ATI RN
ATI n269 Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about an ileal conduit. The nurse should include which of the following information?
Correct Answer: D
Rationale: The ureters are attached to the ileum to divert urine to an external pouch.
Question 2 of 5
A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?
Correct Answer: D
Rationale: Expelling air from the JP bulb re-establishes suction for effective drainage.
Question 3 of 5
A nurse is developing a plan of care for a client who has a new ileal conduit. The nurse should include that the client is at risk for which of the following?
Correct Answer: A,B,D,E
Rationale: Impaired skin integrity, disturbed body image, anxiety, and infection are significant risks due to urine exposure, physical changes, and bacterial exposure.
Question 4 of 5
A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?
Correct Answer: C
Rationale: Prostate enlargement can cause blood-tinged urine due to urethral irritation.
Question 5 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.