ATI PN Management Online Practice 2025 B, Answers Explained-The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals are the nurse trying to achieve? (Select all that apply.)
a. Induc
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ATI PN Management Online Practice 2025 B, Answers Explained-The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals are the nurse trying to achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
c. Induce pressure ulcers.
d. Reduce cardiacarrests.
e.Reduce surgical site infection. - b. Reduce blood loss
d. reduce cardiac arrests
e. reduce surgical site infection
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of hypothermia.Prevention of hypothermia (core temperature < 36° C) helps to reduce complications such as shivering, cardiac arrest, blood loss, SSI, pressure ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to decrease wound infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
d. Perform first dressing change 2 days postoperatively.
e. Perform hand hygiene before and after contact with the patient.
f. Administer antibiotics within 60 minutes before surgical incision. - a. maintain normoglycemia
e. perform hand hygiene before and after contact with the patient.
Performing hand hygiene before and after contact with the patient helps to decrease the number of microorganisms and break thechain of infection. Maintaining blood glucose levels at less than 150 mg/dL has resulted in decreased wound infection. Removingunwanted hair by clipping instead of shaving decreases the numbers of nicks and cuts caused by a razor and the potential for the introduction of microbes. The patient is postoperative; administration of an antibiotic 60 minutes before the surgical incisionsupports the defense against infection preoperatively. Providing a bath and linen change daily is positive but is not necessarily important for infection control. Many surgeons prefer to change surgical dressings the first time so they can inspect the incisional area, but this is done before 2 days postoperatively.
A nurse is assigned the following four clients for the current shift. Which of the following clients should thenurse assess first? - A client who has a C diff infection and needs a stool specimen collected.
The nurse is participating in a "time-out." In which activities will the nurse be involved? (Select all that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
Performtheactualmarkingoftheoperativesite. - a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
A time-out is performed just before starting the procedure for final verification of the correct patient, procedure, site, and any implants. The marking and time-out most commonly occur in the holding area, just before the patient enters the OR. The individual performing surgery and who is accountable for it must personally mark the site, and the patient mustbe involved if possible.
A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min. Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client's physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort - A. notify the nursing supervisor about the issues.
The mother of a client with breast cancer states, it's been hard for her, especially after losing her hair. And it has been difficult to pay for all the treatments. Which of the following actions is appropriate for client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother's concerns.
D. The nurse suggests counseling for the client's body image issues. - A. The nurse investigates potential resources to help the client purchase wig.
Which of the following items must be discarded in a biohazard waste receptacle?
A. A urinary catheter drainage bag from a client who is post-opt
B. A bed sheet from a client with bacterial pneumonia
C. A perineal pad from a client who is 24-hr post-vaginal delivery
D. An empty IV bagremoved from a client who has HIV - D. An empty IV bag removed from a client who has HIV.
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