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ATI ADULT MEDICAL SURGICAL 2019
1. A nurse is caring for a client who is 24 hr postoperative following a
total hip arthroplasty. Which of the following actions should the nurse
take? A)Place the affected leg in external rotation.
B)Encourage the client to use the incentive spirometer every shift.
C)Instruct the client to lean forward when rising from a chair.
D)Maintain abduction of the affected extremity.: D)Maintain abduction of the
affected extremity.
The nurse should ensure that the affected extremity is in a position of
abduction to prevent hip dislocation. The nurse should place an abductor
pillow or several pillows between the client's legs to keep the affected
extremity in abduction while the client is in bed.
2. A nurse is providing teaching to a client who is scheduled for a
bronchoscopy. Which of the following statements should the nurse
include in the teaching?
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A)"You will not be able to eat or drink after the procedure until you are able
to cough."
B)"You will drink a contrast solution 30 minutes prior to the procedure."
C)"The purpose of this procedure is to remove excess fluid from your
lungs." D)"You will need to lie on your back for 4 to 6 hours following the
procedure.": A)"You will not be able to eat or drink after the procedure until you
are able to cough."
A client who had a bronchoscopy received a local anesthetic that can
suppress the cough reflex. The cough reflex protects the client from
aspirating fluids or food. Therefore, the client should not eat or drink until
the cough reflex returns.
3. A nurse is assessing a client's understanding of a surgical procedure
prior to witnessing their
signature on the informed consent form. The nurse determines that the
client does not
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understand what the procedure will involve. Which of the following
actions should the nurse take?
A)Provide teaching about the surgical procedure for the client.
B)Instruct the client's spouse to sign the consent form.
C)Read the consent form to the client using words the client will
understand.
D)Contact the provider who will be performing the procedure.: D)Contact
the provider who will be performing the procedure.
The nurse should advocate for the client by informing the provider if the
client does not understand the procedure. It is the responsibility of the
provider to discuss the procedure more fully with the client.
4. A nurse is providing discharge teaching to a client who has COPD.
Which of the following instructions should the nurse include in the
teaching? A)"Schedule controlled coughing exercises after meals."
B)"Consume a diet that is high in calories."