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COA test 1 Exam/195 Answered Questions
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COA test 1 Exam/195 Answered Questions
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COA test 1 Exam/195 AnsweredQuestions
What should a nurse first assess when receiving a patient postop? - -
Respiratory status -The first set of vital signs for a postop patient may be delegated to the nurse aid. T or F? - -False- RN should take first set of VS -How often should the nurse encourage TCDB after surgery? - -Every 2 hrs -What are possible complications a nurse should assess for in a postop patient? - -Pneumonia, DVT, shock, cardiac/respiratory arrest, clotting, bleeding, infection, PE -What is the first thing a nurse should asses for in a patient admitted to the PACU? - -Patent airway, adequate gas exchange -The patient's O2 sat should be above ____ postop. If it drops by 10%, what action should the nurse take? - -95%, call Rapid Response -A nurse has just received a postop patient whose respiratory rate is 9 breaths per minute. What may this indicate? - -Anesthetic or opioid induced respiratory depression. -A nurse notices a postop patient has snoring breath sounds and stridor. What should the nurse assess for? - -Airway obstruction -Check the lungs at least every ____ hrs after surgery the first 24 hrs, then every _____ hrs - -4
8 -A nurse's elderly patient has been postop for 24 hrs and has still not regaining a full LOC. What action should the nurse take? - -Reassure family members that postop confusion/delirium should resolve within a day or two -A patient has only voided once during the nurse's shift with an output of 20 mL. What action should the nurse take? - -Report to the surgeon -What is the best indicator that a patient may be developing postop pneumonia? - -Temperaute -A nurse is assessing a postop patient and notices their H&H levels are low, they have a decreased BP, seem to be pale, and complain of feeling dizzy. What action should the nurse take? - -Call rapid response- pt is bleeding -Why might an older adult be prescribed low dose oxygen therapy for the first 12-24 hrs after surgery? - -They are at risk for developing hypoxemia due to a lower O2 sat. Helps reduce confusion and sedation from anesthesia -When a patient is admitted to the PACU, what position should they immediately be placed in? - -Semi-fowler's -Why should a nurse help the patient turn/ambulate at least every 2 hrs? - -
Helps to reduce risk for pulmonary complication, increases circulation, decreases risk for DVT -A nurse is responding to a call light for a patient who is postop from an abdominal surgery. When entering the room, she sees the patient holding his
abdomen and sees that the internal organs are protruding through. What action should the nurse take? - -Cover the wound with gauze and sterile saline (if immediately available), if not cover with gauze until help arrives. Have another nurse call for help while you stay with the patient, place patient in supine position and monitor VS for signs of shock -After giving a patient an opioid analgesic for pain, what should the nurse monitor for? - -Hypotension, respiratory depression, nausea, vomiting, constipation, effectiveness (within 5-10 mins) -What adjustments should a patient make in their diet in order to promote wound healing? - -Increase protein, calories, and Vit C -Which patient is at the greatest risk for delayed wound healing?
A. 12 yr old girl B. 47 yr old obese man with DM
C. 46 yr old smoker
D. 97 year old healthy man - -B. Diabetes and obesity contribute to slow wound healing -When conducting a postop assessment, which should be done first?
A. O2 sat
B. Breathing pattern
C. Pain level
D. LOC - -B -A patient is 7 days postop and has serosanguinous drainage at the wound site. The nurse ensures him that this is a normal finding. Is this a correct or incorrect intervention? - -Incorrect- new drainage 7 days after surgery indicates complications -A patient should urinate within at least _____ hrs after surgery - -8 hrs -A characteristic of G6PD anemia is-
A. Increased RBC destruction
B. Increased RBC production
C. Decreased RBC production
D. Blood loss - -A. -A postop pt is being DC with oxycodone HCl with acetiminophin. What instruction would a nurse NOT include in DC instructions?
A. Do not take more pills a day than you are prescribed
B. You shouldn't drive while taking this med
C. Eat a diet high in fiver and drink plenty of water
D. If this med gives you diarrhea, loperamide can help - -D. -For a pt. with idiopathic thrombocytopenia purpura, what intervention would a student nurse anticipate providing?
A. Corticosteroids as first line treatment with stool softeners
B. Administer 1 unit of platelets
C. Corticosteroid therapy as first line treatment and teach pt to TCDB
D. Aspirin and other pain meds - -A -During graft-versus-host-disease, what is occurring?
A. Pts. cells are rejecting donor's cells
B. Donor's cells are attacking pts.
C. Client's cells are fighting for dominance - -B. -What interventions should a nurse provide for a pt with thrombocytopenia?
A. Initiate fall precautions and provide dental floss instead of a soft bristled toothbrush for oral care
B. Avoid giving injections or suppositories unless necessary
C. Asses pts distal pulses and limit visitors - -B -An etiologic charact. of pernicious anemia is
A. Decreased RBC prod
B. Blood loss
C. Increased RBC prod
D. Increased RBC destruction - -A.- deficient in Vit. B12 which is necessary to
make RBCs -Signs of iron-deficiency anemia include- - -Dyspnea and tachycardia
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