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ATI Med Surg Nurs 224g Questions

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Question 1 of 5

A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse an understanding of the procedure?

Correct Answer: B

Rationale: This statement is correct. An oral cholangiogram involves taking an X-ray examination of the gallbladder after the patient has taken an iodine-based contrast agent orally. The procedure is used to diagnose problems related to the gallbladder, such as gallstones or issues with bile flow.

Question 2 of 5

Ms. Jackson has been suffering from persistent vomiting for two days. She appears to be lethargic and weak and has myalgia. She is noted to have dry mucous membranes and her capillary refill time takes more than 4 seconds. She is diagnosed with gastroenteritis and dehydration. Measurement of arterial blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What acid base disorder is shown?

Correct Answer: D

Rationale: The elevated pH and HCO3 with a normal PaCO2 indicate metabolic alkalosis without respiratory compensation. Persistent vomiting can lead to loss of stomach acid, which causes metabolic alkalosis.

Question 3 of 5

A nurse is instructing a client on how to decrease the nausea associated with chemotherapy and radiation. Which of the following statements indicates an understanding of the teaching?

Correct Answer: A

Rationale: Eating foods at room temperature can help reduce nausea because strong odors from hot foods can increase the feeling of nausea.

Question 4 of 5

A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)

Correct Answer: D,E

Rationale: Localized edema and an increase in neutrophils are signs of infection, indicating inflammation and immune response.

Question 5 of 5

A nurse is talking with a client whose thyroid stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test?

Correct Answer: C

Rationale: TSH levels are measured to determine thyroid gland activity, which influences the metabolic rate.

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