Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

A patient with a breast biopsy positive for cancer tells the nurse that she has been using information from the Internet to try to make a decision about her treatment choices. In counseling the patient, the nurse knows that (select all that apply)

  • A. the patient should be taught how to identify reliable and accurate information available online.
  • B. all sites used by the patient should be evaluated by the nurse for accuracy and appropriateness of the information.
  • C. most information from the Internet is incomplete and inaccurate and should not be used to make important decisions regarding treatment.
  • D. the Internet is an excellent source of health information, and online education programs can provide patients with better instruction than is available at clinics.
Correct Answer: A

Rationale: The correct answers are 'the patient should be taught how to identify reliable and accurate information available online' and 'the patient should be encouraged to use sites established by universities, the government, or reputable health organizations, such as the American Cancer Society, to access reliable information.' These options promote the use of credible sources while discouraging reliance on potentially unreliable information.

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Paralytic ileus may occur as a postoperative complication. Which of the following patients would you be most concerned about the development of paralytic ileus?

  • A. Kim, a 27-year-old postlaparoscopic appendectomy.
  • B. Joyce, a 39-year-old post–open right hemicolectomy.
  • C. Nancy, a 56-year-old postmediastinoscopy.
  • D. John, a 47-year-old post–total joint replacement.
Correct Answer: B

Rationale: Paralytic ileus is more common after abdominal surgeries, particularly those involving bowel manipulation, such as an open right hemicolectomy. Joyce is at the highest risk due to the nature of her surgery.

List the order in which you will assess these patients.

  • A. An ambulatory, dazed 25-year-old male with a bandaged head wound
  • B. An irritable infant with a fever, petechiae, and nuchal rigidity
  • C. A 35-year-old jogger with a twisted ankle, having pedal pulse and no deformity
  • D. A 50-year-old female with moderate abdominal pain and occasional vomiting
Correct Answer: B

Rationale: The infant with fever, petechiae, and nuchal rigidity may indicate meningitis, a life-threatening condition requiring immediate attention.

Which complications are related to anorexia nervosa?

  • A. Premature wrinkles
  • B. Vitamin excess
  • C. Stress fractures in spine or hip
  • D. Fluid overload
Correct Answer: C

Rationale: Severe weight loss weakens bones, increasing the risk of stress fractures in weight-bearing areas like the spine and hips.

What are life-threatening complications of shock?

  • A. Catheter infection
  • B. Pulmonary edema
  • C. Kidney failure
  • D. Stasis ulcers
Correct Answer: C

Rationale: Kidney failure is a severe complication of shock due to prolonged hypoperfusion and ischemi

What is the first sign that the condition of a dying client is worsening?

  • A. Pulmonary function impairment
  • B. Peripheral circulation changes
  • C. Central nervous system alterations
  • D. Failing cardiac function
Correct Answer: C

Rationale: Central nervous system changes, such as confusion or lethargy, often indicate declining health in terminal stages.

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