Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the following groups of signs alert you to a possible pneumothorax?- Skildor

Question 1 of 5

Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the following groups of signs alert you to a possible pneumothorax?

A. Dyspnea and reduced or absent breath sounds over the right lung B. Tachycardia, hypotension, and cool, clammy skin C. Fever, rebound tenderness, and abdominal rigidity D. Redness, warmth, and drainage at the biopsy site

Correct Answer: A

Rationale: Dyspnea and reduced or absent breath sounds over the right lung are signs of a possible pneumothorax.

Question 2 of 5

You're assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear:

A. Pale, pink and moist B. Red and moist C. Dark or purple colored D. Dry and black

Correct Answer: B

Rationale: A healthy, well-healed colostomy stoma should appear red and moist.

Question 3 of 5

Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?

A. You'll need to lie on your stomach during the test. B. You'll need to lie on your right side after the test. C. During the biopsy you'll be asked to exhale deeply and hold it. D. The biopsy is performed under general anesthesia.

Correct Answer: B

Rationale: Instruct the patient to lie on their right side after the biopsy to apply pressure and prevent bleeding.

Question 4 of 5

Before bowel surgery, Lee is to administer enemas until clear. During administration, he complains of intestinal cramps. What do you do next?

A. Discontinue the procedure. B. Lower the height of the enema container. C. Complete the procedure as quickly as possible. D. Continue administration of the enema as ordered without making any adjustments.

Correct Answer: B

Rationale: If a patient complains of intestinal cramps during an enema, lowering the height of the enema container can help reduce discomfort.

Question 5 of 5

A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs?

A. Initiate continuous enteral feedings B. Encourage a high protein, high-calorie diet C. Implement total parenteral nutrition D. Provide six small meals a day.

Correct Answer: C

Rationale: Implementing total parenteral nutrition helps meet the nutritional needs of a client with persistent diarrhea and significant weight loss due to ulcerative colitis.

ATI Gastrointestinal System Test

Skildor

ATI RN

ATI RN

ATI Gastrointestinal System Test Questions

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