Questions 49

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ATI Nur285 Med Surg Fall Exam Questions

Extract:


Question 1 of 5

A patient has a nasogastric (NG) tube following esophagectomy. Following standards of practice, which of the following postoperative instructions should the nurse question the surgeon about?

Correct Answer: C

Rationale: A temperature under 100.5°F is not typically concerning post-surgery, so notifying the physician for this is unnecessary.

Question 2 of 5

A patient who has undergone an esophagectomy for esophageal cancer develops increasing pain, fever, and dyspnea when a full liquid diet is started postoperatively. The nurse recognizes that these symptoms are most indicative of:

Correct Answer: B

Rationale: Esophageal perforation with fistula formation causes pain, fever, and dyspnea due to leakage into the pleural space or lungs.

Question 3 of 5

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment is effective?

Correct Answer: A

Rationale: A decrease in the white blood cell count toward normal levels indicates that the infection is responding to antibiotic treatment. A WBC count of 6000/μL is within the normal range for adults (usually 4,000€“11,000/μL), suggesting the body is no longer fighting a significant infection.

Question 4 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 5 of 5

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?

Correct Answer: C

Rationale: Increasing fluid intake helps thin respiratory secretions by providing hydration, reducing the viscosity of sputum and aiding expectoration.

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