ATI RN Targeted Medical Surgical: Respiratory Onli
ATI RN Targeted Medical Surgical: Respiratory Onli
ATI RN Targeted Medical Surgical: Respiratory Onli
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ATI RN Targeted Medical Surgical:
Respiratory Online Practice 2024/30
Questions and Answers
a nurse is caring for a client who's receiving mechanical ventilation when the
low-pressure alarm sounds. which of the following situations should the
nurse recognize as a possible cause of the alarm?
A.) Excess secretions
B.) Kinks in the tubing
C.) Artificial airway cuff leak
D.) Biting on the endotracheal tube - -artificial airway cuff leak
rationale:
An artificial airway cuff leak interferes with oxygenation and causes the low-
pressure alarm to sound.
-a nurse is providing discharge teaching to a client who has a temporary
tracheostomy. which of the following statements by the client indicates an
understanding of the teaching?
A.) "Ringing in the ears is an adverse effect of this medication."
B.) "Have your skin test repeated in 4 months to show a positive result."
C.) "Expect your urine and other secretions to be orange while taking this
medication."
D.) "Remember to take this medication with a sip of water just before your
first bite of each meal." - -"I should remove the old twill ties after the new
ties are in place."
rationale:
As a safety measure, the nurse should teach the client to wait until the new
ties are in place to remove the old ties. This practice can prevent accidental
decannulation.
-a nurse is caring for 4 clients. which of the following clients is at greatest
risk for a pulmonary embolism?
A.) A client who is 48 hr postoperative following a total hip arthroplasty
B.) A client who is 8 hr postoperative following an open surgical
appendectomy
C.) A client who is 2 hr postoperative following an open reduction external
fixation of the right radius
, D.) A client who is 4 hr postoperative following a laparoscopic
cholecystectomy - -A client who is 48 hr postoperative following a total hip
arthroplasty
rationale:
The nurse should identify that a client who has undergone a total hip
arthroplasty surgery is at greatest risk for a pulmonary embolus because of
decreased mobility of the affected extremity and an increased amount of
blood clots forming in the veins of the thigh following hip surgery. Deep-vein
thromboses are most likely to occur 48 to 72 hr following the arthroplasty.
The nurse should intervene to reduce the risk by applying sequential
compression devices or antiembolic stockings and by administering
anticoagulant medications.
-a nurse is caring for a newly admitted client who has emphysema. the
nurse should place the client in which of the following positions to promote
effective breathing?
A.) Lateral position with a pillow at the back and over the chest to support
the arm
B.) High-Fowler's position with the arms supported on the overbed table
C.) Semi-Fowler's position with pillows supporting both arms
D.) Supine position with the head of the bed elevated to 15° - -High-Fowler's
position with the arms supported on the overbed table
rationale:
The nurse should place the client in a position that allows for greater
expansion of the chest, such as sitting upright and leaning slightly forward
while supporting both arms with pillows for comfort on the overbed table.
-a nurse is caring for a client who has asthma and is receiving albuterol. for
which of the following adverse effects should the nurse monitor the client?
A.) Hyperkalemia
B.) Dyspnea
C.) Tachycardia
D.) Candidiasis - -Tachycardia
rationale:
The nurse should monitor the client for tachycardia, which is a common
adverse effect of this medication, especially if the client uses albuterol on a
regular basis.
-a nurse is preparing a client for discharge following a bronchoscopy with
the use of moderate sedation. the nurse should identify that which of the
following assessments if the priority?
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