Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

A client with asthma is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?

  • A. Hypoglycemia
  • B. Hypertension
  • C. Polyuria
  • D. Oral candidiasis
Correct Answer: D

Rationale: The correct answer is D: Oral candidiasis. Fluticasone is a corticosteroid inhaler that can cause oral candidiasis as a common adverse effect due to its immunosuppressive properties. The step-by-step rationale is: 1. Fluticasone is a corticosteroid. 2. Corticosteroids can suppress the immune system. 3. Immunosuppression can lead to oral candidiasis. Other choices are incorrect because: A: Hypoglycemia is not a common adverse effect of fluticasone. B: Hypertension is not typically associated with fluticasone use. C: Polyuria is not a common side effect of fluticasone.

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Paralytic ileus may occur as a postoperative complication. Which of the following patients would you be most concerned about the development of paralytic ileus?

  • A. Kim, a 27-year-old postlaparoscopic appendectomy.
  • B. Joyce, a 39-year-old post–open right hemicolectomy.
  • C. Nancy, a 56-year-old postmediastinoscopy.
  • D. John, a 47-year-old post–total joint replacement.
Correct Answer: B

Rationale: Paralytic ileus is more common after abdominal surgeries, particularly those involving bowel manipulation, such as an open right hemicolectomy. Joyce is at the highest risk due to the nature of her surgery.

What strategies could decrease the distress of rotating shifts for nurses (select all that apply)?

  • A. Take a brief onsite nap
  • B. Use sleep hygiene practices
  • C. Sleep just before going to work
  • D. Maintain consistent sleep/wake schedules even on days off (if possible)
Correct Answer: A

Rationale: The correct answers are A, B, and D. Brief naps (A), sleep hygiene (B), and consistent schedules (D) improve adaptation to shift work. Sleeping just before work (C) can worsen sleep quality.

What does progression of patients through various phases of care in a postanesthesia care unit (PACU) primarily depend on?

  • A. Condition of patient
  • B. Type of anesthesia used
  • C. Preference of surgeon
  • D. Type of surgical procedure
Correct Answer: A

Rationale: Patient condition dictates the progression through PACU phases, ensuring appropriate care levels.

Which complications are related to anorexia nervosa?

  • A. Premature wrinkles
  • B. Vitamin excess
  • C. Stress fractures in spine or hip
  • D. Fluid overload
Correct Answer: C

Rationale: Severe weight loss weakens bones, increasing the risk of stress fractures in weight-bearing areas like the spine and hips.

Why may it pose a challenge to supplement or restrict dietary consumption when providing health-related education to clients from culturally diverse populations?

  • A. Cultural beliefs about food may conflict with dietary recommendations.
  • B. Clients may prefer traditional healers over modern medicine.
  • C. Language barriers may hinder understanding.
  • D. All of the above.
Correct Answer: A

Rationale: Cultural beliefs significantly influence dietary habits, requiring sensitivity and adaptation in health education.

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