Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

A client is postoperative following an intermaxillary fixation due to multiple facial fractures. Which type of equipment should be at the client's bedside?

  • A. Wire cutters
  • B. NG tube
  • C. Urinary catheter tray
  • D. IV infusion pump
Correct Answer: A

Rationale: The correct answer is A: Wire cutters. In postoperative intermaxillary fixation, wire cutters are essential at the bedside in case of an emergency airway obstruction or need for immediate removal of the fixation. Wire cutters allow quick access to the airway without causing harm to the client.

B: NG tube is not necessary for postoperative intermaxillary fixation.
C: Urinary catheter tray is not directly related to the client's airway or fixation.
D: IV infusion pump is not specifically required for managing intermaxillary fixation emergencies.

In summary, wire cutters are crucial for ensuring client safety and airway management in postoperative intermaxillary fixation, making it the most appropriate equipment to have at the bedside.

You may also like to solve these questions

Your patient is often fatigued as a result of having anemia. She asks you why she is fatigued. You respond by saying

  • A. Destruction (hemolysis) of the red blood cells.
  • B. Paleness (pallor) of the skin.
  • C. Lack of nutritional intake of essential nutrients, such as iron or B12.
  • D. Decreased oxygen-carrying capability of the blood.
Correct Answer: D

Rationale: Anemia reduces the blood's ability to carry oxygen, leading to fatigue.

Treatment of the patient with appendicitis includes

  • A. Transfusion to replace blood loss.
  • B. Bowel preparation for cleansing.
  • C. Surgical removal of appendix.
  • D. Medications to lower pH within stomach.
Correct Answer: C

Rationale: Surgical removal of the appendix is the definitive treatment for appendicitis.

Which of the following comments should be given first consideration?

  • A. There was a lot of blood and we used three bandages
  • B. He pulled the stick out, just now, because it was hurting him
  • C. The stick was really dirty and covered with mud
  • D. He's a diabetic, so he needs attention right away
Correct Answer: B

Rationale: Pulling out the stick could have caused internal injury, making this the most urgent concern.

Which of the following helps the nurse to identify goals, tailor the teaching plan, and evaluate outcomes?

  • A. Desire to acquire new information.
  • B. Assessment of what the client knows.
  • C. Purpose or reason for mastering skills.
  • D. Restored independence.
Correct Answer: B

Rationale: Assessing the client's existing knowledge provides a foundation for setting realistic goals and tailoring the teaching plan.

The physician has written orders for the client with Excess Fluid Volume. The client's morning assessment includes bounding peripheral pulses, weight gain of 2 pounds, pitting ankle edema, and moist crackles bilaterally. Which order takes priority at this time?

  • A. Weigh client every morning
  • B. Maintain accurate intake and output
  • C. Restrict fluid to 1500 mL per day
  • D. Administer furosemide (Lasix) 40 mg IV push
Correct Answer: D

Rationale: The correct answer is D: Administer furosemide (Lasix) 40 mg IV push. This is the priority because the client is showing signs of fluid volume excess, such as weight gain, pitting edema, and crackles, which indicate fluid overload in the lungs. Furosemide is a loop diuretic that helps to remove excess fluid from the body quickly, making it crucial in managing excess fluid volume in this situation. Weighing the client daily (A) is important but not as urgent as addressing the immediate symptoms of fluid overload. Maintaining accurate intake and output (B) is essential for overall fluid balance but does not address the immediate excess fluid volume. Fluid restriction (C) may be needed in the long term, but immediate intervention with furosemide is necessary to prevent worsening of symptoms and potential complications.

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