NUR 352 FINAL PRACTICE QUESTIONS Save
Terms in this set (146)
A postoperative client begins coughing a) place the client in the low Fowlers position
forcefully while eating gelatin. The nurse ** This decreases further protrusion of the intestines
notices in evisceration of the intestines.
What should the nurse do FIRST?
a) place the client in the low Fowlers
position
b) notify the surgeon
c) cover the intestines with sterile, moist
dressings
d) document the event
The primary nursing goal in the immediate c) hypoxemia and hypercapnia
postoperative period is maintenance of ** maintain pulmonary ventilation
pulmonary function and prevention of:
a) laryngospasm
b) hyperventilation
c) hypoxemia and hypercapnia
d) pulmonary edema and embolism
,The nurse is assessing the postoperative a) the client has an absence of bowel sounds
client on the second postoperative day. ** this may indicate a paralytic ileus
Which assessment finding requires
immediate physician notification?
a) the client has an absence of bowel
sounds
b) the client's lungs reveal rails(crackles) in
the bases
c) the client states a moderate amount of
pain at the incisional site
d) a moderate amount of serous drainage is
noted on the operative dressing
what evidence does the nurse understand? c) the patient has a blood pressure within 10 mm Hg of the
Indicates that a patient is ready for baseline
discharge from the recovery room or
PACU?
a) the patient has been excavated, but still
has an oropharyngeal airway in
b) the patient is arousable , but falls back to
sleep rapidly
c) the patient has a blood pressure within
10 mm Hg of the baseline
d) the patient has sonorous respirations
,A post anesthesia care unit(PACU) nurse is b) maintain a patent airway
caring for a client with the following c) frequently monitor neurological status
assessment data: pale, cool, moist skin; d) administer blood products per orders
thready pulse of 122; blood pressure 78/60; e) apply oxygen per orders
urine output of 25 mL/hr; temperature **demonstrating s/s of shock
99.2°F. What interventions by the nurse are
appropriate? Select all that apply.
a) raise the head of the bed 30°
b) maintain a patent airway
c) frequently monitor neurological status
d) administer blood products per orders
e) apply oxygen per orders
f) apply a warming blanket
moderate sedation nursing considerations 1. Monitor respiratory and cardiac status of client.
include... select all that apply. 2. Ensure emergency cart is nearby.
1. Monitor respiratory and cardiac status of 3. Establish IV access.
client. 5. assess clients level of consciousness.
2. Ensure emergency cart is nearby.
3. Establish IV access.
4. Insert an endotracheal tube.
5. assess clients level of consciousness.
, characteristics of moderate sedation 1. Client response to verbal stimuli
include: select all that apply 2. Client spontaneous ventilation is adequate.
1. Client response to verbal stimuli
2. Client spontaneous ventilation is
adequate.
3. Client is unable to maintain their own
airway.
4. Client responds after repeated painful
stimuli.
5. Client unarousable to painful stimuli.
A nurse administered midazolam (benzo) IV 4. Flumazenil ( reverses benzos)
bolus to a client before a procedure. The
clients BP is 85/40 and HR is 145. Which of ** naloxone reverses narcotics, fentanyl is a narcotic,
the following IV medication should the atropine is used to bradycardia
nurse administer?
1. Naloxone.
2. Fentanyl.
3. Atropine.
4. Flumazenil
Terms in this set (146)
A postoperative client begins coughing a) place the client in the low Fowlers position
forcefully while eating gelatin. The nurse ** This decreases further protrusion of the intestines
notices in evisceration of the intestines.
What should the nurse do FIRST?
a) place the client in the low Fowlers
position
b) notify the surgeon
c) cover the intestines with sterile, moist
dressings
d) document the event
The primary nursing goal in the immediate c) hypoxemia and hypercapnia
postoperative period is maintenance of ** maintain pulmonary ventilation
pulmonary function and prevention of:
a) laryngospasm
b) hyperventilation
c) hypoxemia and hypercapnia
d) pulmonary edema and embolism
,The nurse is assessing the postoperative a) the client has an absence of bowel sounds
client on the second postoperative day. ** this may indicate a paralytic ileus
Which assessment finding requires
immediate physician notification?
a) the client has an absence of bowel
sounds
b) the client's lungs reveal rails(crackles) in
the bases
c) the client states a moderate amount of
pain at the incisional site
d) a moderate amount of serous drainage is
noted on the operative dressing
what evidence does the nurse understand? c) the patient has a blood pressure within 10 mm Hg of the
Indicates that a patient is ready for baseline
discharge from the recovery room or
PACU?
a) the patient has been excavated, but still
has an oropharyngeal airway in
b) the patient is arousable , but falls back to
sleep rapidly
c) the patient has a blood pressure within
10 mm Hg of the baseline
d) the patient has sonorous respirations
,A post anesthesia care unit(PACU) nurse is b) maintain a patent airway
caring for a client with the following c) frequently monitor neurological status
assessment data: pale, cool, moist skin; d) administer blood products per orders
thready pulse of 122; blood pressure 78/60; e) apply oxygen per orders
urine output of 25 mL/hr; temperature **demonstrating s/s of shock
99.2°F. What interventions by the nurse are
appropriate? Select all that apply.
a) raise the head of the bed 30°
b) maintain a patent airway
c) frequently monitor neurological status
d) administer blood products per orders
e) apply oxygen per orders
f) apply a warming blanket
moderate sedation nursing considerations 1. Monitor respiratory and cardiac status of client.
include... select all that apply. 2. Ensure emergency cart is nearby.
1. Monitor respiratory and cardiac status of 3. Establish IV access.
client. 5. assess clients level of consciousness.
2. Ensure emergency cart is nearby.
3. Establish IV access.
4. Insert an endotracheal tube.
5. assess clients level of consciousness.
, characteristics of moderate sedation 1. Client response to verbal stimuli
include: select all that apply 2. Client spontaneous ventilation is adequate.
1. Client response to verbal stimuli
2. Client spontaneous ventilation is
adequate.
3. Client is unable to maintain their own
airway.
4. Client responds after repeated painful
stimuli.
5. Client unarousable to painful stimuli.
A nurse administered midazolam (benzo) IV 4. Flumazenil ( reverses benzos)
bolus to a client before a procedure. The
clients BP is 85/40 and HR is 145. Which of ** naloxone reverses narcotics, fentanyl is a narcotic,
the following IV medication should the atropine is used to bradycardia
nurse administer?
1. Naloxone.
2. Fentanyl.
3. Atropine.
4. Flumazenil
