Practice Question
A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first?
Answer Choices:
Correct Answer:
Airway patency
Rationale:
🟡 Post-laryngectomy, airway maintenance is the highest priority (ABC principle).
🟡 Edema, bleeding, or mucus plugs can obstruct the airway postoperatively.
🟡 Continuous oxygen saturation monitoring is required.
🟡 Pain and tissue integrity are secondary to ensuring adequate ventilation.
🟡 Early airway compromise can be life-threatening.
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This question is from Smith Chason Los Angeles ATI Med surg exam 2 which contains 41 questions.
More Questions from This Exam
A nurse is teaching a client who has a new diagnosis of aplastic anemia. Which of the following information should the nurse include in the teaching?
Answer Choices:
A. Aplastic anemia results in an inability to absorb vitamin B12.
B. Aplastic anemia results from decreased bone marrow production of RBCs.
C. Aplastic anemia results in an increased rate of RBC destruction.
D. Aplastic anemia is associated with a decreased intake of iron.
A nurse is caring for a client 4 hr following a cardiac catheterization. Which of the following actions should the nurse take?
Answer Choices:
A. Elevate the head of the bed 45".
B. Keep the affected leg slightly flexed.
C. Keep the client NPO for 4 hr.
D. Have the client lie flat in bed.
A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep-vein thrombosis?
Answer Choices:
A. Myringotomy
B. Hip arthroplasty
C. Cataract extraction
D. Laparoscopic appendectomy
A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?
Answer Choices:
A. Smoking cessation
B. Regular moderate exercise
C. Maintenance of ideal weight
D. Annual influenza immunization
A nurse is assessing a client who has postoperative atelectasis and is hypoxic. Which of the following manifestations should the nurse expert?
Answer Choices:
A. Bradypnea
B. Bradycardia
C. Intercostal retractions
D. Lethargy
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4
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