ATI PN Adult Medical Surgical 2020 with NGN II | Nurselytic

Questions 71

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ATI PN Adult Medical Surgical 2020 with NGN II Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

Correct Answer: B

Rationale: Sitting in a straight-backed chair maintains proper hip alignment and prevents excessive flexion, reducing the risk of prosthesis dislocation.

Question 2 of 5

A nurse is caring for a client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report?

Correct Answer: C

Rationale: Red streaks along the incision suggest cellulitis, a bacterial infection requiring immediate reporting to prevent complications.

Question 3 of 5

A nurse is contributing to the plan of care for a client who has heart failure. Which of the following actions should the nurse include in the plan?

Correct Answer: D

Rationale: Allowing frequent rest periods helps manage fatigue and prevent overexertion in clients with heart failure, who often have reduced cardiac output and exercise tolerance.

Question 4 of 5

A nurse is caring for a client in hospice care who is dying. The client's partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse?

Correct Answer: D

Rationale: Sitting quietly near the bedside offers emotional support and acknowledges the natural process of increased sleep in end-of-life care.

Question 5 of 5

A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Placing the client in high-Fowler's position is the first action to improve oxygenation by maximizing lung expansion, addressing the immediate issue of impaired gas exchange caused by the pulmonary embolism.

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