ATI LPN
Good Multiple Choice Question About Perioperative Care Questions
Question 1 of 5
A postoperative patient in the PACU has had an open reduction internal fixation of a left fractured femur. Vital signs are blood pressure 87/49 mm Hg, heart rate 100/min sinus rhythm, respirations 22/min, temperature 98.3°F. The Foley catheter has a total amount of 110 mL of clear, yellow urine in the last 4 hours. Which body systems have been assessed by the nurse? (Select all that apply.)
Correct Answer: B
Rationale: Assessed systems include cardiovascular (choice B, BP, HR), respiratory (choice A, respirations), and renal/urinary (choice E, urine output). Neurovascular and integumentary aren't noted. The rationale ties data to systems: BP/HR reflect cardiac status, respirations lung function, urine output kidney perfusion. Nursing monitors these post-ortho surgery for bleeding or shock, ensuring holistic assessment, distinct from unassessed areas.
Question 2 of 5
The preoperative order is lorazepam (Ativan) 1 mg intravenous (IV) now. Which of the following is the most appropriate action for the nurse to take prior to the administration of this medication?
Correct Answer: D
Rationale: Assist the patient to the bathroom to void,' as lorazepam, a sedative, impairs mobility and consciousness, making pre-administration voiding critical unlike 'potassium' (A), unrelated, 'allergy' (B), irrelevant, or 'nausea explanation' (C), incorrect. In nursing, safety precedes sedation; D aligns with NCLEX Perioperative, ensuring bladder emptying reduces intraoperative risks.
Question 3 of 5
Patients who smoke are urged to stop...
Correct Answer: D
Rationale: Smokers should stop at least 60 days before surgery to optimize lung function and healing. Shorter periods 7-10 days , 14 days , 30 days reduce but don't fully mitigate risks. The rationale ties to physiology: smoking impairs oxygenation and wound repair; 6-8 weeks allows ciliary regeneration and carbon monoxide clearance, per surgical guidelines. Nursing educates on this, contrasting shorter cessation's limited benefits, ensuring reduced complications like pneumonia or dehiscence, critical for perioperative success.
Question 4 of 5
Which laboratory result would require immediate intervention by the nurse for the client scheduled for surgery?
Correct Answer: A
Rationale: Potassium 2.4 mEq/L,' as hypokalemia risks arrhythmias under anesthesia, requiring urgent action unlike 'calcium 9.2' (B), normal, 'bleeding time 2' (C), normal, or 'hemoglobin 15' (D), normal. In nursing, electrolyte imbalances prompt intervention; A aligns with NCLEX Perioperative, prioritizing surgical safety.
Question 5 of 5
The safest option for drapes during a laser procedure are?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.