Exam (elaborations)
Perioperative ATI Questions and Answers 2024
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Exam of 5 pages for the course Perioperative at Perioperative (Perioperative ATI)
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Perioperative ATIA nurse is caring for a client who is preoperative and is asking multiple questions about
the risks of the procedure. Which of the following actions should the nurse take?
1. Explain the risks and benefits of the surgery to the client
2. Ask the surgeon to speak to the client for further clarification
3. Reassure the client that the procedure is necessary for recovery
4. Notify the circulation nurse that the client has questions about the procedure. -
answer2. Ask the surgeon to speak to the client for further clarification. The nurse
should notify the surgeon that the client has questions about the procedure. It is the
responsibility of the surgeon to explain the risks and benefits of the surgery.
1.It is not the nurse's responsibility to explain the risks and benefits of the surgery. The
nurse should verify that the client signs the consent form prior to transfer to surgery.
3. This response dismisses the client's concerns and is an example of false
reassurance.
4. The nurse should verify that the client signs the consent form prior to transfer to
surgery. The circulating nurse is not responsible for explaining the risks and benefits of
the procedure to the client. This action is the responsibility of the surgeon.
A client is transferred from the surgical suite to the PACU following an oral surgery.
while monitoring the client's vital signs, the nurse finds that the client's tongue has
become swollen and is obstructing the airway. Which of the following actions should the
the nurse take first?
1. Contact the anesthesiologist
2. Assist with the endotracheal intubation
3. Increase the client's flow of oxygen
4. Use the head-tilt, chin-lift method to open the airway - answer4. The first action the
nurse should take when using the airway, breathing, circulation approach to client care
is to establish a patent airway by tilting the client's head back and pushing the lower jaw
forward.
1. The nurse should contact the anesthesiologist to provide emergency treatment.
However, there is another action the nurse should take first.
2. The nurse might need to assist with intubation. However, there is another action the
nurse should take first.
3. The nurse might need to increase the client's flow of oxygen to maintain oxygen
saturation at 90% or higher. However, there is another action the nurse should take first.
, A nurse is receiving evening shift report on four clients who returned from the PACU
that morning. Which of the following clients should the nurse assess first?
A nurse is providing preoperative teaching for a client who is scheduled to have a
below-the-knee amputation. Which if the following instructions should the nurse
include?
1. You should avoid lying on your abdomen after surgery
2. Your surgeon might prescribe an antibiotic before surgery
3. It is important for you to sit in a chair at the bedside for several hours every day to
reduce the risk of pneumonia.
4. To promote wound healing, it is important to reduce your intake of carbohydrates
once you return home. - answer2. A client who has a surgical amputation of an
extremity is at risk for infection. Therefore, the provider often prescribes a broad-
spectrum, prophylactic antibiotic to reduce the risk of infection.
1.The nurse should instruct the client that she will be assisted into the prone position
every 3 to 4 hr after surgery to prevent a hip flexion contracture.
3. The client should avoid sitting for long periods of time to reduce the risk of a hip
flexion contracture.
4. A client who is postoperative should increase their intake of carbohydrates and
protein. Calories from carbohydrates are used for energy and ensure that adequate
proteins are available for wound healing.
a Nurse is assessing a preoperative client. The nurse should Identify which of the
following factors reported by the client increases the risk for a postoperative wound
infection.
1. frequent use of echinacea
2. long-term use of corticosteroids
3. history of osteoporosis
4.diet high in vitamin C - answer2. The nurse should identify that the use of
corticosteroids inhibits leukocyte response, which increases the client's risk for infection.
1.The nurse should identify that echinacea is a dietary supplement used to stimulate
immune function. Therefore, it does not increase the client's risk for infection
3. The nurse should identify that a history of osteoporosis increases the client's risk for
bone fracture. However, it does not increase the client's risk for infection.
4. The nurse should identify that a diet high in vitamin C promotes wound healing.
Therefore, it does not increase the client's risk for infection.
A nurse is teaching a client who is in the immediate postoperative period about the use
of a PCA pump. Which of the following statements should the nurse include in the
teaching?
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