2. When assessing patient with nutritional needs, which patients will r
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equire follow-up from the nurse? (Select all that apply.)
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a. A patient with infection taking tetracycline with milk
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b. A patient with irritable bowel syndrome increasing fiber
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c. A patient with diverticulitis following a high-fiber diet daily
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d. A patient with an enteral feeding
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and 500 mL of gastric residual A
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patient with dysphagia being refe
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rred to a speech-language
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e. pathologist
ANS: A, C, D d d d
The nurse should follow up with the tetracycline, diverticulitis, and enteral fe
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eding. Tetracycline has decreased drug absorption with milk and antacids
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and has decreased nutrient absorption of calcium from binding.
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Nutritional treatment for diverticulitis includes a moderate- or low-
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residue diet until the infection subsides. Afterward, prescribing a high-
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fiber diet for chronic diverticula problems ensues. A patient with a gastri
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c residual volume of 500 mL needs to have the feeding withheld and reas
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sessed for tolerance to feedings. All the rest are normal and expected and
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do not require follow-
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up. Patients manage irritable bowel syndrome by increasing fiber, reduci
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ng fat, avoiding large meals, and avoiding lactose or sorbitol-
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containing foods for susceptible individuals. Initiate consultation with a
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speech-
language pathologist for swallowing exercises and techniques to improv
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e swallowing and reduce risk of aspiration for a patient with dysphagia.
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3. To honor cultural values of patients from different ethnic/religious
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groups, which actions demonstrate culturally sensitive care by the nurs
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e? (Select all that apply.)
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a. Allows fasting on Yom Kippur for a Jewish patient
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b. Allows caffeine drinks for a Mormon patient
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c. Serves no ham products to a Muslim patient
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1
d. Serves kosher foods to a Christian patient
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,e. Serves no meat or fish to a Hindu patient
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ANS: A, C, E d d d
The Jewish religion fasts 24 hours on Yom Kippur and must adhere to kosh
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er food preparation methods. Hinduism requires no meats or fish. Musli
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ms do not eat pork. Mormons do not drink caffeinated or alcoholic drin
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ks.
MULTIPLE CHOICE d
1. The nurse is caring for a surgical patient, when the family member
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asks what perioperative nursing means. How should the nurse respond?
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a. Perioperative nursing occurs in preadmission testing. d d d d d
b. Perioperative nursing occurs primarily i d d d d
n the postanesthesia care unit. Perioperat
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ive nursing includes activities before, du
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ring, and after
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c. surgery.
Perioperative nursing includes activities only during the surgical procedure.
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d.
ANS: C d
Perioperative nursing care occurs before, during, and after surgery.
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Preadmission testing occurs before surgery and is considered preoperati d d d d d d d d
ve. Nursing care provided during the surgical procedure is considered in
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traoperative, and in the postanesthesia care unit, it is considered postope
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rative. All of these are parts of the perioperative phase, but each individu
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al phase does not explain the term completely.
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2. The nurse is caring for a patient who is scheduled to undergo a surgical pr
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ocedure. The nurse is completing an assessment and reviews the patient’s
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laboratory tests and allergies and prepares the patient for surgery. In which perio
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perative nursing phase is the nurse working?
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a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
2
ANS: B d
Reviewing the patient’s laboratory tests and allergies is done before
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, surgery in the preoperative phase. Perioperative means before, during, a
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nd after surgery. Intraoperative means during the surgical procedure in t
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he operating suite; postoperative means after the surgery and could occu
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r in the postanesthesia care unit, in the ambulatory surgical area, or on t
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he hospital unit. d d
3. The nurse is caring for a patient in the postanesthesia care unit. The p
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atient has developed profuse bleeding from the surgical site, and the
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surgeon has determined the need to return to the operative area. How will the nu
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rse classify this procedure?
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a. Major
b. Urgent
c. Elective
d. Emergency
ANS: D d
1) An emergency procedure must be done immediately to save a life or pres
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erve the function of a body part. An example would be repair of a perforat
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ed appendix, repair of a traumatic amputation, or control of internal hemo
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rrhaging. An urgent procedure is necessary for a patient’s health and ofte
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n prevents additional problems from developing. An example would be e
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xcision of a cancerous tumor, removal of a gallbladder for stones, or vasc
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ular repair for an obstructed artery. An elective procedure is performed on
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the basis of the patient’s choice; it is not essential and is not always neces
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sary for health. An example would be a bunionectomy, plastic surgery, or
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hernia reconstruction. A major procedure involves extensive reconstructi
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on or alteration in body parts; it poses great risks to well-
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being. An example would be a coronary artery bypass or colon resection.
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LINKS FOR ALL ATI RESOURCES: d d d d
ATI COMPREHENSIVE PREDICTOR EXAM ( 14 LAT
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EST VERSION ,2021) / COMPREHENSIVE ATI PREDI
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CTOR EXAM / PREDICTOR COMPREHENSIVE ATI d d d d d d
EXAM(A BEST DOCUMENT FOR EXAM) d d d d
3
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