Exam (elaborations)
Med-Surg II Ch. 16.
Exam of 10 pages for the course m PEDS at m PEDS (Med-Surg II Ch. 16.)
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Med-Surg II Ch. 16A 72-year-old man who underwent colorectal surgery reports confusion
✅✅
and sleep disturbances. Which priority action should the nurse take while
caring for the patient? - -Reassuring family members that
postoperative delirium will resolve within a day or two
A patient has just undergone a surgical procedure with general
✅✅
anesthesia. Which finding indicates that the patient needs further
assessment in the postanesthesia care unit? - -Snoring sounds
when inhaling
A patient has undergone chest surgery. Which conditions are likely
✅✅
responsible for altered arterial blood gas levels in the patient? Select all
that apply. - -Hypoxemia
Acid-base imbalance
A patient in a medical-surgical unit reports that something popped out
✅✅
from his surgical wound while coughing. Which nursing intervention may
benefit the patient? - -Apply a self-adhesive dressing on the wound
and notifying the surgeon.
✅✅
A patient is administered codeine sulfate for pain. What does the nurse
monitor for in this patient? - -Fluid and electrolyte imbalance
A patient who had abdominal surgery 2 days ago is being discharged
✅✅
home. Which statement by the patient indicates a need for further
discharge instruction? - -'I can return to normal activities as long as
I don't leave the house.
A patient who works in a warehouse has successfully undergone
✅✅
abdominal surgery. After how many weeks can this patient return to
work? Record your answer using a whole number. - -6. weeks
A patient with Crohn's disease is vomiting and sweating surgery.
profusely after Which action should the nurse perform to assess the
, patient's condition? - ✅✅-Checking hydration status by assessing total
input and output
A postoperative obese patient with a history of diabetes After a bout of
mellitus develops a cough 8 days after surgery. forceful coughing, the
✅✅
patient states 'Something popped open. What is the best nursing action?
- -Notifying the surgeon
A postoperative patient has a Jackson-Pratt drain in place. After the
nurse empties and compresses the reservoir to restore suction, the drain
✅✅
is secured to the patient's gown. What is this action meant to prevent?
Select all that apply. - -Pulling
Stress on the surgical wound
A surgeon has ordered a nasogastric (NG) tube for a postoperative
✅✅
patient who experienced a wound evisceration. What could be the
reasons for this? Select all that apply. - -Relieve internal pressure
Decompress the stomach
Remove the stomach contents
Absorbent pads are typically positioned under and around exposed
✅✅
drains placed during surgery. What is the placement of absorbent pads
meant to prevent? Select all that apply. - -Skin irritation
Wound contamination
✅✅
Antibiotics are prescribed to prevent infection during surgery. How soon
after surgery are antibiotics typically re-evaluated? - -24 hours
At what time interval is lung functioning assessed in a postoperative
✅✅
patient during the first 24 hours after surgery? Record your answer using
a whole number. - -Every 4 hours
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