ATI Learning System PN Medical Surgical Final Quizlet

Questions 63

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ATI Learning System PN Medical Surgical Final Quizlet Questions

Question 1 of 5

The community mental health nurse is planning to visit four clients with schizophrenia today. Which client should the nurse see first?

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.

Question 2 of 5

When caring for a client with hepatic encephalopathy, why is a low-protein diet recommended by the nurse?

Correct Answer: C

Rationale: A low-protein diet is recommended for clients with hepatic encephalopathy to reduce ammonia levels. Ammonia, a byproduct of protein metabolism, can accumulate in the blood due to impaired liver function. Elevated ammonia levels can lead to worsening hepatic encephalopathy, a condition characterized by cognitive and neurological disturbances. Therefore, by limiting protein intake, the production of ammonia is reduced, thereby helping to manage hepatic encephalopathy.

Question 3 of 5

Why is a low-protein diet recommended for a patient with renal failure?

Correct Answer: B

Rationale: A low-protein diet is crucial for patients with renal failure to reduce the generation of nitrogenous waste products like urea and creatinine, which the compromised kidneys struggle to eliminate effectively. By limiting protein intake, the production of these waste products is decreased, lessening the burden on the kidneys and helping to manage the progression of renal failure.

Question 4 of 5

Why is a client with ascites scheduled for a paracentesis procedure?

Correct Answer: B

Rationale: Paracentesis is performed to relieve abdominal pressure by draining accumulated fluid in the peritoneal cavity, providing symptomatic relief for clients with ascites.

Question 5 of 5

In a client with liver cirrhosis experiencing confusion and disorientation, what condition is most likely causing these symptoms?

Correct Answer: A

Rationale: Hepatic encephalopathy is the most likely condition causing confusion and disorientation in a client with liver cirrhosis. This condition is a common complication of liver cirrhosis and is characterized by cognitive impairment due to elevated ammonia levels in the blood. The build-up of ammonia affects brain function, leading to symptoms such as confusion, disorientation, and altered consciousness.

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