ATI RN
ATI Nurs 100 Fundamentals Quiz Questions
Extract:
Medical History
Type 2 diabetes mellitus
Obesity (BMI 32)
Peripheral vascular disease (PVD)
Heart failure
Hypertension
Nurses Notes
0800:
Client awake, alert, and oriented x 3. Moves all extremities to command. Febrile.
Normal sinus rhythm. Bilateral pedal pulses +1 bilaterally.
Respirations unlabored. Oxygen at 2L via nasal cannula in use. Crackles heard bilaterally upon auscultation. Reminded client to turn, cough, and deep breathe; and importance of splinting abdomen when coughing to protect surgical incision. Client verbalized understanding.
Bowel sounds x 4 quadrants active. Reports bowel movement yesterday. Tolerating regular diet with no nausea/vomiting
States voiding without difficulty, clear yellow urine. Voided 750 mL over last 8 hr.
Dressing to incision intact with serosanguinous drainage noted and marked.
1000:
Client out of bed to chair with the assist of 1. Medicated with hydromorphone 1 tablet PO prior to abdominal dressing change.
1100:
Client up walking in room, assisted back to bed. Abdominal dressing changed. Incision with top edges slightly separated; lower edges approximated. Lower staples intact, upper staples appear stretched out. incision with redness and purulent drainage present.
Question 1 of 5
A nurse is caring for a client who had abdominal surgery 3 days ago. Select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ------------------ and--------------------- and -------------------
Correct Answer: A,B,C
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: D, E.
Rationale:
1. Wound infection (
A) is a common complication post-abdominal surgery due to the breach in skin integrity, leading to microbial invasion.
2. Dehiscence (
B) refers to the partial or total separation of wound layers, increasing the risk of infection and delayed healing.
3. Pneumonia (
C) can occur due to decreased mobility post-surgery, leading to secretion retention and respiratory complications.
4. Delirium (
D) may result from postoperative pain, medications, or electrolyte imbalances, affecting the client's cognition.
5. Malnutrition (E) can hinder the body's healing process and immune response, predisposing the client to infections and delayed recovery.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: