Ati Adult Medical Surgical 2019 Revised 2023//2024 Answered Correctly

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. - ANSWER 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. 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? 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." - ANSWER 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. 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 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. - ANSWER 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. 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." C)"Practice breath-holding." D)"Perform arm-reaching exercises." - ANSWER B)"Consume a diet that is high in calories." Dyspnea decreases energy available for eating. Therefore, the nurse should encourage the client to eat soft, high-calorie and high-protein foods to prevent weight loss. A nurse is providing teaching about dietary options for a client who has cholelithiasis. Which of the following statements should the nurse include in the teaching