ATI RN
ATI Med Surg N241 Exam Questions
Extract:
Question 1 of 5
While assessing the client with acute pancreatitis the nurse notes the following: skin warm and dry with inelastic turgor, hypoactive bowel sounds, nausea and vomiting for 24 hours, and amber-colored urine. Which action would the nurse take next?
Correct Answer: B
Rationale: Monitoring intake and output (I&O) is crucial for understanding the patient's fluid balance, especially after 24 hours of vomiting, which could lead to dehydration. However, it is important for fluid balance but not the immediate next step. Checking blood pressure can provide immediate information on the patient's hemodynamic status and potential hypovolemia due to fluid loss; thus, it should be assessed immediately. Assessing pain level is important for comfort, but stabilization of vital signs takes precedence. Measuring oxygen saturation is useful but less critical than assessing for potential hypotension due to dehydration.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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