ATI RN
Gastrointestinal System ATI
1. George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?
- A. If there is any drainage, notify the surgeon immediately.
- B. The drainage will decrease daily until the bile duct heals.
- C. First, the drainage is dark green; then it becomes dark yellow.
- D. If the drainage stops, milk the tube toward the puncture wound.
Correct answer: B
Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.
2. What is the main goal of discharge planning?
- A. To ensure that patients are discharged as quickly as possible
- B. To prevent hospital readmissions
- C. To educate patients about their medications
- D. To transition patients from one level of care to another
Correct answer: B
Rationale: The main goal of discharge planning is to prevent hospital readmissions by ensuring patients have a clear and effective plan for post-discharge care. This includes coordinating follow-up appointments, medication management, and providing necessary support services to promote a successful transition from the hospital to home or another care setting. Choices A, C, and D are incorrect because discharge planning is not primarily about speedy discharge, medication education, or transitioning between care levels; its main focus is on preventing readmissions through comprehensive post-discharge care.
3. A nurse is caring for a client who is experiencing fluid volume deficit (FVD). What clinical finding should the nurse expect?
- A. Decreased hematocrit
- B. Increased heart rate
- C. Increased blood pressure
- D. Decreased respiratory rate
Correct answer: B
Rationale: Increased heart rate is a common sign of fluid volume deficit (FVD) as the body compensates for decreased fluid levels. When a client is experiencing FVD, the body tries to maintain perfusion to vital organs by increasing the heart rate. This compensatory mechanism helps to improve cardiac output and maintain blood pressure. Choices A, C, and D are incorrect because in FVD, hematocrit may be increased due to hemoconcentration, blood pressure tends to decrease as a compensatory response to FVD, and respiratory rate is usually unaffected or may increase due to attempts to maintain oxygenation.
4. Students who are foreign-born or first-generation Americans _______ than students of native-born parents.
- A. are more likely to commit delinquent and violent acts
- B. are more likely to be obese
- C. often achieve in school as well as or better
- D. tend to report lower self-esteem
Correct answer: C
Rationale: According to the information provided in the text box 'CULTURAL INFLUENCES: Immigrant Youths: Adapting to a New Land' on page 32, students who are foreign-born or first-generation Americans often achieve in school as well as or better than students of native-born parents. This implies that they excel academically despite facing challenges related to cultural adaptation and assimilation. Choices A, B, and D are incorrect because the provided information specifically highlights the academic achievement of foreign-born or first-generation American students compared to students of native-born parents, not their likelihood of committing delinquent acts, obesity rates, or self-esteem levels.
5. What physiologic state(s) produces the clinical manifestations of nervous system stimulation and excitement, such as overexcitability, nervousness, and tetany?
- A. Metabolic acidosis
- B. Respiratory alkalosis
- C. Metabolic and respiratory acidosis
- D. Metabolic and respiratory alkalosis
Correct answer: D
Rationale: Both metabolic and respiratory alkalosis can cause overexcitability and nervous system stimulation due to a decrease in ionized calcium levels, which can cause symptoms such as tetany and paresthesias. Acidosis typically has the opposite effect, leading to depression of the nervous system.
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