 gtt/min.

Question 2 of 5

A patient who is taking NSAIDs to treat arthritis asks the nurse why Cytotec (misoprostol) has also been prescribed. Which explanation by the nurse is accurate?

Correct Answer: B

Rationale: Misoprostol (Cytotec) protects the stomach lining from NSAID-induced damage, preventing ulcers and GI complications.

Question 3 of 5

A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?

Correct Answer: D

Rationale: Monitoring daily laboratory values assesses nutritional status and detects complications like electrolyte imbalances or liver dysfunction.

Question 4 of 5

As a result of gastric resection, the client is at risk for developing dumping syndrome. The nurse should prepare a plan of care for this client based on knowledge that this problem stems primarily from which of the following gastrointestinal changes?

Correct Answer: C

Rationale: Rapid emptying of stomach contents into the small intestine causes dumping syndrome, leading to symptoms like nausea and diarrhea.

Question 5 of 5

A client comes to the clinic complaining of dysphagia and states that 'he feels like food is stuck in his throat.' The physician suspects esophageal cancer. Which of the following is a risk factor for esophageal cancer?

Correct Answer: A,D

Rationale: Family history and smoking tobacco are significant risk factors for esophageal cancer, increasing genetic and environmental risks.

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