what is the most important assessment for a patient post op to monitor for complications
Logo

Nursing Elites

ATI RN

ATI RN Exit Exam Test Bank

1. What is the most important assessment for a patient post-op to monitor for complications?

Correct answer: A

Rationale: The correct answer is to monitor vital signs. Post-operative patients need close monitoring of their vital signs to detect early signs of complications such as changes in blood pressure, heart rate, temperature, and respiratory rate. While monitoring the surgical site is also important for signs of infection, assessing vital signs takes precedence as it provides immediate information about the patient's overall condition. Checking blood glucose levels may be essential for specific patients but is not the primary assessment for monitoring post-op complications. Checking for abnormal breath sounds is important but falls secondary to monitoring vital signs as it indicates respiratory issues rather than providing a comprehensive assessment of the patient's condition.

2. A nurse is teaching a client who has a new prescription for clopidogrel. Which of the following statements should the nurse include?

Correct answer: B

Rationale: The correct statement the nurse should include when teaching a client taking clopidogrel is to monitor for signs of infection. Clopidogrel affects platelet levels and can increase the risk of bleeding. Monitoring for signs of infection is crucial because a compromised immune system can make the client more susceptible to infections. Choices A, C, and D are incorrect because clopidogrel is not directly linked to alcohol restrictions, food requirements, or specific water intake instructions.

3. A client with a new diagnosis of Crohn's disease is being taught about dietary management by a nurse. Which of the following instructions should the nurse include?

Correct answer: C

Rationale: The correct instruction the nurse should include is to advise the client to eat small, frequent meals to reduce symptoms of Crohn's disease. This eating pattern can help manage symptoms by reducing the workload on the digestive system. Choice A is incorrect because foods high in fiber can aggravate symptoms in Crohn's disease. Choice B is incorrect because not all individuals with Crohn's disease need to avoid dairy products, and it is not a universal recommendation. Choice D is incorrect because increasing whole grains may not be suitable for everyone with Crohn's disease, as it can worsen symptoms in some cases.

4. What is the initial step when a patient is experiencing chest pain?

Correct answer: A

Rationale: Administering oxygen is the initial step in managing chest pain. Oxygen helps improve oxygenation levels in the blood, which is crucial in cases of chest pain. Repositioning the patient, providing pain relief, or administering nitroglycerin may be necessary steps depending on the underlying cause, but administering oxygen takes precedence as it addresses the primary concern of oxygen supply to the body during chest pain.

5. A nurse is assessing a client who has just received an opioid medication. Which of the following findings should the nurse monitor first?

Correct answer: D

Rationale: When a client receives an opioid medication, the nurse should first monitor for respiratory depression as it is a life-threatening adverse effect associated with opioids. This can lead to inadequate ventilation and hypoxia, requiring immediate intervention. Constipation, drowsiness, and orthostatic hypotension are also common side effects of opioids but are not as immediately life-threatening as respiratory depression.

Similar Questions

A nurse is teaching a client who has heart failure about managing fluid intake. Which of the following instructions should the nurse include?
A nurse is caring for a client who is 1 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take?
A nurse is caring for a client with schizophrenia. Which of the following assessment findings should the nurse expect?
A nurse is caring for a client who has severe preeclampsia. Which of the following interventions should the nurse include in the plan of care?
A client receiving morphine via patient-controlled analgesia (PCA) should have naloxone administered if their respiratory rate is below 10/min. What action should the nurse take?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses