ATI RN MED SURG PROCTORED EXAM 2019 WITH VERIFIED SOLUTION (UPDATED) /A+ GRADE ASSURED

ATI RN MED SURG PROCTORED EXAM 2019 WITH VERIFIED SOLUTION (UPDATED) /A+ GRADE ASSURED 1. A nurse is collecting data from a client who has peptic ulcer disease. Which of the following finding is a manifestation of gastrointestinal perforation? A. Hyperactive bowelsounds B. Severe upper abdominal pain C. Report of epigastric fullness D. Bradycardia ANS: Severe upper abdominal pain. Sudden, severe abdominal pain that radiates to the shoulder is a manifestation of gastrointestinal perforation. 2. A nurse is reinforcing dietary teaching with a client who tells the nurse she would like to reduce her solid fat intake and increase oil intake in her diet. Which of the following instructions should the nurse include in her teaching? A. Replace tub margarine with stick margarine B. Use safflower oil instead of butter when baking C. Consume 2% or whole milk D. Choose ground beef that is at least 80% lean meat ANS: Use safflower oil instead of butter when baking The client should replace butter with safflower oil when baking to decrease solid fats and increase oil intake. 3. A nurse is administering a tap water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client’s discomfort? A. Lower the height of the solution container B. Encourage the client to bear down C. Allow the client to expel some fluid before continuing D. Stop the enema and document that the client did not tolerate the procedure ANS: Lower the height of the solution container If nausea or cramping occurs, the nurse should slow the flow of water, leaving the tube in place. The nurse should then raise the solution container when the cramping has passed. 4. A nurse isreinforcing teaching with a client how has Cron’s Disease and is experiencing frequent cramping and diarrhea. Which of the following statements should the nurse include in the teaching? A. Increase your caloric intake by eating foods high in protein B. Include fresh fruits and vegetables at each meal C. Maintain your weight by eating high fat foods D. Drink whole milk to ensure adequate calcium intake ANS: Increase your caloric intake by eating foods high in protein Clients who have Crohn's disease are at risk for malnutrition; therefore, they should eat a diet high in protein to help maintain their weight and promote healing and recovery. 5. A nurse isreinforcing teaching with a client that reports having constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply) A. Excessive laxative use B. Ignoring the urge to defecate ATI RN MED SURG PROCTORED EXAM 2019 WITH VERIFIED SOLUTION (UPDATED) /A+ GRADE ASSURED C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity ANS: Excessive laxative use. Chronic use of laxatives causes the large intestine to lose muscle tone and become less responsive to stimulation by laxatives. Ignoring the urge to defecate. Anything that prevents the client from responding to the urge to defecate and disruptsregular habits can cause possible alterations in bowel habits, such as constipation. Inadequate fluid intake. Reduced fluid intake slows the passage of food through the intestine and can result in hardening of stool