Pathology 265 Patho-Renal-GI ATI Detailed Answer Key |Rated A+, 2024.

Pathology 265 Patho-Renal-GI ATI Detailed Answer Key |Rated A+, 2024. A nurse is teaching a client who has gastroesophageal reflux disease about managing his illness. Which of the following recommendations should the nurse include in the teaching? Rationale: The nurse should recommend consuming liquids between meals rather than with meals to help reduce abdominal distention. A. Limit fluid intake not related to meals. Rationale: The nurse should instruct the client to avoid items like mint that can increase gastric acid secretion. B. Chew on mint leaves to relieve indigestion. Rationale: The nurse should instruct the client to eat small, frequent meals but to avoid eating with 3 hr of bedtime. C. Avoid eating within 3 hr of bedtime. Rationale: The nurse should instruct the client to avoid items such as black and red pepper that can increase gastric acid secretion. D. Season foods with black pepper. 1. CAA_DetailedAnswerKey created 05/03/2024 page 1 of 30 Detailed Answer Key Patho-Renal/GI Sac 2024 A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate? Rationale: This response is an example of unwarranted or false reassurance. It does not encourage the client to explain his feelings. A. "Don't worry; most clients dislike the prep more than the procedure itself." Rationale: This therapeutic response appropriately addresses the client's concerns. The client is seeking information and this response provides the client with accurate information. It can also lead to further discussion about the procedure. B. "Before the examination, your provider will give you a sedative that will make you sleepy." Rationale: This statement is true. Routine screening for polyps and colon cancer is recommended starting at age 50; however, the nurse is changing the subject and this does not encourage the client to explain his feelings. C. "I know you’re anxious, but this procedure is recommended for people your age." Rationale: The nurse should ensure that the client understands and agrees to the procedure before the client signs the consent form. D. "After you have signed the consent form, we can talk more about this." 2. CAA_DetailedAnswerKey created 05/03/2024 page 2 of 30 Detailed Answer Key Patho-Renal/GI Sac 2024 A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? Rationale: The nurse should expect a decreased calcium level in a client who has acute pancreatitis. A. Calcium Rationale: The nurse should expect an elevated WBC count in a client who has acute pancreatitis. B. RBC count Rationale: The nurse should expect to a decreased magnesium level in a client who has acute pancreatitis. C. Magnesium Rationale: Amylase is an enzyme that changes complex sugars into simple sugars that can be used by the body. It is produced by the pancreas and salivary glands and released into the mouth, stomach, and intestines to aid in digestion. The amylase level of a client who has acute pancreatitis usually increases within 12 to 24 hr and can remain elevated for 2 to 3 days. D. Amylase 3. A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point. (Selectable areas, or “Hot Spots,” are outlined in the artwork below. Select only the outlined area that corresponds to your answer.) Rationale: McBurney's point is located by drawing a line from the navel to the right iliac crest. Divide the line into three equal lengths. McBurney's point is midway between the navel to the iliac crest. Pressure over this point will elicit pain in clients with appendicitis. A. Answers cannot be displayed for this alternate item format. 4. CAA_DetailedAnswerKey created 05/03/2024 page 3 of 30 Detailed Answer Key Patho-Renal/GI Sac 2024 A nurse is teaching self-management to a client who has hepatitis B. Which of the following Instructions should the nurse include in the teaching? Rationale: The nurse should instruct the client that clients who contract hepatitis are restricted from donating blood, body organs or tissue for the remainder of their life. A. You may donate blood 6 months after completing the medication regimen. Rationale: Adequate nutrition should be maintained, but protein intake should be moderated when the liver's ability to metabolize protein by-products is impaired. The nurse should recommend a diet high in carbohydrates and moderate in protein and fat. B. Consume a high-protein diet. Rationale: Limiting activity is usually recommended until the symptoms of hepatitis have subsided. The nurse should recommend the client rest frequently throughout the day to reduce the metabolic demands upon the liver and decrease energy demands. C. Rest frequently throughout the day. Rationale: Pain-relief measures may be indicated, but medications that must be metabolized by the liver, such as acetaminophen, are avoided. The nurse should instruct the client to contact his provider before taking any medication, nutritional supplement, vitamin, or herbal preparation.