ATI Medical Surgical Exam 10

Extract:

Question 1 of 5

The nurse is caring for a client in the post anesthesia care unit (PACU) who underwent a thoracotomy two hours ago. The nurse observes the following vital signs: heart rate 140 beats/minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most important for the nurse to implement?

A. Administer intravenous fluid bolus as prescribed by the healthcare provider. B. Apply oxygen at 10 L via non-rebreather mask and monitor pulse oximeter. C. Medicate for pain and monitor vital signs according to protocol. D. Encourage the client to splint the incision with a pillow to cough and deep breathe.

Correct Answer: B

Rationale: Elevated heart and respiratory rates suggest respiratory distress post-thoracotomy. Applying oxygen and monitoring saturation addresses this critical issue.

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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Similar Questions

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ATI Medical Surgical Exam 10 | Nurselytic

Nurselytic

ATI RN

ATI RN