ATI EXAM zm
Exam Solution zm
ATI RN Targeted Medical Surgical Respiratory Online 2
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026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND V
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ERIFIED ANSWERS (BC887) zm zm
QUESTION 1 zm
A nurse is caring for a client who has pneumonia. Which of the following actions shou
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ld the nurse perform prior to the bronchoscopy? Select the 3 actions that the nurse s
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hould take. Administer ceftriaxone. Check the client's gag reflex. Verify informed cons
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ent. Initiate NPO status. Administer atropine. Initiate oxygen.
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ANSWER
Verify informed consent; initiate NPO status; administer atropine When taking action prior to the br
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onchoscopy, the nurse should initiate NPO status for 4 to 8 hr to prevent aspiration during the proc
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edure when the client's cough reflex will be blocked. The nurse should verify that the provider has
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obtained informed consent and administer prescribed preoperative medications. Atropine is often giv
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en pre-procedure to prevent aspiration of secretions and anesthesia-related bradycardia.
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QUESTION 2 zm
A nurse is caring for a client who is 1 hr. postoperative following a thoracentesis. Whi
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ch of the following is the priority assessment finding? Pallor Insertion site pain Persis
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tent cough Temperature 37.3° C (99.1° F)
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ANSWER
Persistent cough When using the airway, breathing, circulation approach to client care, the nurse sh
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ould determine that the priority finding is a persistent cough because this can indicate a tension pn
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eumothorax, which is a medical emergency. zm zm zm zm zm
QUESTION 3 zm
A nurse is assessing a client who is 4 hr. postoperative following a total laryngectomy.
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Which of the following findings is the priority for the nurse to report to the provider
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? Bleeding at the surgical site Decreased oxygen saturation Urinary retention Increase
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d pain level
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Exam Solution zm
ATI RN Targeted Medical Surgical Respiratory Online 2
zm zm zm zm zm zm zm
026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND V
zm zm zm zm zm zm zm
ERIFIED ANSWERS (BC887) zm zm
QUESTION 1 zm
A nurse is caring for a client who has pneumonia. Which of the following actions shou
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ld the nurse perform prior to the bronchoscopy? Select the 3 actions that the nurse s
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hould take. Administer ceftriaxone. Check the client's gag reflex. Verify informed cons
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ent. Initiate NPO status. Administer atropine. Initiate oxygen.
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ANSWER
Verify informed consent; initiate NPO status; administer atropine When taking action prior to the br
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onchoscopy, the nurse should initiate NPO status for 4 to 8 hr to prevent aspiration during the proc
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edure when the client's cough reflex will be blocked. The nurse should verify that the provider has
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obtained informed consent and administer prescribed preoperative medications. Atropine is often giv
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en pre-procedure to prevent aspiration of secretions and anesthesia-related bradycardia.
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QUESTION 2 zm
A nurse is caring for a client who is 1 hr. postoperative following a thoracentesis. Whi
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ch of the following is the priority assessment finding? Pallor Insertion site pain Persis
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tent cough Temperature 37.3° C (99.1° F)
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ANSWER
Persistent cough When using the airway, breathing, circulation approach to client care, the nurse sh
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ould determine that the priority finding is a persistent cough because this can indicate a tension pn
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eumothorax, which is a medical emergency. zm zm zm zm zm
QUESTION 3 zm
A nurse is assessing a client who is 4 hr. postoperative following a total laryngectomy.
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Which of the following findings is the priority for the nurse to report to the provider
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? Bleeding at the surgical site Decreased oxygen saturation Urinary retention Increase
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d pain level
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