//
ATI RN VATI Adult Medical Surgical S 2019
A nurse is caring for a client who is hemorrhaging and hypotensive from esophageal
variceal bleeding. Which of the following actions should the nurse take first?
A. Administer vasopressin to the client. 14%
B. Request blood from blood bank. 4%
C. Verify that the client has adequate IV access. 79% Most selected
D. Insert an indwelling urinary catheter. 2%
Answer and Explanation
Choice A:
Administering vasopressin to the client might be necessary to manage the hemorrhage,
but before any medication administration, it is crucial to ensure the client has adequate
IV access. Vasopressin is a vasoconstrictor and can help control bleeding from
esophageal varices, but its effectiveness relies on IV access to deliver the medication
promptly.
Choice B:
Requesting blood from the blood bank is essential for a client experiencing significant
bleeding. However, the priority action is to verify IV access to administer any necessary
blood products.
Choice C:
,This is the correct choice. Before initiating any interventions, ensuring the client has
appropriate IV access is a priority. Adequate IV access is necessary to administer fluids,
medications, or blood products promptly and effectively stabilize the client's blood
pressure.
Choice D:
Inserting an indwelling urinary catheter is not the priority action in this situation. While
monitoring urine output is important, it should be secondary to addressing the client's
hypotension and hemorrhage.
A nurse is providing teaching about dietary options for a client who has cholelithiasis.
Which of the following statements should the nurse include in the teaching?
A. "Cauliflower is a good dietary choice.". 34%
B. "Increase the amount of egg yolks in your diet.". 7%
C. "Select desserts such as angel-food cake.". 47% Most selected
D. "Eat choice or prime cuts of meat.". 10%
Sign Up Now
, Answer and Explanation
Choice A:
Cauliflower is not a good dietary choice for a client with cholelithiasis. Cholelithiasis
refers to the presence of gallstones, and certain foods, including cauliflower, can
exacerbate symptoms in some individuals.
Choice B:
Increasing the amount of egg yolks in the diet is not advisable for a client with
cholelithiasis. Egg yolks are high in cholesterol and can contribute to gallstone formation.
Choice C:
This is the correct choice. Desserts like angel-food cake are a better dietary option for a
client with cholelithiasis. Angel-food cake is typically low in fat and cholesterol, making it
a more suitable choice for those with gallbladder issues.
Choice D:
Eating choice or prime cuts of meat is not recommended for clients with cholelithiasis.
These types of meat are often higher in fat, which can trigger gallbladder symptoms.
A nurse is planning care for a client who is receiving brachytherapy. Which of the
following interventions should the nurse include in the plan of care?
A. Dispose of the client's feces and urine in a special container. 36% Most selected
B. Instruct visitors to limit the visit to 60 min each day. 13%
C. Keep the client's linens in the room until after removal of the radiation source. 36%
D. Keep one dosimeter badge available for the staff to share while caring for the client.
13%
Answer and Explanation
ATI RN VATI Adult Medical Surgical S 2019
A nurse is caring for a client who is hemorrhaging and hypotensive from esophageal
variceal bleeding. Which of the following actions should the nurse take first?
A. Administer vasopressin to the client. 14%
B. Request blood from blood bank. 4%
C. Verify that the client has adequate IV access. 79% Most selected
D. Insert an indwelling urinary catheter. 2%
Answer and Explanation
Choice A:
Administering vasopressin to the client might be necessary to manage the hemorrhage,
but before any medication administration, it is crucial to ensure the client has adequate
IV access. Vasopressin is a vasoconstrictor and can help control bleeding from
esophageal varices, but its effectiveness relies on IV access to deliver the medication
promptly.
Choice B:
Requesting blood from the blood bank is essential for a client experiencing significant
bleeding. However, the priority action is to verify IV access to administer any necessary
blood products.
Choice C:
,This is the correct choice. Before initiating any interventions, ensuring the client has
appropriate IV access is a priority. Adequate IV access is necessary to administer fluids,
medications, or blood products promptly and effectively stabilize the client's blood
pressure.
Choice D:
Inserting an indwelling urinary catheter is not the priority action in this situation. While
monitoring urine output is important, it should be secondary to addressing the client's
hypotension and hemorrhage.
A nurse is providing teaching about dietary options for a client who has cholelithiasis.
Which of the following statements should the nurse include in the teaching?
A. "Cauliflower is a good dietary choice.". 34%
B. "Increase the amount of egg yolks in your diet.". 7%
C. "Select desserts such as angel-food cake.". 47% Most selected
D. "Eat choice or prime cuts of meat.". 10%
Sign Up Now
, Answer and Explanation
Choice A:
Cauliflower is not a good dietary choice for a client with cholelithiasis. Cholelithiasis
refers to the presence of gallstones, and certain foods, including cauliflower, can
exacerbate symptoms in some individuals.
Choice B:
Increasing the amount of egg yolks in the diet is not advisable for a client with
cholelithiasis. Egg yolks are high in cholesterol and can contribute to gallstone formation.
Choice C:
This is the correct choice. Desserts like angel-food cake are a better dietary option for a
client with cholelithiasis. Angel-food cake is typically low in fat and cholesterol, making it
a more suitable choice for those with gallbladder issues.
Choice D:
Eating choice or prime cuts of meat is not recommended for clients with cholelithiasis.
These types of meat are often higher in fat, which can trigger gallbladder symptoms.
A nurse is planning care for a client who is receiving brachytherapy. Which of the
following interventions should the nurse include in the plan of care?
A. Dispose of the client's feces and urine in a special container. 36% Most selected
B. Instruct visitors to limit the visit to 60 min each day. 13%
C. Keep the client's linens in the room until after removal of the radiation source. 36%
D. Keep one dosimeter badge available for the staff to share while caring for the client.
13%
Answer and Explanation
