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Fundamentals Proctored Exam|44 Q and A
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- Fundamentals Proctored Exam|44 Q And A
Fundamentals Proctored Exam|44 Q and A
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Fundamentals Proctored Exam|44 Q andA
There are discharge criteria for clients in the postanesthesia care unit (PACU)
regardless of the type of anesthesia used and additional criteria for specific
types of anesthesia. Which is the criterion specific for the client who has
received spinal anesthesia? - -Motor and sensory function returns
-A client is admitted to the postanesthesia care unit. Which nursing action is
most important during the client's stay in this unit? - -Suctioning mucus from
respiratory passages
-A postoperative client is transferred back to the surgical unit with an
abdominal dressing and a Penrose drain. Which is the most important
nursing action associated with caring for a client with a Penrose drain? - -
Changing the soiled dressing carefully
-A client has abdominal surgery. Which should the nurse do to best assess
for a sign of postoperative ileus in this client after surgery? - -Identify the
time of the first bowel movement
-Four days after abdominal surgery, while being transferred from a bed to a
chair, a client says to a nurse, "My incision feels funny all of a sudden."
Which should the nurse do first? - -Place the client in the low-Fowler position
-Which factor places a client at the highest risk for postoperative nausea
and vomiting after receiving general anesthesia? - -Obesity
-On the second postoperative day after an above-the-knee amputation, the
client's elastic dressing accidentally comes off. Which should the nurse do
first? - -Wrap the residual limb with an elastic compression bandage
-A nurse is caring for a postoperative client. Which action is effective in
preventing postoperative urinary tract infections? - -Drinking an adequate
amount of fluid d4. increasing the intake of citrus fruit juices
-A client received conscious sedation during a colonoscopy. Which should
the nurse expect regarding the client's experience with this procedure? - -
Client will be sleepy but able to follow verbal commands
-Which client having emergency surgery should the nurse anticipate to be at
the highest risk for postoperative mortality? - -Individual who has alcoholism
, -A nurse is caring for a client who had an abdominal hysterectomy. Which
intervention best prevents postoperative thrombophlebitis? - -Leg exercises
10 times per hour when awake
-An obese client has abdominal surgery for removal of the gallbladder.
Which should the nurse be most concerned about if exhibited by the client? -
-Shallow breathing
-A client arrives in the postanesthesia care unit. Which is the most important
information that the nurse needs to know? - -Type and extent of the surgery
-Which client responses best support the decision to discharge the client
from the postanesthesia care unit? - -Sao, of 95%, vita signs stable for 30
minutes, active gag reflex
-How many days after surgery should the nurse anticipate that a
postoperative client will begin to exhibit signs and symptoms of a wound
infection if it should occur? - -Third day
-A nurse is assessing a client who had spinal anesthesia. For which common
response should the nurse assess the client? - -Headache
-A hospitalized client who has been receiving medications via a variety of
routes for several days is scheduled for surgery at 10 a.m. Which should the
nurse plan to do on the day of surgery? - -Obtain directions from the primary
health care provider regarding the medications
-Which is the most common dietary prescription the nurse can anticipate
after a client who had abdominal surgery exhibits a return of intestinal
peristalsis? - -Clear liquids
-A nurse compares the advantages and disadvantages of a central venous
catheter inserted into a peripheral vein and a central venous catheter
inserted into a subclavian vein. Which of the following does the nurse
conclude is the reason why a peripheral catheter is more desirable? - -
Because it will not cause a tension pneumothorax
-A nurse is caring for a client who had abdominal surgery. Which type of
incisional drainage should the nurse expect 4 hours after surgery? - -
Serosanguineous wound drainage
-A nurse is assessing a postoperative client. Which client response identified
by the nurse indicates altered renal perfusion? - -Oliguria
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