ATI Detailed Answer Key Medical Surgical - Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Perform pre-oxygenation prior to suctioning. In this scenario, the increase in heart rate and irregularity could be due to hypoxia resulting from suctioning. Pre-oxygenation helps to ensure adequate oxygenation before the procedure, preventing hypoxia-induced dysrhythmias. By providing oxygen before suctioning, the nurse can minimize the risk of further complications.


Choice A (Obtain a cardiology consult) is incorrect because immediate action is required to address the potential hypoxia, which can be managed by pre-oxygenation.


Choice B (Suction the client less frequently) is incorrect as it does not address the immediate concern of potential hypoxia leading to dysrhythmias.


Choice C (Administer an antidysrhythmic medication) is incorrect as it is not the initial intervention needed in this situation; addressing the underlying cause of potential hypoxia is essential before considering antidysrhythmic medications.

Correct Answer: C

Rationale: Splinting minimizes movement and discomfort during the procedure.

Correct Answer: A

Rationale: Suctioning temporarily reduces oxygen levels, necessitating careful monitoring.

Correct Answer: D

Rationale: The correct answer is D. Airway obstruction and hemorrhage are critical complications to monitor after UPPP. Snoring (
A) may persist initially, infection (
B) is less common, and voice loss (
C) is rare.

Correct Answer: D

Rationale: Smoking cessation significantly reduces the risk of respiratory diseases.