ATI Detailed Answer Key Medical Surgical

ATI Detailed Answer Key Medical Surgical Related

Review ATI Detailed Answer Key Medical Surgical related questions and content

While providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medications to manage discomfort, which of the following desired effects of medications should the nurse identify as most important for the client's recovery?

  • A. It decreases the client's level of anxiety.
  • B. It facilitates the client's deep breathing.
  • C. It enhances the client's ability to sleep.
  • D. It reduces the client's blood pressure.
Correct Answer: B

Rationale: The correct answer is B because facilitating the client's deep breathing is crucial post-CABG surgery to prevent complications such as atelectasis and pneumonia. Deep breathing helps improve lung expansion and oxygenation, promoting healing and preventing respiratory issues.

A: While decreasing anxiety is important for overall well-being, it is not directly related to the client's recovery post-CABG surgery.
C: Enhancing sleep is beneficial for healing, but it is not as critical as ensuring proper respiratory function in the immediate postoperative period.
D: While reducing blood pressure may be desirable in some cases, it is not the most important effect to focus on post-CABG surgery; maintaining adequate oxygenation through deep breathing takes precedence.

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Which communication technique will help a nurse communicate with clients who do not speak English?

  • A. Repeat the question without changing words.
  • B. Look at the translator when asking questions.
  • C. Speak slowly,using simple words and short sentences.
  • D. Refer to an English or foreign language dictionary for bilingual words.
Correct Answer: C

Rationale: Speaking slowly and using simple language improves comprehension for non-native speakers.

Why might a client receive a central venous catheter?

  • A. Client is receiving 0.9 normal saline
  • B. Client is receiving total parenteral nutrition (TPN)
  • C. Client is receiving short-term IV therapy
  • D. Client has had one infiltrated IV
Correct Answer: B

Rationale: The correct answer is B because TPN requires a central venous catheter due to the high osmolarity of the solution.

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.

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.

6. What is the rationale behind many nurses advocating complementary and alternative therapies?

  • A. They promote self-care and self-determination by patients.
  • B. They are congruent with a view of humans as holistic beings.
  • C. They are less expensive for patients than conventional therapies.
  • D. They cause few adverse effects while achieving positive outcomes.
Correct Answer: B

Rationale: Many nurses advocate CAM because it aligns with a holistic view of health, considering physical, emotional, and spiritual aspects, as stated in option B.

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