A client is considering laser abdominal surgery and asks the nurse if there is any advantage in having this type of surgery. The nurse's response should be based upon the knowledge that laser surgery:

Correct Answer: A

Rationale: A lower postoperative infection rate has been documented as a result of laser therapy versus routine surgery. Clients who choose laser surgery will still need preoperative sedation to facilitate anxiety reduction. Operating time may actually increase in some laser surgeries. The client who chooses laser surgery must still be observed for postoperative complications.

Correct Answer: B

Rationale: Cathartics, not antibiotics, promote the evacuation of intestinal contents. The client undergoing intestinal surgery is at an increased risk for infection from large numbers of anaerobic bacteria that inhabit the intestines. Administering antibiotics prophylactically can reduce the client's risk for infection. Antibiotics are indicated in the treatment of infections and have no effect on emotions. Antibiotics would have an effect on an infection which causes a temperature elevation, but they would not directly affect the temperature elevation.

Correct Answer: C

Rationale: An adult Valium dosage for treatment of anxiety is 2-10 mg PO from two to four times daily. As written, the order would place a client at risk for an overdose. A high room temperature could increase the hyperventilating episodes by stimulating the respiratory system. Holding one's breath and breathing into a paper bag may be useful in controlling hyperventilation. Both measures increase CO2 retention. Distraction will not prevent or control hyperventilation, which is caused by anxiety or fear.

Correct Answer: A

Rationale: In the context of the Medical Surgical ATI Proctored Exam, option A) An advanced practice nurse and an experienced LPN/LVN is the most appropriate team for the assignment. This choice is correct because it pairs a highly skilled and knowledgeable advanced practice nurse with an experienced LPN/LVN, combining expertise and clinical experience to ensure comprehensive and effective patient care. Option B) An experienced LPN/LVN and an inexperienced RN is not the best choice as the inexperienced RN may lack the necessary skills and knowledge to effectively collaborate with the experienced LPN/LVN, which could compromise patient care and outcomes. Option C) An experienced RN and an inexperienced RN is not ideal as it lacks the diversity of skills and experience needed to address complex medical-surgical cases effectively. Pairing two inexperienced RNs may lead to gaps in knowledge and skills that could impact patient safety. Option D) An experienced RN and a nursing assistant is not the most appropriate choice as the nursing assistant does not have the level of training and expertise required to collaborate effectively with an experienced RN in managing complex medical-surgical assignments. Educationally, understanding the importance of effective interdisciplinary collaboration and leveraging the strengths of each team member is crucial in providing high-quality patient care. By choosing the most appropriate team composition, healthcare professionals can enhance patient outcomes and promote a positive working environment.

Correct Answer: B

Rationale: In the context of a medical emergency, especially in the setting of the Medical Surgical ATI Proctored Exam, establishing unresponsiveness is the crucial initial step. This is because determining if the patient is unresponsive dictates the subsequent actions required for their care. By assessing unresponsiveness first, healthcare providers can promptly initiate life-saving interventions if needed. Performing the chin lift or jaw thrust maneuver (Option A) is important for airway management but should only be done after confirming unresponsiveness. If a patient is responsive, such maneuvers may not be necessary and could potentially cause harm. Initiating cardiopulmonary resuscitation (CPR) (Option C) is an essential intervention in a cardiac arrest situation; however, it should follow the assessment of unresponsiveness. If CPR is started on a patient who is responsive, it can be harmful and even dangerous. Calling for help and activating the code team (Option D) is an important step in managing a critical situation, but it should come after confirming unresponsiveness and initiating appropriate interventions. Without first establishing unresponsiveness, delays in providing necessary care could occur, potentially impacting patient outcomes. In an educational context, understanding the sequence of actions in an emergency situation is vital for healthcare providers to provide safe and effective care. By prioritizing the steps based on the patient's condition, providers can ensure they are following evidence-based practices and protocols to optimize patient outcomes.