Pathology 265 Patho-Renal-GI ATI Detailed Answer Key, Rated A+, 2024.
A nurse is teaching a client who has gastroesophageal reflux disease about managin... [Show More] g his illness. Which of the
following recommendations should the nurse include in the teaching?
Rationale: The nurse should recommend consuming liquids between meals rather than with
meals to help reduce abdominal distention.
A. Limit fluid intake not related to meals.
Rationale: The nurse should instruct the client to avoid items like mint that can increase gastric
acid secretion.
B. Chew on mint leaves to relieve indigestion.
Rationale: The nurse should instruct the client to eat small, frequent meals but to avoid eating
with 3 hr of bedtime.
C. Avoid eating within 3 hr of bedtime.
Rationale: The nurse should instruct the client to avoid items such as black and red pepper
that can increase gastric acid secretion.
D. Season foods with black pepper.
1.
CAA_DetailedAnswerKey created 05/03/2024 page 1 of 30
Detailed Answer Key
Patho-Renal/GI Sac 2024
A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports
that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which
of the following responses by the nurse is appropriate?
Rationale: This response is an example of unwarranted or false reassurance. It does not
encourage the client to explain his feelings.
A. "Don't worry; most clients dislike the prep more than the procedure itself."
Rationale: This therapeutic response appropriately addresses the client's concerns. The client
is seeking information and this response provides the client with accurate
information. It can also lead to further discussion about the procedure.
B. "Before the examination, your provider will give you a sedative that will make you sleepy."
Rationale: This statement is true. Routine screening for polyps and colon cancer is
recommended starting at age 50; however, the nurse is changing the subject and
this does not encourage the client to explain his feelings.
C. "I know you’re anxious, but this procedure is recommended for people your age."
Rationale: The nurse should ensure that the client understands and agrees to the procedure
before the client signs the consent form.
D. "After you have signed the consent form, we can talk more about this."
2.
CAA_DetailedAnswerKey created 05/03/2024 page 2 of 30
Detailed Answer Key
Patho-Renal/GI Sac 2024
A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find
an elevation of which of following values?
Rationale: The nurse should expect a decreased calcium level in a client who has acute
pancreatitis.
A. Calcium
Rationale: The nurse should expect an elevated WBC count in a client who has acute
pancreatitis.
B. RBC count
Rationale: The nurse should expect to a decreased magnesium level in a client who has acute
pancreatitis.
C. Magnesium
Rationale: Amylase is an enzyme that changes complex sugars into simple sugars that can be
used by the body. It is produced by the pancreas and salivary glands and released
into the mouth, stomach, and intestines to aid in digestion. The amylase level of a
client who has acute pancreatitis usually increases within 12 to 24 hr and can
remain elevated for 2 to 3 days.
D. Amylase
3.
A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for
pain at McBurney's point. (Selectable areas, or “Hot Spots,” are outlined in the artwork below. Select only the
outlined area that corresponds to your answer.)
Rationale: McBurney's point is located by drawing a line from the navel to the right iliac crest.
Divide the line into three equal lengths. McBurney's point is midway between the
navel to the iliac crest. Pressure over this point will elicit pain in clients with
appendicitis.
A. Answers cannot be displayed for this alternate item format.
4.
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Detailed Answer Key
Patho-Renal/GI Sac 2024
A nurse is teaching self-management to a client who has hepatitis B. Which of the following Instructions
should the nurse include in the teaching?
Rationale: The nurse should instruct the client that clients who contract hepatitis are restricted
from donating blood, body organs or tissue for the remainder of their life.
A. You may donate blood 6 months after completing the medication regimen.
Rationale: Adequate nutrition should be maintained, but protein intake should be moderated
when the liver's ability to metabolize protein by-products is impaired. The nurse
should recommend a diet high in carbohydrates and moderate in protein and fat.
B. Consume a high-protein diet.
Rationale: Limiting activity is usually recommended until the symptoms of hepatitis have
subsided. The nurse should recommend the client rest frequently throughout the
day to reduce the metabolic demands upon the liver and decrease energy
demands.
C. Rest frequently throughout the day.
Rationale: Pain-relief measures may be indicated, but medications that must be metabolized
by the liver, such as acetaminophen, are avoided. The nurse should instruct the
client to contact his provider before taking any medication, nutritional supplement,
vitamin, or herbal preparation.
D. Take acetaminophen every 4 hr, as needed, for discomfort
5.
CAA_DetailedAnswerKey created 05/03/2024 page 4 of 30
Detailed Answer Key
Patho-Renal/GI Sac 2024
A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of
the following dietary recommendations should the nurse include in the teaching plan?
Rationale: Yogurt and mozzarella cheese are sources of calcium and protein and are not high
in iron and therefore would not be recommended for this client as sources of iron.
A. Yogurt and mozzarella
Rationale: Spinach and beef are high in iron and would be recommended for this client.
B. Spinach and beef
Rationale: Milk is a source of calcium and protein, and turkey is a source of protein. They are
not high in iron and would not be recommended for this client as sources of iron.
C. Milk and turkey slices
D. Fish and cottage cheese
Rationale: Fish is a source of protein, and cottage cheese is a source of protein and calcium.
They are not high in iron and would not be recommended for this client as sources
of iron. [Show Less]