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NURS 309 Quiz 3 Postoperative Patients Questions With Complete Solutions
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NURS 309 Quiz 3 Postoperative Patients Questions With Complete Solutions
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NURS 309 Quiz 3 Postoperative Patients Questions WithComplete Solutions
A 49-year-old patient is in the postanesthesia care unit (PACU)
following a frontal craniotomy for repair of a ruptured cerebral
aneurysm. The nurse assesses that the patient's eyes open on
verbal stimulation. Pupils are equal and reactive to light, and
diameter is 3 mm. The patient's hand grasps are equal and
strong. The patient is able to state name correctly. The patient
has and one episode of nausea and vomiting. Incision edges are
dry and approximated with sutures. Lung sounds are slightly
diminished on auscultation, and the nurse observes the patient is
using abdominal accessory muscles to breath. Which body
systems has the nurse assessed? SATA
A. Cardiovascular
B. Gastrointestinal
C. Neurological
D. Integumentary
E. Respiratory
F. Renal/urinary Correct Answers B. Gastrointestinal
C. Neurological
D. Integumentary
E. Respiratory
A client experiences abdominal distention following surgery.
Which nursing actions are appropriate? SATA
A. Encouraging ambulation
B. Giving sips of ginger ale
C. Auscultating bowel sounds
D. Providing a straw for drinking
,E. Offering the prescribed opioid analgesic Correct Answers A.
Encouraging ambulation
C. Auscultating bowel sounds
A client has an acute case of opioid depression and receives a
dose of naloxone (Narcan). Which statement is true about this
client?
A. Supplemental pain reduction is needed.
B. One dose is needed.
C. This is an acute emergency.
D. The client will be hostile. Correct Answers A. Supplemental
pain reduction is needed.
A client has just undergone a surgical procedure with general
anesthesia. Which finding indicates that the client needs further
assessment in the post-anesthesia care unit?
A. Pain at the surgical site
B. Requirement for verbal stimuli to awaken
C. Snoring sounds when inhaling
D. Sore throat on swallowing Correct Answers C. Snoring
sounds when inhaling
A client is extubated in the postanesthesia care unit (PACU)
after surgery. For which common response should the nurse be
alert when monitoring the client for acute respiratory distress?
A. Restlessness
B. Bradycardia
C. Constricted pupils
D. Clubbing of the fingers Correct Answers A. Restlessness
,A client reports severe pain 2 days after surgery. Which initial
action should the nurse take after assessing the character of the
pain?
A. Encourage rest
B. Obtain the vital signs
C. Administer the PRN analgesic
D. Document the client's pain response Correct Answers B.
Obtain the vital signs
A nurse in the postanesthesia care unit (PACU) observes that
after an abdominal cholecystectomy a client has
serosanguineous drainage on the abdominal dressing. What is
the next nursing action?
A. Change the dressing
B. Reinforce the dressing
C. Replace the tape with Montgomery ties
D. Support the incision with an abdominal binder Correct
Answers B. Reinforce the dressing
A nurse in the surgical intensive care unit is caring for a client
with a large surgical incision. What medication does the nurse
anticipate will be prescribed for this client?
A. Vitamin A (Aquasol A)
B. Cyanocobalamin (Cobex)
C. Phytonadione (Mephyton)
D. Ascorbic acid (Ascorbicap) Correct Answers D. Ascorbic
acid (Ascorbicap)
A nurse is applying a dressing to a client's surgical wound using
sterile technique. While engaging in this activity, the nurse
accidentally places a moist sterile gauze pad on the cloth sterile
, field. What physical principle is applicable for causing the
sterile field to become contaminated?
A. Dialysis
B. Osmosis
C. DIffusion
D. Capillary Correct Answers D. Capillary
A nurse is caring for a postoperative client who had general
anesthesia during surgery. What independent nursing
intervention may prevent an accumulation of secretions?
A. Postural drainage
B. Cupping the chest
C. Nasotracheal suctioning
D. Frequent changes of position Correct Answers D. Frequent
changes of position
A nurse is preparing to change a client's dressing What is the
reason for using surgical asepsis during this procedure?
A. Keeps the area free of microorganisms
B. Confines microorganisms to the surgical site
C. Protects self from microorganisms in the wound
D. Reduces the risk for growing opportunistic microorganisms
Correct Answers A. Keeps the area free of microorganisms
A patient arrives at the postanesthesia care unit (PACU), and the
nurse notes a respiratory rate of 10 with sternal retractions. The
report from the anesthesia provider indicates that the patient
received fentanyl during surgery. What is the nurse's best first
action?
A. Monitory the patient for effects of anesthetic for at least 1
hour
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