ATI RN Targeted Medical Surgical Respiratory
Online Practice 2019
1.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-pres- sure alarm to sound.
2.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." Stuvia.com - The Marketplace to Buy and Sell your Study Stuvia.com - The Marketplace to Buy and Sell your StudyMaterial
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.
3.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 appendec- tomy
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 Stuvia.com - The Marketplace to Buy and Sell your Study Stuvia.com - The Marketplace to Buy and Sell your StudyMaterial
cholecystec- tomy: A client who is 48 hr postoperative following a total
hip arthroplasty Stuvia.com - The Marketplace to Buy and Sell your Study Stuvia.com - The Marketplace to Buy and Sell your StudyMaterial
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.
4.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
Online Practice 2019
1.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-pres- sure alarm to sound.
2.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." Stuvia.com - The Marketplace to Buy and Sell your Study Stuvia.com - The Marketplace to Buy and Sell your StudyMaterial
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.
3.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 appendec- tomy
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 Stuvia.com - The Marketplace to Buy and Sell your Study Stuvia.com - The Marketplace to Buy and Sell your StudyMaterial
cholecystec- tomy: A client who is 48 hr postoperative following a total
hip arthroplasty Stuvia.com - The Marketplace to Buy and Sell your Study Stuvia.com - The Marketplace to Buy and Sell your StudyMaterial
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.
4.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
