ATI Learning System PN Medical Surgical Final Quizlet

Correct Answer: D

Rationale: Warfarin should be discontinued around one week before elective surgery to decrease the likelihood of excessive bleeding during the procedure. This allows adequate time for the effects of warfarin to diminish and reduces the risk of perioperative bleeding complications.

Correct Answer: B

Rationale: Increasing sharp pain related to compartment syndrome necessitates immediate intervention as it may lead to permanent damage to muscles and nerves. Compartment syndrome is a serious condition that requires urgent medical attention to prevent further complications such as tissue necrosis and nerve injury.

Correct Answer: A

Rationale: The correct preparation for a paracentesis in a patient with cirrhosis and ascites includes having the patient void immediately before the procedure. This is important to reduce the risk of bladder puncture during the paracentesis. Positioning for a paracentesis is typically upright or semi-Fowler's, not flat in bed. Administering a full liquid diet or encouraging ambulation for 30 minutes are not directly related to preparing a patient for a paracentesis procedure.

Correct Answer: D

Rationale: The nurse's priority action in this situation is to notify the healthcare provider immediately. These symptoms, including severe pain, swelling, warmth, and redness in the leg, are indicative of deep vein thrombosis (DVT), a potentially serious condition. Prompt notification of the healthcare provider is crucial to initiate appropriate diagnostic tests and interventions to prevent complications associated with DVT.

Correct Answer: A

Rationale: Right upper quadrant pain is a hallmark symptom of cholecystitis, indicating inflammation of the gallbladder. The gallbladder is typically located in the right upper quadrant of the abdomen, so pain in this area is characteristic of cholecystitis. This pain may be sharp or cramp-like and can be accompanied by other symptoms such as nausea, vomiting, and fever.