1. A nurse is providing discharge teaching for a client who is postoperative following a
rhinoplasty using general anesthesia. Which of the following
... [Show More] instructions should the
nurse include?
Use cool compresses on your eyes, nose, and face. (Reduces risk of
inflammation and ecchymosis)
2. A nurse is planning care for a client who is postoperative and has a closed-wound
drainage system in place. Which of the following interventions should the nurse plan to
include?Cleanse the drain plug with alcohol after emptying
3. A nurse is receiving evening shift report on four clients who returned from the PACU
that morning. The nurse should assess which of the following clients first?
A client who is postoperative following a thoracotomy and has a chest tube with
150mL of bright-red blood in the collection chamber from the past 1 hr. (When
using the ABC-airway,breathing,circulation technique to client care, the nurse
should first assess this patient because this finding is above the expected
reference range and can be indicative of hemorrhage)
4. A nurse is caring for a client who has a surgical wound with a Penrose drain in place.
Which of the following interventions should the nurse plan to perform?
Use the sterile technique when performing dressing changes.
5. A nurse is caring for a client who has bradycardia following a surgical procedure
using spinal anesthesia. The nurse should plan to administer which of the following
medications to the client?
Epinephrine (Epinephrine is a vasopressor, which will increase the client’s heart
rate and prevent cardiac arrest.)
6. A client had an open transverse colectomy 5 days ago. The nurse enters the client's
room and recognizes that the wound has eviscerated. After covering the wound with a
sterile, saline-soaked dressing, which of the following actions should the nurse take?
Obtain vital signs to assess for shock
7. A nurse is reviewing the medication administration record for a client who is
scheduled for surgery the next day. The nurse should identify that which of the following
medications places the client at risk for complications during surgery and should be
reported to the provider?
Clopidogrel (The nurse should identify that Clopidogrel is an oral antiplatelet
medication used to prevent coronary artery stenosis and other vascular incidents.
Therefore the medication should be discontinued 5 days prior to surgery because it acts
similarly to aspirin and can cause the patient to experience increased bleeding during
and after the surgery)
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