Practice Question
A nurse is caring for a toddler who is 24 hours postoperative following a cleft palate repair. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Apply bilateral wrist restraints.
Rationale:
♦️ Wrist restraints prevent the toddler from injuring the surgical site.
♦️ Cleft palate repair is delicate, and preventing finger or object insertion is critical.
♦️ Restraints should be checked hourly for skin integrity and circulation.
♦️ Soft diets and straws are contraindicated postoperatively to avoid suction pressure.
♦️ Pain should be managed, but restraint placement is immediate priority for safety.
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This question is from RN Capstone Exam 1 which contains 107 questions.
More Questions from This Exam
A nurse is caring for a client who develops an airway obstruction from a foreign body but remains conscious. Which of the following actions should the nurse take first?
Answer Choices:
A. Perform a blind finger sweep.
B. Turn the client to the side.
C. Insert an oral airway.
D. Administer the abdominal thrust maneuver.
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Answer Choices:
A. Hypophosphatemia
B. Hyperkalemia
C. Hypercalcemia
D. Hypernatremia
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
Answer Choices:
A. Exophthalmos
B. Photophobia
C. Lethargy
D. Weight loss
A nurse is caring for a client who has acute respiratory distress syndrome (ARDS) and requires mechanical ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes?
Answer Choices:
A. Induce sedation.
B. Suppress respiratory effort.
C. Decrease chest wall compliance.
D. Decrease respiratory secretions.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4