ATI Learning System PN Medical Surgical Final Quizlet

Correct Answer: C

Rationale: Administering prescribed opioid analgesics is the most appropriate nursing intervention to alleviate severe abdominal pain in a patient with acute pancreatitis. Opioid analgesics help manage severe pain effectively in such cases. Encouraging oral intake of clear fluids may exacerbate symptoms due to the need for pancreatic rest. Placing the patient in a supine position can worsen the pain by increasing pressure on the abdomen. Applying a heating pad is contraindicated as heat can potentially increase inflammation and discomfort in acute pancreatitis.

Correct Answer: D

Rationale: The correct action for the nurse to include on the care plan for a patient with a calcium level of 12.1 mg/dL is to encourage fluid intake up to 4000 mL every day. This is essential to decrease the risk for renal calculi associated with hypercalcemia. While bed rest is not necessary, ambulation is encouraged to help decrease the loss of calcium from the bone. Monitoring for Trousseau's and Chvostek's signs is more relevant when hypocalcemia is suspected. Auscultating lung sounds every shift is a routine assessment, not required every 4 hours unless there is a specific respiratory concern.

Correct Answer: B

Rationale: The partial thromboplastin time (PTT) is the laboratory test that should be monitored to evaluate the effectiveness of heparin therapy in patients with deep vein thrombosis (DVT). Heparin affects the intrinsic pathway of the coagulation cascade, which is reflected by changes in the PTT. Monitoring the PTT helps ensure that the patient's blood is within the desired therapeutic range and prevents complications related to clotting or bleeding.

Correct Answer: D

Rationale: Losing weight in an infant, especially when combined with spitting up milk, requires immediate intervention to address potential health concerns.

Correct Answer: A

Rationale: The correct answer is A: Liver function tests. Patients on atorvastatin should have their liver function tests monitored periodically to detect any potential liver damage. Atorvastatin, a statin medication used to lower cholesterol levels, can rarely cause liver enzyme abnormalities, so regular monitoring is essential to identify any adverse effects early on.