Saunders Pain/Perioperative Latest
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A client arrives at the surgical unit after nasal surgery. The client has nasal packing in place. The nurse
reviews the health care provider's prescriptions and understands that it is ess...
Saunders Pain/Perioperative Latest
Update Comprehensive Questions with
Correct Answers Guaranteed Pass 100%
A client arrives at the surgical unit after nasal surgery. The client has nasal packing in place. The nurse
reviews the health care provider's prescriptions and understands that it is essential that the client be
placed in which position to reduce swelling? - Answer -Semi-Fowler's position
To reduce swelling the client would be placed in the semi-Fowler's position. This position should be
maintained for at least 24 to 48 hours to minimize postoperative edema. The Sims, prone, and supine
positions would not decrease swelling
A client has received atropine sulfate intravenously during a surgical procedure. The nurse should
monitor the client for which side effect of the medication in the immediate postoperative period? -
Answer -Urinary retention
Atropine sulfate is an anticholinergic medication that causes tachycardia, drowsiness, blurred vision, dry
mouth, constipation, and urinary retention. The nurse monitors the client for any of these effects in the
immediate postoperative period.
A client has returned to the nursing unit after an abdominal hysterectomy. The client is lying supine. To
thoroughly assess the client for postoperative bleeding what is the primary nursing action -
Answer -Roll the client to one side and check her perineal pad.
The nurse should roll the client to one side after checking the perineal pad and the abdominal dressing.
This client position allows the nurse to check the rectal area, where blood may pool by gravity if the
client is lying supine. Asking the client about a sensation of moistness is not a complete assessment. Vital
signs will change with hemorrhage however; they are a compensatory mechanism of change. Assess for
external or most likely signs of bleeding first.
A client is admitted to a surgical unit postoperatively with a wound drain in place. Which actions should
the nurse take in the care of the drain? Select all that apply. - Answer -Check the drain for patency.
Observe for bright red bloody drainage.
Maintain aseptic technique when emptying the drain.
, The nurse should check the tube or drain for patency to provide an exit for the fluid or blood to promote
healing. The nurse should monitor the drainage characteristics. Usually the drainage from the wound is
pale, red, and watery. Active bleeding will be bright red. The nurse must use aseptic technique for
emptying the drainage container or changing the dressing to avoid contamination of the wound. A
postoperative drain should not be curled tightly or obstructed in any way, such as with clamping. This
could prevent the drain from functioning properly.
A client is admitted to the ambulatory surgery center for elective surgery. The nurse asks the client
whether any food, fluid, or medication was taken today. Which medication, if taken by the client, should
indicate to the nurse the need to contact the health care provider (HCP)? - Answer -An
anticoagulant
An anticoagulant suppresses coagulation by inhibiting clotting factors. A client admitted for elective
surgery should have been instructed to discontinue the anticoagulant 7 to 10 days preoperatively. Even if
this were unscheduled surgery, the nurse should notify the HCP. Vitamin K can be given for reversal of its
action, but the client may still have an increased risk of bleeding. The other medications listed are
commonly taken and do not constitute an increased risk for the client.
A client is being started on tramadol (Ultram) therapy for pain management after a back injury. When
educating this client on tramadol therapy, what is the priority? - Answer -The client cannot drink
alcohol while taking tramadol.
The client taking tramadol should not consume alcoholic beverages while taking this medication because
it further depresses the central nervous system (CNS). Cigarette smoking does not adversely affect
tramadol; however, the client should be discouraged from smoking and encouraged to join a smoking-
cessation program for general healthy reasons. The client may need increased calcium, but this is not
because of tramadol. The client can take cough syrup with this medication.
A client is recovering well 24 hours after cranial surgery but is fatigued. The neurosurgeon advances the
client from NPO status to clear liquids. The nurse knows that which information is least reliable in
determining the client's readiness to take in fluids? - Answer -Appetite
To begin to tolerate oral intake after cranial or any other type of surgery, the client must have bowel
sounds. The client also must have intact swallow and gag reflexes and should be free of nausea and
vomiting. The client is likely to be easily fatigued, which may decrease appetite. Thus, appetite is the
least reliable indicator regarding when intake should be started.
A client scheduled for surgery receives a dose of scopolamine. The nurse expects to note which side
effects of the medication? Select all that apply. - Answer -Dry mouth
Pupillary dilation
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