ATI RN
Basic Post-Operative Care of a Patient Questions
Question 1 of 5
Singapore's population is rapidly ageing, it has been estimated that by the year 2030, the population above 65 will reach one million. Many are also living alone because of changing family structures, resulting from personal preferences or unfortunate circumstances or others. From the year 2000 to the year 2014 the elderly population living alone has:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which of the following drugs has the LONGEST duration of action in a patient with renal failure?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse is prescreening a surgical patient in the preadmission testing unit. The medication history indicates that the patient is currently taking an anticoagulant. Which action should the nurse take when consulting with the health care provider?
Correct Answer: B
Rationale: The correct answer is B: Ask for an international normalized ratio (INR). Rationale: 1. Anticoagulants can affect blood clotting, so monitoring the patient's INR level is crucial to assess their clotting ability. 2. INR measures the effectiveness of anticoagulant therapy and helps determine if the patient's blood is clotting appropriately. 3. This information is essential for determining the patient's risk of bleeding during surgery. Summary of Other Choices: A: Asking for a radiological examination of the chest is not directly related to the patient's anticoagulant therapy and surgical preparation. C: Asking for a blood urea nitrogen (BUN) test is not relevant to monitoring the effects of anticoagulants. D: Asking for a serum sodium (Na) test is not necessary for monitoring anticoagulant therapy in this context.
Question 4 of 5
The nurse is caring for a patient in the postanesthesia care unit. The patient asks for a bedpan and states to the nurse, " feel like I need to go to the bathroom, but I can't." Which nursing intervention will be most appropriate initially?
Correct Answer: A
Rationale: The correct answer is A: Assess the patient for bladder distention. This is the most appropriate initial intervention because the patient is experiencing a sensation of needing to urinate but is unable to. Bladder distention is a common issue after surgery due to the effects of anesthesia and reduced mobility. By assessing for bladder distention, the nurse can determine if the patient needs assistance with voiding or if there is a more serious issue such as urinary retention. Encouraging the patient to wait or informing them that this feeling is normal could potentially worsen the situation. Calling the healthcare provider for catheterization should only be done after assessing the patient's bladder status.
Question 5 of 5
While assisting a full-term pregnant female in delivering her newborn, at what point should the paramedic consider suctioning the infant's nose and mouth?
Correct Answer: B
Rationale: The correct answer is B: When the newborn's head is delivered. Suctioning should be done at this point to clear the airway of any fluids or mucus that could obstruct breathing. It is crucial to suction promptly to ensure the newborn's airway is clear for effective breathing. Choice A is incorrect because meconium staining alone is not the sole indicator for suctioning. Choice C is incorrect as delaying suctioning until after the entire delivery can lead to potential airway obstruction. Choice D is incorrect as drying and stimulating the newborn should follow suctioning to ensure a clear airway and proper breathing.