ATI MED SURG PERIOPERATIVE EXAM 2023
A nurse is caring for a client who has a surgical wound with a Penrose drain in place. Which of the following
... [Show More] interventions should the nurse plan to perform?
Cut a slit in a 4in quake gauze pad to place around the drain
Use the sterile technique when preforming dressing changes
Establish a clamping schedule prior to removal
Apply negative pressure when emptying the drain
The nurse should change the Penrose drain dressing using the surgical aseptic technique. gauze should never be used as its fibers can become embedded in the wound clamping can lead to infection and a Penrose drain is and open system that drains by gravity
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?
Amiodarone
Propranolol
Methyldopa
Epinephrine
The nurse should plan to administer epinephrine, a vasopressor, to increase the client's heart rate and prevent cardiac arrest.
A nurse is reviewing the medical record of a client who is scheduled for an elective surgery. Which of the following medications should the nurse expect the provider to discontinue prior to surgery to minimize the risk of complications?
Cefazolin
Digoxin
Ondansetron
Warfarin
The nurse should anticipate that the provider will instruct the client to discontinue warfarin, an anticoagulant, because it increases the risk of bleeding during and following surgery.
A nurse is reviewing the medical record of a client who is to undergo general anesthesia for surgery. The nurse should report which of the following findings to the provider?
Serum potassium 2.8 mEq/L
Serum sodium 140 mEq/L
INR 1.5
BUN 12 mg/dL
The nurse should recognize that the client's potassium level is below the expected reference range of 3.5 to 5 mEq/L, which places the client at risk for cardiac dysrhythmias. Therefore, this finding should be reported to the provider immediately.
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 [Show Less]