2024 ATI MED SURG
MASTERY
;PERIOPERATIVE NCLEX
EXAM WITH QUESTIONS
AND RATIONLESS
VERIFIED ANSWERS
A nurse is providing preoperative teaching to a client who
is scheduled for a gastrectomy in 1 week. The client is
anxious about the surgery. Which of the following is an
appropriate action for the nurse to take?
a. sympathize with client's feelings
b. reassure the client that the surgery will go fine
c. change the subject
d. provide concise, factual information - CORRECT
ANSW-: d. provide concise, factual information
- allows open communication and gives the nurse the
opportunity to dispel client's fears
INCORRECT
a. sympathize- not therapeutic
b. reassurances- FALSE reassurance
c. Change topic- blocks communication
A nurse is providing preoperative teaching for a client.
Which of the following prescribed medications should the
nurse instruct the client to discontinue 48 hr prior to the
surgery?
a. furosemide
b. digoxin
c. prednisone
d. warfarin - CORRECT ANSW-: d. warfarin
- anticoagulant stop 36-42 hr b4 surgery
INCORRECT:
a. furosemide: high ceiling loop diuretic
b. digoxin- antiarrythmic
c. prednisone- corticosterioud
A,B,C are not contraindicated before surgery
A nurse is reviewing the medical record of a client who is
to undergo general anesthesia. What should the nurse
report to the provider?
a. potassium level 2.8 mEq/L
b. Sodium level 140 mEq/L
c. INR 1.5
d. BUN 12 mg/dL - CORRECT ANSW-a. potassium level
2.8 mEq/L
lower than normal range
risk for cardiac dysrhythmias
Normal ranges:
a. K: 3.5-5.0 mEq/L
b. Na : 135-145 mEq/L
c. INR: 1.1 or below; 2-3
d. BUN: 7-20 mg/dL
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