ATI MEDICAL SURGICAL RESPIRATORY EXAM
NEWEST ACTUAL EXAM COMPLETE ALL 70
QUESTIONS AND CORRECT DETAILED ANSWERS
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A nurse is reinforcing preoperative teaching with a client
who is to undergo a pneumonectomy. The client states, "I
am afraid it will hurt to cough after the surgery." Which of
the following statements should the nurse make?
a. after the surgeon removes the lung you will not need to
cough
b. It will make sure you get a cough suppressant to keep
you from straining the incision when you cough
c. don't worry; you will have a pump that delivers pain
medication as you need it, so you will have very little pain
d. i will show you how to splint your incision while
coughing - Answer-d. "I will show you how to splint your
incision while coughing."
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Explanation:
a and b. Will need to cough to clear secretions from
remaining lung
c. pain medicaiton reduces pain to tolerable level; however
doesn't necessarily keep the client pain freed; additionally
telling the client not to worry is a communication barrier
that provide false hope
d. splinting while coughing, will still allow the patient to
clear secretions from remaining lung; and allow them to
splint the incision and reduce pain while coughing
A nurse is caring for a client who has a tracheostomy with
an inflated cuff in place. Which of the following findings
indicates that the nurse should suction the clients airway
secretions?
a. client is unable to speak
b. client's airway secretions were last suctioned 2 hrs ago
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c. client's coughs and expectorates a large mucous plug
d. nurse asuculates coarse crackles in lung fields -
Answer-d. The client has coarse crackles in the lung fields.
Explanation:
a. they will not be able to speak
b. should assess every 2 hrs and then suction as
necessary
c. productive cough is good sign, suction only when client
is not able to cough and expectorate secretions
d. coarse crackles or ronchi identify a moist cough, hear or
see secretions in trachesostomy tube and then suction the
client's airway secretions
A nurse is assisting with discharge teaching for a client
who is postoperative following a rhinoplasty. Which of the
following instructions should the nurse include?