Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

A healthcare provider is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the provider place at the client's bedside?

  • A. Bag valve mask device
  • B. Defibrillator machine
  • C. Chest tube equipment
  • D. Central venous catheter tray
Correct Answer: A

Rationale: The correct answer is A: Bag valve mask device. In the PACU, a client who received a competitive neuromuscular blocking agent may have impaired respiratory function. Placing a bag valve mask device at the bedside is crucial for providing immediate respiratory support if needed. This device allows manual ventilation in case of respiratory distress.

Summary:
- Choice B: Defibrillator machine is not necessary for a client receiving a competitive neuromuscular blocking agent.
- Choice C: Chest tube equipment is not typically needed for this situation.
- Choice D: Central venous catheter tray is not directly related to the respiratory support required for a client with impaired respiratory function.

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Following chemotherapy, a patient is being closely monitored for tumor lysis syndrome. Which laboratory value requires particular attention?

  • A. Platelet count.
  • B. Electrolytes.
  • C. Hemoglobin.
  • D. Hematocrit.
Correct Answer: B

Rationale: Electrolyte imbalances, particularly hyperkalemia and hyperuricemia, are hallmark features of tumor lysis syndrome and must be closely monitored.

What is the main drawback of the botulism antitoxin that the nurse should be aware of?

  • A. It causes 9% hypersensitivity.
  • B. It requires monthly booster dosages.
  • C. It is not available from the CDC.
  • D. It is not available as a pre-exposure vaccine.
Correct Answer: D

Rationale: The correct answer is D because botulism antitoxin is not available as a preventive vaccine.

Why should the nurse closely monitor older adults when they are receiving IV therapy?

  • A. Because their defense mechanisms are less efficient.
  • B. Because they are prone to fluid overload.
  • C. Because they are prone to increased renal efficiency.
  • D. Because they have inadequate intake of dietary fiber.
Correct Answer: B

Rationale: The correct answer is B because older adults are more susceptible to fluid overload due to decreased kidney function and other physiological changes.

Limited health literacy may be associated with which conditions that lead to health disparities?

  • A. Age
  • B. Place
  • C. Gender
  • D. Race/ethnicity
Correct Answer: A

Rationale: Health literacy issues often correlate with age, place, race/ethnicity, language barriers, and income/education. Gender is less directly tied but still relevant in some contexts.

A healthcare professional is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the healthcare professional administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

  • A. 4 mL
  • B. 6 mL
  • C. 10 mL
  • D. 5.5 mL
Correct Answer: A

Rationale: To determine the mL per dose of albuterol syrup, we need to calculate how many mL contain 1.6 mg of albuterol. Given that 2 mg of albuterol is in 5 mL of syrup, we can set up a proportion:

2 mg / 5 mL = 1.6 mg / x mL

Cross-multiply to solve for x:
2 * x = 1.6 * 5
2x = 8
x = 4 mL

Therefore, the correct answer is A: 4 mL.

Choice B (6 mL) is incorrect because it does not match the calculated value. Choice C (10 mL) is incorrect as it is too high based on the calculation. Choice D (5.5 mL) is incorrect as it does not match the precise calculated value of 4 mL.

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