ATI RN
ATI Nur232g Pediatrics Final Exam Questions
Extract:
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy.
Question 1 of 5
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following statement should the nurse plan to take to prevent aspiration?
Correct Answer: A
Rationale:
Correct
Answer: A - Withhold fluids until the client demonstrates a gag reflex.
Rationale:
1. After a tonsillectomy, the client may have a decreased gag reflex, increasing the risk of aspiration.
2. By withholding fluids until the gag reflex returns, the nurse can prevent the client from aspirating fluids into the lungs.
3. It is crucial to ensure the client's ability to protect their airway before resuming oral intake.
Summary of Incorrect
Choices:
B. Placing a humidifier does not directly address the risk of aspiration.
C. Chest physiotherapy is not indicated for preventing aspiration post-tonsillectomy.
D. Suctioning the nasopharynx as needed may not address the underlying risk of aspiration and could potentially cause harm if done inappropriately.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
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Rationale:
Question 5 of 5
Correct Answer:
Rationale: