A patient is now in the recovery room after having vaginal surgery. Due to the
positioning of the procedure, you would want to assess for what while the
... [Show More] patient is in
recovery?
A. Bowel Sounds
B. Dysrhythmia
C. Homan's Sign
D. Hemoglobin Level - Correct Answer-C
After surgery your patient is semicomatose with vital signs within normal limits. As the
nurse, what position would be best for this patient?
A. Semi-Fowlers
B. Prone
C. Low-Fowlers
D. Side positioning preferably on the left side - Correct Answer-D
After surgery your patient starts to shiver uncontrollably. What nursing intervention
would you do FIRST?*
A. Apply warm blankets & continue oxygen as prescribed
B. Take the patient's rectal temperature
C. Page the doctor for further orders
D. Adjust the thermostat in the room - Correct Answer-A
The nurse is monitoring the patient who is 24 hours post-opt from surgery. Which
finding requires intervention?*
A. BP 100/80
B. 24-hour urine output of 300 ml
C. Pain rating of 4 on 1-10 scale
D. Temperature of 99.3' F - Correct Answer-B
A patient is 6 days post-opt from abdominal surgery. The patient is to be discharged
later today. The patient uses the call light and asks you to come to his room and look at
his surgical site. On arrival, you see that approximately 2 inches of internal organs are
protruding through the incision. What intervention would you NOT do?*
A. Put the patient in prone position with knees extended to put pressure on the site
B. Cover the wound with sterile normal saline dressing
C. Monitor for signs of shock
D. Notify the MD and administer as prescribed antiemetic to prevent vomiting - Correct
Answer-A
A patient reports he hasn't had a bowel movement or passed gas since surgery. On
assessment, you note the abdomen is distended and no bowel sounds are noted in the
four quadrants. You notify the MD. What non-invasive nursing interventions can you
perform without a MD order?
A. Insert a nasogastric attached to intermittent suction
B. Administer IV fluids
C. Encourage ambulation, maintain NPO status, and monitor intake & output
D. Encourage at least 3000 ml of fluids per day - Correct Answer-C
What is a potential postoperative concern regarding a patient who has already resumed
a solid diet?*
A. Failure to pass stool within 12 hours of eating solid foods
B. Failure to pass stool within 48 hours of eating solid foods
C. Passage of excessive flatus
D. Patient reports a decreased appetite - Correct Answer-B
A nurse is developing a care plan for a patient who is at risk for developing pneumonia
after surgery. Which of the following is not an appropriate nursing intervention?*
A. Encourage patient intake of 3000 ml/day of fluids if not contraindicated
B. Encourage patient to use the incentive spirometer device 10 times every 1-2 hours
while awake
C. Encourage early ambulation and patient to eat meals in beside chair
D. Repositioning every 3-4 hours - Correct Answer-D
When assessing your patient who is post-opt, you notice that the patient's right calf vein
feels hard, cord-like, and is tender to the touch. The patient reports it is aching and
painful. What would NOT be an appropriate nursing intervention for this patient?*
A. Allow the patient to dangle the legs to help increase circulation and alleviate pain
B. Instruct the patient to not sit in one position for a long period of time
C. Elevate the extremity 30 degrees without allowing any pressure on affected area
D. Administer anticoagulants as ordered by MD - Correct Answer-A
A patient is recovering from surgery. The patient is very restless, heart rate is 120 bpm
and blood pressure is 70/53, skin is cool/clammy. As the nurse you would?*
A. Continue to monitor the patient
B. Notify the MD
C. Obtain an EKG
D. Check the patient's blood glucose - Correct Answer-B
A patient is taking Aspirin 325 mg PO by mouth daily. The patient is scheduled for
surgery in a week. What education do you provide the patient with before surgery?*
A. Educate the patient to take the scheduled dose of Aspirin the day of surgery to help
prevent blood clots
B. To hold his morning dose of Aspirin because the nurse will give it to him before
surgery
C. None of the above are correct
D. The medication should be discontinued for 48 hours prior to the scheduled surgery
date - Correct Answer-D
You are observing your patient use the incentive spirometry. What demonstration by the
patient lets you know the patient understands how to use the device properly?*... [Show Less]