ATI LPN
LPN Comprehensive Predictor 2023 Questions
Extract:
Postoperative Day 3
0900:
Client reports pain at surgical incision site as 5 on a scale of 0 to 10. Client reports bladder fullness. Perineal dressing Intact with minimal serosanguinous drainage. Client transferring out of bed to chair independently. Extremities cool and dry with 2+peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain as 8 on a scale of 0 to 10. Urinary catheter intact with 100 mL/hr of pink urine.
Question 1 of 5
Select the 2 actions the nurse should prepare to take for the client.
| Encourage prolonged dangling before ambulation. |
| Administer an enema. |
| Encourage oral fluid intake. |
| Irrigate indwelling catheter with 500 mL of fluid. |
| Assist the client with a sitz bath. |
Correct Answer: C,E
Rationale: Encourage oral fluid intake: Hydration softens stool and prevents constipation. Assist the client with a sitz bath: Promotes perineal relaxation and healing.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
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Question 4 of 5
Correct Answer:
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Question 5 of 5
Correct Answer:
Rationale: