ATI Detailed Answer Key Medical Surgical

ATI Detailed Answer Key Medical Surgical Related

Review ATI Detailed Answer Key Medical Surgical related questions and content

A client is 12 hours postoperative and has a chest tube to a disposable water-seal drainage system with suction. The healthcare provider should intervene for which of the following observations?

  • A. Constant bubbling in the suction-control chamber
  • B. Continuous bubbling in the water-seal chamber
  • C. Bloody drainage in the collection chamber
  • D. Fluid-level fluctuations in the water-seal chamber
Correct Answer: B

Rationale: The correct answer is B: Continuous bubbling in the water-seal chamber. Continuous bubbling in the water-seal chamber indicates an air leak in the system, which can lead to lung collapse. The water-seal chamber should have intermittent bubbling during exhalation but should not bubble continuously. Constant bubbling in the suction-control chamber (A) is expected and indicates proper suction is being applied. Bloody drainage in the collection chamber (C) is common in the immediate postoperative period. Fluid-level fluctuations in the water-seal chamber (D) can be normal due to changes in intrathoracic pressure.

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What does the nurse give priority to assessing immediately following Mr. Singer’s total laryngectomy?

  • A. Elimination patterns
  • B. Level of pain
  • C. Gag reflex
  • D. Respiratory status
Correct Answer: D

Rationale: Respiratory status is critical due to the altered airway anatomy.

A female postoperative client has returned to the Unit following a pneumonectomy. In assessing the client's incision, twenty-four hours postoperatively, the nurse notices fresh blood on the dressing. The nurse should first:

  • A. reinforce the dressing.
  • B. continue to monitor the dressing.
  • C. notify the physician.
  • D. note the time and amount of blood.
Correct Answer: C

Rationale: The dressing should not be reinforced without notifying the physician. The physician may decide to reinforce the dressing after assessing the amount of bleeding. Blood on the dressing is unusual, which should alert the nurse to do more than monitor the dressing. The physician should be notified immediately. If the bleeding persists, the client may need to return to surgery. The time and amount of blood needs to be recorded, but only after the physician is notified.

Describe the purpose and side effects of beta-adrenergic blocking agents.

  • A. High blood pressure
  • B. Increased heart rate
  • C. Decreased oxygen supply
  • D. Muscle relaxation
Correct Answer: B

Rationale: The correct answer is B because it is the most appropriate response based on physiological and medical principles.

A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?

  • A. Erikson.
  • B. Maslow.
  • C. Rogers.
  • D. Watson.
Correct Answer: D

Rationale: Jean Watson's theory emphasizes the importance of caring in nursing.

While teaching a client about their medications, the client asks how long it will take before the effects of lithium take place. What is the best response of the nurse?

  • A. Immediately.
  • B. Several days.
  • C. 2 weeks.
  • D. 1 month.
Correct Answer: C

Rationale: Lithium typically takes 2 weeks to show therapeutic effects.

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