youre caring for beth who underwent a billroth ii procedure surgical removal of the pylorus and duodenum for treatment of a peptic ulcer which finding youre caring for beth who underwent a billroth ii procedure surgical removal of the pylorus and duodenum for treatment of a peptic ulcer which finding
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Nursing Elites

ATI RN

ATI Gastrointestinal System Test

1. You’re caring for Beth who underwent a Billroth II procedure (surgical removal of the pylorus and duodenum) for treatment of a peptic ulcer. Which findings suggest that the patient is developing dumping syndrome, a complication associated with this procedure?

Correct answer: C

Rationale: Dizziness and sweating are common signs of dumping syndrome, a complication of the Billroth II procedure.

2. A healthcare professional is assessing a client with major depressive disorder. Which of the following findings should the professional expect? Select one that does not apply.

Correct answer: D

Rationale: In major depressive disorder, common findings include anhedonia (loss of interest or pleasure), hypersomnia (excessive sleepiness), fatigue, and feelings of worthlessness. Flight of ideas, characterized by racing thoughts and rapid speech, is more commonly associated with bipolar disorder, particularly during manic episodes. Therefore, 'Flight of ideas' does not apply to the expected findings in major depressive disorder.

3. The priority nursing diagnosis for a client with major depression is:

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

4. Which approach contends that psychology must study internal mental events to fully understand behavior?

Correct answer: B

Rationale: The correct answer is B, Cognitive psychology. Cognitive psychology focuses on studying internal mental processes like perception, memory, and problem-solving to understand behavior. Behaviorism (choice A) emphasizes observable behavior over internal mental processes. Evolutionary psychology (choice C) examines how evolutionary principles influence behavior, not solely focusing on internal mental events. Humanism (choice D) emphasizes personal growth and self-actualization rather than internal mental events as the primary focus of study.

5. Which of the following is an example of an ethical dilemma in nursing?

Correct answer: D

Rationale: The correct answer is D. An ethical dilemma in nursing involves deciding whether to comply with a patient's request that conflicts with professional ethics, balancing competing values and principles. Choices A, B, and C do not directly represent ethical dilemmas in nursing. Choice A describes a general ethical dilemma, choice B involves professional conduct rather than a dilemma, and choice C refers to a confidentiality issue rather than conflicting ethical principles.

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