NUR 206 FINAL EXAM QUESTIONS AND ANSWERS (ALREADY GRADED A+)
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Course
NUR 206
Institution
NUR 206
NUR 206 FINAL EXAM QUESTIONS AND ANSWERS (ALREADY GRADED A+)NUR 206 FINAL EXAM QUESTIONS AND ANSWERS (ALREADY GRADED A+)NUR 206 FINAL EXAM QUESTIONS AND ANSWERS (ALREADY GRADED A+)
The nurse in the PACU performs postsurgical assessments on the newly admitted patient every _________ minutes. - ANSW...
NUR 206 FINAL EXAM QUESTIONS AND
ANSWERS (ALREADY GRADED A+)
The nurse in the PACU performs postsurgical assessments on the newly admitted
patient every _________ minutes. - ANSWER-every 15 minutes
A patient is on postoperative day 2 after a nephrectomy. What is the most effective way
to increase her peristalsis? - ANSWER-Ambulation
A patient is transferred from the operating room to the recovery room after undergoing
an open reduction and internal fixation (ORIF) of his left ankle. Which is the first
assessment to make? - ANSWER-Check airway for patency.
A postoperative patient who had a left inguinal hernia repair is ready for his discharge
instructions. Which information should the nurse provide? (Select all that apply.) -
ANSWER-- Care of the wound site and any dressings
- When he may operate a motor vehicle
- Signs and symptoms to report to the physician
- Actions and side effects of any medications
Anti-embolic stockings are in place on the obese post surgical patient. Which statement
accurately describes the standard of care in regards to anti-embolic stockings? -
ANSWER-should be removed approximately 20 minutes every shift.
Frequent assessment of a postoperative patient is essential. What is one of the first
signs and symptoms of hemorrhage? - ANSWER-Restlessness
The nurse educates the postsurgical patient about which potential effect of smoking on
postsurgical recovery? - ANSWER-Delayed healing
The nurse is caring for a 90-year-old postoperative patient whose oxygen saturation is
frequently dropping below 90%. Which age-related change is most likely related to this
finding? - ANSWER-weakened respiratory muscles
The nurse is caring for a patient during the first postoperative day. Which goal works to
prevent atelectasis and is most appropriate for the nursing care plan? - ANSWER-
Patient will "huff-cough" every 2 hours
The nurse is caring for a patient following abdominal surgery. The patient asks the
nurse when he will be able to eat a normal diet. Which response is best? -
ANSWER-"Once you have bowel sounds and are passing gas, you may have clear
liquids, and your diet will be advanced based upon your tolerance."
,The nurse is caring for a patient who had spinal anesthesia. Which drink is the best
choice for the nurse to offer the patient? - ANSWER-Tea
The nurse is caring for a surgical patient who complains of excessive gas. Which action
should the nurse take? - ANSWER-Ambulate the patient in the hall.
The nurse is educating the patient about vitamins and wound healing. The nurse
explains that which vitamin will enhance wound healing the most? - ANSWER-Vitamin
C
The nurse is performing a neurological assessment on a patient who was just
transferred from the PACU following abdominal surgery. Which action(s) correctly
demonstrate(s) knowledge of a neurological assessment? (Select all that apply.) -
ANSWER-- Asking the patient to identify where he is.
- Noting if the patient can identify the sensation of touch.
- Asking the patient to move his arms and legs.
- Assessing the patient's pupils for response to light.
What are the purposes of preoperative medication? (Select all that apply.) - ANSWER--
To reduce anxiety
- To decrease mucus secretion
- To counteract nausea
- To synergize anesthesia
What is the ideal time for preoperative teaching? - ANSWER-1 to 2 days before the
surgery when anxiety is not as high
What is the responsibility of the nurse as a witness to informed consent? - ANSWER-
Verify/obtain the patient's signature
When the patient asks the nurse to make sure no one sees her with her dentures out,
the nurse recognizes the common preoperative fear of: - ANSWER-loss of control
Prior to administering the preoperative medication of Demerol and atropine, the nurse
should confirm that: - ANSWER-Verify that a consent form is signed
The nurse is performing the Aldrete scoring system. Which factor(s) must be assessed?
(Select all that apply.) - ANSWER-- Activity
- Circulation
- Level of consciousness
- O2 saturation
- Respiration
The PACU nurse is caring for a semiconscious patient immediately following abdominal
surgery. The nurse correctly places the patient in which position? - ANSWER-Lateral
, The PACU nurse is caring for an unconscious patient. Assessment reveals diminished
breath sounds bilaterally. Which action should the nurse take? - ANSWER-Document
"diminished breath sounds in both lower lobes."
The patient is brought into PACU still unconscious. What should the nurse do when the
nurse assesses an oral temperature of 94° F? - ANSWER-Cover with a warm blanket
The postoperative nursing intervention that would be contraindicated for a 45-year-old
patient who has had a repair of a cerebral aneurysm and is presenting signs of
increased intracranial pressure (ICP) would be: - ANSWER-coughing every 2 hours
When the postoperative patient complains of sudden chest pain combined with
dyspnea, cyanosis, and tachycardia, the nurse recognizes the signs of: - ANSWER-
pulmonary embolus
Which action is most important for the nurse to take prior to ambulating the postsurgical
patient for the first time? - ANSWER-Raise the head of the bed
Which of the following early postoperative observations should be reported
immediately? - ANSWER-"Coffee ground" emesis
While turning a patient who had a bowel resection yesterday, the wound eviscerated.
What is the initial nursing intervention? - ANSWER-Apply a warm, moist normal saline
sterile dressing.
During the course of surgery, the patient exhibits tachycardia, diaphoresis, and rising
body temperature. The priority intervention by the circulating nurse is to: - ANSWER-
Alert the anesthesiologist and surgeon immediately.
In which situation might surgery be delayed? - ANSWER-The patient is still taking
anticoagulants
The nurse clarifies the difference between regional anesthesia and procedural sedation
anesthesia. Which statement about procedural sedation anesthesia is true? - ANSWER-
Procedural sedation anesthesia uses both intravenous (IV) sedation and regional
anesthesia
The nurse is caring for a patient who has just been given medication to reverse
neuromuscular blocking agents. The nurse is aware that the patient is in which general
anesthetic stage? - ANSWER-Emergence
The nurse is caring for a patient who has received epoetin alfa (Epogen) 2 to 3 weeks
prior to a scheduled surgery. The nurse understands that this patient will likely: -
ANSWER-not require a blood transfusion during surgery
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