The client has undergone a bilateral stapedectomy. Which action by the client warrants immediate intervention by the nurse?

Questions 54

ATI LPN

ATI LPN Test Bank

Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions

Question 1 of 4

The client has undergone a bilateral stapedectomy. Which action by the client warrants immediate intervention by the nurse?

Correct Answer: A

Rationale: Ambulating without assistance after surgery can lead to falls and complications; therefore, immediate intervention is necessary.

Question 2 of 4

The client is three (3) days postoperative unilateral adrenalectomy. Which discharge instruction should the nurse teach?

Correct Answer: D

Rationale: Infection monitoring is critical post-surgery; lifelong steroids are only needed after bilateral adrenalectomy.

Question 3 of 4

A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse sees no electrocardiographic complexes on the screen. Which is the priority nursing action?

Correct Answer: C

Rationale: No complexes may indicate lead disconnection; checking the client and leads is the first step.

Question 4 of 4

A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL (54.2 mmol/L). A continuous intravenous (IV) infusion of short-acting insulin is initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240 mg/dL (13.7 mmol/L). The nurse would next prepare to administer which medication?

Correct Answer: C

Rationale: Once blood glucose drops below 250-300 mg/dL in DKA treatment, IV fluids with dextrose are added to prevent hypoglycemia while continuing insulin to correct acidosis. 50% dextrose is for acute hypoglycemia, NPH insulin is not used IV, and phenytoin is unrelated.

Access More Questions!

ATI LPN Basic


$89/ 30 days

ATI LPN Premium


$150/ 90 days

Similar Questions