ATI RN
ATI Nur 211 Med Surg Exam Unit 4 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with Clostridium Difficile. Which of the following infection control precautions should the nurse implement?
Correct Answer: A,B,C
Rationale: Gloves protect against C. diff spores. Restricting restroom use prevents spread. A private room isolates the infection. Alcohol-based sanitizers are ineffective against C. diff; soap and water are required. Masks are unnecessary as C. diff is not airborne.
Question 2 of 5
What assessment findings support the diagnosis of peritonitis?
Correct Answer: D
Rationale: Abdominal cramping can occur with various gastrointestinal conditions, including peritonitis. However, it is not specific to peritonitis and may also be present in conditions like gastroenteritis or bowel obstruction. Profuse diarrhea is typically associated with gastrointestinal infections or inflammatory bowel diseases rather than peritonitis. In fact, peritonitis often leads to reduced bowel activity, potentially resulting in constipation rather than diarrhea. Hyperactive bowel sounds can occur in early stages of peritonitis but are not a classic finding. In many cases of peritonitis, bowel sounds may be diminished or absent due to the body’s response to inflammation. A hard, rigid abdomen indicates muscle guarding, which is the body’s response to inflammation and irritation of the peritoneum. This rigidity is often referred to as 'board-like' and is a key indicator of peritonitis.
Question 3 of 5
The nurse is educating a patient about the different types of bariatric surgeries for weight loss. Which of the following statements indicate a need for further teaching?
Correct Answer: A
Rationale: Behavioral modifications are essential for long-term weight loss success post-surgery. Surgery improves comorbidities like hypertension and diabetes. Gastric sleeve is irreversible. Gastric bypass reduces stomach size to limit intake.
Question 4 of 5
A patient has a PRN prescription for ondansetron. For which condition would the nurse administer this medication?
Correct Answer: D
Rationale: Ondansetron does not treat GERD, which requires acid-reducing medications. It is not indicated for paralytic ileus, which focuses on resolving the cause. It does not treat diarrhea. Ondansetron is used for nausea and vomiting.
Question 5 of 5
Which of the following increase the risk of developing Clostridium Difficile.
Correct Answer: B,C
Rationale: Living independently does not increase C. diff risk. A weakened immune system increases susceptibility. Antibiotics disrupt gut flora, promoting C. diff. Diarrhea and fever are symptoms, not risk factors.