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Care of Postoperative Patients Questions With Complete Solutions
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Care of Postoperative Patients Questions With Complete Solutions
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Care of Postoperative Patients Questions With CompleteSolutions
A 49-year-old patient is in the PACU following a frontal
crainotomy for repair of a ruptured cerebral aneurysm. The
nurse assesses hat the patients eyes open on verbal stimulation.
Pupils are equal, reactive to light, and diameter is 3 mm. The
patient's hand grasps are equal and strong. When the nurse asks
the patient to state name, the patient states name correctly. The
patient has had one episode of nausea and vomiting. Incision
edges are dry and approximated with sutures. Lung sounds are
slightly diminished per auscultation and the nurse observed the
patient is using abdominal accessory muscles to breathe. Which
body systems has the nurse assessed? (select all that apply)
a. Cardiovascular
b. Gastrointestinal
c. Neurologic
d. Integumentary
e. Respiratory Correct Answers b. Gastrointestinal
c. Neurologic
d. Integumentary
e. Respiratory
A client experiences abdominal distention following surgery.
Which nursing actions are appropriate? (select all that apply)
A. Encouraging ambulation
B. Giving sips of ginger ale
C. Auscultating bowel sounds
D. Providing a straw for drinking
,E. Offering the prescribed opioid analgesic Correct Answers A.
Encouraging ambulation
C. Auscultating bowel sounds
A client is extubated in the post anesthesia care unit after
surgery. For which common response should the nurse be alert
when monitoring the client for acute respiratory distress?
A. Restlessness
B. Bradycardia
C. Constricted pupils
D. Clubbing of the fingers Correct Answers A. Restlessness
A client reports severe pain 2 days after surgery. Which initial
action should the nurse take after assessing the character of the
pain?
A. Encourage rest
B. Obtain the vital signs
C. Administer the pen analgesic
D. Document the client's pain response Correct Answers B.
Obtain the vital signs
A nurse in the post anesthesia care unit (PACU) observes that
after an abdominal cholecystectomy a client has
serosanguineous drainage on the abdominal dressing. What is
the next nursing action?
A. Change the dressing
B. Reinforce the dressing
C. Replace the tape with Montgomery ties.
D. Support the incision with an abdominal binder Correct
Answers B. Reinforce the dressing
, A nurse in the surgical intensive care unit is caring for a client
with a large surgical incision. What medication does the nurse
anticipate will be prescribed for this client?
A. Vitamin A (Aquasol A)
B. Cyanocobalamin (Cobex)
C. Phytonadione (Mephyton)
D. Ascorbic acid (Ascorbicap) Correct Answers D. Ascorbic
acid (Ascorbicap)
A nurse is applying a dressing to a client's surgical wound using
sterile technique. While engaging in this activity, the nurse
accidentally places a moist sterile gauze pad on the cloth sterile
field. What physical principle is applicable for causing the
sterile field to become contaminated?
A. Dialysis
B. Osmosis
C. Diffusion
D. Capillarity Correct Answers D. Capillarity
A nurse is caring for a postoperative client who had general
anesthesia during surgery. What independent nursing
intervention may prevent an accumulation of secretions?
A. Postural drainage
B. Cupping the chest
C. Nasotracheal suctioning
D. Frequent changes of position Correct Answers D. Frequent
changes of position
A nurse is preparing to change a client's dressing. What is the
reason for using surgical asepsis during this procedure?
A. Keeps the area free of microorganisms
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