Exam FINAL: NUR206 / NUR 206 (Latest
Update) Community Nursing Concepts | Guide with
Questions and Verified Answers | 100% Correct |
Grade A – Fortis
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.
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
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