ATI RN TEST BANK

ATI Capstone Medical Surgical Assessment 1 Quizlet

A patient who experienced an acute episode of gastritis should avoid which type of foods?

    A. Avoid foods high in potassium

    B. Avoid foods high in sodium

    C. Increase exercise to reduce stress

    D. Drink milk as a snack

Correct Answer: A
Rationale: The correct answer is A: Avoid foods high in potassium. Potassium-rich foods can exacerbate gastritis symptoms by irritating the stomach lining. Sodium (choice B) is not directly related to gastritis symptoms. Increasing exercise (choice C) can be beneficial for overall health but may not directly impact gastritis. Drinking milk (choice D) can provide temporary relief for some individuals with gastritis due to its coating effect, but it is not a universal recommendation as it can worsen symptoms in some cases.

A patient with hypokalemia is being monitored. What should the nurse assess for?

  • A. Muscle weakness
  • B. Flattened T waves
  • C. Checking deep tendon reflexes
  • D. Seizures

Correct Answer: A
Rationale: Corrected Question: A patient with hypokalemia is being monitored. What should the nurse assess for? Corrected Choice A: Muscle weakness Corrected Choice B: Flattened T waves Corrected Choice C: Checking deep tendon reflexes Corrected Choice D: Seizures Rationale: Hypokalemia is associated with muscle weakness due to the effect of low potassium levels on muscle function. Flattened T waves on an ECG are characteristic of hypokalemia but are not a direct assessment for the patient's condition. Checking deep tendon reflexes and seizures are not primary symptoms associated with hypokalemia, making them less relevant for monitoring a patient with this electrolyte imbalance.

What dietary recommendations should be given to a patient with GERD?

  • A. Avoid mint and spicy foods
  • B. Eat large meals before bed
  • C. Increase fluid intake during meals
  • D. Drink milk as a snack

Correct Answer: A
Rationale: The correct dietary recommendation for a patient with GERD is to avoid mint and spicy foods. These foods can trigger symptoms of GERD and lead to acid reflux. Choice B is incorrect because eating large meals before bed can exacerbate GERD symptoms by increasing the likelihood of acid reflux during sleep. Choice C is incorrect as increasing fluid intake during meals can worsen GERD symptoms by distending the stomach, leading to increased pressure on the lower esophageal sphincter. Choice D is also incorrect because while milk may provide temporary relief for some individuals, it is not a recommended long-term solution for managing GERD.

What is the preferred treatment for a patient with unstable angina admitted with chest pain?

  • A. Administer sublingual nitroglycerin
  • B. Establish IV access
  • C. Auscultate heart sounds
  • D. Obtain cardiac enzymes

Correct Answer: A
Rationale: The correct answer is to administer sublingual nitroglycerin. Nitroglycerin helps vasodilate coronary arteries, improving blood flow to the heart, relieving chest pain, and preventing cardiac tissue damage. Establishing IV access (choice B) is important but not the preferred initial treatment for unstable angina with chest pain. Auscultating heart sounds (choice C) and obtaining cardiac enzymes (choice D) are relevant assessments but do not address the immediate symptomatic relief needed for a patient with unstable angina and chest pain.

A patient with GERD is being taught by a nurse. What should the patient avoid?

  • A. Avoid mint and pepper
  • B. Increase water intake during meals
  • C. Eat frequent small meals
  • D. Consume more spicy foods

Correct Answer: A
Rationale: Patients with GERD should avoid mint and spicy foods as they can trigger reflux. Choice B ('Increase water intake during meals') is not recommended for GERD patients as it can worsen symptoms by distending the stomach. Choice C ('Eat frequent small meals') is beneficial for GERD patients to prevent excessive stomach distension. Choice D ('Consume more spicy foods') is incorrect as spicy foods can exacerbate GERD symptoms.

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