Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

When should discharge planning begin for a patient in a tertiary-care facility?

  • A. On the day of admission
  • B. After the acute crisis is resolved
  • C. When the physician writes the discharge order
  • D. When the patient demonstrates readiness to discuss posthospitalization needs
Correct Answer: A

Rationale: Rationale:
A: Discharge planning should begin on the day of admission to ensure a smooth transition. This early start allows for comprehensive assessment and coordination of post-discharge needs.
B: Waiting until after the acute crisis is resolved may lead to rushed planning and potential gaps in care.
C: Discharge planning should not solely rely on the physician's discharge order as it may not address all aspects of the patient's needs.
D: Patient readiness is important, but starting planning early ensures sufficient time for assessment and interventions.

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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.

The nurses on a unit are planning for stoma care for clients who have a stoma for fecal diversion. Which stomal diversion poses the highest risk for skin breakdown:

  • A. Ileostomy.
  • B. Transverse colostomy.
  • C. Ileal conduit.
  • D. Sigmoid colostomy.
Correct Answer: A

Rationale: Ileostomies produce more caustic effluent, increasing skin irritation risk.

What is the first symptom to occur in hypovolemia?

  • A. Hypotension
  • B. Thirst
  • C. Central venous pressure below 2 to 3 mmHg
  • D. Urine specific gravity high
Correct Answer: B

Rationale: Thirst is the earliest indicator of hypovolemia, as the body signals the need for fluid replacement before more severe signs like hypotension develop.

Steve, who is diagnosed with pneumonia following recent intrathoracic surgery, will likely be prescribed

  • A. Cephalosporin, such as cefazolin.
  • B. Penicillin, such as amoxicillin.
  • C. Fluoroquinolone, such as levofloxacin.
  • D. Tetracycline, such as doxycycline.
Correct Answer: A

Rationale: Cephalosporins are commonly used antibiotics for treating post-surgical pneumonia.

Seven tasks required for daily living with chronic illness have been identified. From Table 5-4, select at least one of these tasks that would specifically apply to the following common chronic conditions in older adults.

  • A. Diabetes mellitus
  • B. Visual impairment
  • C. Heart disease
  • D. Hearing impairment
Correct Answer: A

Rationale: Each chronic condition requires specific daily living tasks: Diabetes involves monitoring blood sugar; visual impairment may require adaptive techniques; heart disease necessitates lifestyle modifications; hearing impairment might involve using assistive devices.

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