ATIPNCOMPREHENSIVEEXITEXAMCorrectQuestionsAndAnswers1.Thenurseispreparingtoassistthepatientinusingtheincentivespirometer.Whichnursinginterventionshouldthenurseprovidefirst?a.Performhandhygiene.b.Explainuseofthemouthpiece.c.Instructthepatienttoinhaleslowly.d.PlaceinthereverseTrendelenburgposition.ANS:APerforminghandhygienereducesmicroorganismsandshouldbeperformedfirst.Placing the patient in the correct position such as high Fowler’s for the typicalpostoperative patient or reverse Trendelenburg for the bariatric patient would bethenextstepintheprocess.Demonstrationofuseofthemouthpiecefollowedbytheinstruction toinhaleslowlywouldbethelaststepinthisscenario.2.Thenurseandthenursingassistivepersonnel(NAP)arecaringforagroupofpostoperativepatientswhoneedturning,coughing,deepbreathing,incentivespirometer,andlegexercises.WhichtaskwillthenurseassigntotheNAP?a.Teachpostoperativeexercises.b.Donothingassociatedwithpostoperativeexercises.c.Documentinthemedicalrecordwhenexercisesarecompleted.d.Informthenurseifthepatientisunwillingtoperformexercises.ANS:DThenursecandelegatetotheNAPtoencouragepatientstopracticepostoperativeexercises regularly after instruction and to inform the nurse if the patient isunwillingtoperformtheseexercises.The skillsofdemonstratingandteachingpostoperativeexercisesanddocumentingarenotwithin the scope of practice for the nursing assistant. Doing nothing is notappropriate.3.Thenurseisprovidingpreoperativeteachingfortheambulatorysurgerypatientwho willbehaving acystremovedfromtherightarm.Whichwillbethebestexplanationfordietprogressionaftersurgery?
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