ATI MEDICAL SURGICAL PROCTORED EXAM 2024 WITH NGN QUESTIONS AND VERIFIED ANSWERS

ATI MEDICAL SURGICAL PROCTORED EXAM 2024 WITH NGN QUESTIONS AND VERIFIED ANSWERS A nurse is caring for a client immediately following extubation. Which of the following manifestations indicates that the nurse should call the rapid response team? A. Stridor B. Coughing C. Hoarseness D. Extensive oral secretions - A. Stridor - The nurse should identify that stridor (a high-pitched crowing sound heard during inspiration) is caused by laryngeal edema and can indicate impending airway obstruction. The nurse should call the rapid response team for assistance before the airway becomes completely obstructed. - B: The nurse should encourage the client to cough after extubation to help clear the secretions. Coughing can be an early manifestation of obstruction, but it does not require the rapid response team - C: Hoarseness is expected after extubation and can last several days - D: Extensive oral secretions are an expected finding after extubation. The nurse should monitor these secretions for indications of potential airway obstruction. A nurse is caring for an older adult client who has chronic obstructive pulmonary disease (COPD) with pneumonia. The nurse should monitor the client for which of the following acid-base imbalances? A. Respiratory alkalosis B. Respiratory acidosis C. Metabolic alkalosis D. Metabolic acidosis - B. Respiratory acidosis - Respiratory acidosis is a common complication of COPD. This occurs because clients who have COPD are unable to exhale carbon dioxide due to a loss of elastic recoil in the lungs. - A: Respiratory alkalosis occurs when a client exhales too much carbon dioxide. Clients who hyperventilate often experience this complication. - C: Metabolic alkalosis occurs when a client has an excess of bicarbonate. Clients who use bicarbonate of soda as an antacid are at a risk for developing metabolic alkalosis. Excessive vomiting also places a client at risk for developing metabolic alkalosis. - D: Metabolic acidosis occurs when a client has a decrease in bicarbonate. Clients wh