ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
13-year-old 2 days post-operative from laparoscopic appendectomy, 37.1°C, pain 3/10, diminished breath sounds in lower lobes.
Question 1 of 5
The nurse is caring for a 13-year-old who is 2 days post-operative from a laparoscopic appendectomy. Upon assessment, the nurse notes the following vital signs: 37,1°C (98.8°F), a pain rating of 3 out of 10, and breath sounds are diminished in the lower lobes. What action should the nurse take first?
Correct Answer: D
Rationale: The correct action is to encourage the use of an incentive spirometer (
Choice
D). This is the first priority as the diminished breath sounds in the lower lobes indicate possible atelectasis, a common post-operative complication. Using an incentive spirometer helps prevent atelectasis by promoting deep breathing and lung expansion, improving oxygenation. This intervention is crucial in preventing respiratory complications in the post-operative period. Maintaining prone positioning (
Choice
A) is not appropriate in this scenario as it does not address the respiratory issue. Requesting a white blood cell count (
Choice
B) is not the priority unless there are signs of infection. Administering acetaminophen (
Choice
C) for pain relief is important but not the first priority.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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