Module 9 UPDATED Exam Questions and CORRECT Answers only
5 views 0 purchase
Course
Module 9
Institution
Module 9
Module 9 UPDATED Exam Questions and
CORRECT Answers only
A client who has undergone abdominal surgery calls the nurse and reports that she just felt
"something give way" in the abdominal incision. The nurse checks the incision and notes the
presence of wound dehiscence. The nurse immediately...
Module 9 UPDATED Exam Questions and
CORRECT Answers only
A client who has undergone abdominal surgery calls the nurse and reports that she just felt
"something give way" in the abdominal incision. The nurse checks the incision and notes the
presence of wound dehiscence. The nurse immediately takes which action? - Correct Answer-
Covers the abdominal wound with a sterile dressing moistened with sterile saline solution
A client who just returned from the recovery room after a tonsillectomy and adenoidectomy is
restless and her pulse rate is increased. As the nurse continues the assessment, the client
begins to vomit a copious amount of bright-red blood. Which is the immediate nursing
action? - Correct Answer- Notify the surgeon
A client who has just undergone surgery suddenly experiences chest pain, dyspnea, and
tachypnea. The nurse suspects that the client has a pulmonary embolism and immediately
takes which action? - Correct Answer- Administering oxygen by way of nasal cannula
A nurse is assessing a client who has a closed chest tube drainage system. The nurse notes
constant bubbling in the water seal chamber. What actions should the nurse take? Select all
that apply. - Correct Answer- Assessing the system for an external air leak
Documenting assessment findings, actions taken, and client response
A nurse is helping a client with a closed chest tube drainage system get out of bed and into a
chair. During the transfer, the chest tube is caught on the leg of the chair and dislodged from
the insertion site. The immediate priority on the part of the nurse is which action? - Correct
Answer- Covering the insertion site with a sterile occlusive dressing
A nurse performing nasopharyngeal suctioning and suddenly notes the presence of bloody
secretions. The nurse should take which action first? - Correct Answer- Check the degree of
suction being applied.
A nurse is suctioning a client through a tracheostomy tube. During the procedure, the client
begins to cough, and the nurse hears a wheeze. The nurse tries to remove the suction catheter
from the client's trachea but is unable to do so. The nurse would take which action first? -
Correct Answer- Disconnect the suction source from the catheter.
, A nurse assesses the closed chest tube drainage system of a client who underwent lobectomy
24 hours ago. The nurse notes that there has been no chest tube drainage for the past hour.
The nurse first performs which action? - Correct Answer- Checks for kinks in the drainage
system
A nurse is monitoring a postoperative client on an hourly basis. The nurse notes that the
client's urine output for the past hour was 25 mL. On the basis of this finding, the nurse takes
which action first? - Correct Answer- Checks the client's overall intake and output record
A nurse is getting a client out of bed for the first time since surgery. The nurse raises the head
of the bed, and the client complains of dizziness. Which action should the nurse take first? -
Correct Answer- Lowering the head of the bed slowly until the dizziness is relieved
A nurse is preparing for intershift report when a nurse's aide pulls an emergency call light in a
client's room. Upon answering the light, the nurse finds a client who returned from surgery
earlier in the day experiencing tachycardia and tachypnea. Which action should the nurse take
first? - Correct Answer- Administering oxygen at the prescribed rate
A nurse is monitoring the chest tube drainage system of a postoperative client who has
undergone a right upper lobectomy. The closed drainage system contains 300 mL of bloody
drainage, and the nurse notes intermittent bubbling in the water seal chamber. One hour after
the initial assessment, the nurse notes that the bubbling in the water seal chamber is now
constant, and the client appears dyspneic. On the basis of these findings, the nurse should
assist with data collection by examining which aspect first? - Correct Answer- The chest tube
connections
A client recovering from surgery has a large abdominal wound. Which of the following foods,
high in vitamin C, should the nurse encourage the client to eat as a means of promoting
wound healing? - Correct Answer- Oranges
A nurse is caring for a client who has just regained bowel sounds after undergoing surgery.
The health care provider has prescribed a clear liquid diet for the client. Which of the
following items does the nurse ensure is available in the client's room before allowing the
client to drink? - Correct Answer- Suction equipment
A client in the postanesthesia care unit has an as-needed prescription for ondansetron. Which
occurrence would prompt the nurse to administer this medication to the client? - Correct
Answer- Nausea and vomiting
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
