ATI Learning System PN Medical Surgical Final Quizlet

Correct Answer: A

Rationale: The mother who took her children from school due to delusions of aliens poses a significant risk to her children and herself. This situation requires immediate attention to ensure the safety and well-being of all involved.

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic commonly used in patients with heart failure. The nurse should monitor for signs of hyperkalemia, which is a potential side effect of spironolactone therapy. Hyperkalemia can lead to serious cardiac arrhythmias, so close monitoring of potassium levels is essential to prevent complications.

Correct Answer: A

Rationale: Right upper quadrant pain is a hallmark symptom of cholecystitis, indicating inflammation of the gallbladder. The gallbladder is typically located in the right upper quadrant of the abdomen, so pain in this area is characteristic of cholecystitis. This pain may be sharp or cramp-like and can be accompanied by other symptoms such as nausea, vomiting, and fever.

Correct Answer: B

Rationale: Clients should continue taking insulin and monitor their blood glucose levels closely, even if they are not eating normally.

Correct Answer: C

Rationale: Although presymptomatic testing for genetic disorders allows patients to take action (such as mastectomy) to prevent the development of some genetically caused disorders, patients also need to consider that test results in their medical record may affect insurance, employability, etc. Telling a patient that a decision about mastectomy should be made before testing implies that the nurse has made a judgment about what the patient should do if the test is positive. Although most breast cancers are not related to BRCA gene mutations, the patient with a BRCA gene mutation has a markedly increased risk for breast cancer.