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Exam (elaborations)

Postoperative Care Eaq Questions With Correct Answers

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POSTOPERATIVE CARE EAQ QUESTIONS WITH CORRECT ANSWERS

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The nurse is caring for a post-operative patient assesses clinical manifestations of
early pulmonary edema secondary to heart failure. What manifestations does the
nurse determine correlate with this disorder?
a. Early morning cough
b. increased urine output
c. paroxysmal nocturnal dyspnea
crackles heard on auscultation


Give this one a try later!


answer: C: The most common cause of pulmonary edema is left-sided
congestive heart failure, which commonly manifests as shortness of breath
and crackles in the lungs. Between the two, shortness of breath in the form
of paroxysmal nocturnal dyspnea is the earlier symptom, although crackles
are more common




A patient that is an alcoholic had in hernia operation and is restless and irritable. On
assessment the nurse finds that the patient has auditory hallucinations. What is the

, most appropriate nursing action?
a. Conclude that these effects are due to alcohol withdrawal
b. consider the situation normal, due to the anesthetic drugs
c. conclude that the patient suffers from a psychotic disorder
d. infer that the patient is suffering from pain an suggests using painkillers


Give this one a try later!


answer: A: The patient is irritable an restless due to the loss of inhibitory
effects of alcohol this is also causing the hallucinations.




The nurse is caring for a postoperative patient. What patient does the nurse determine
is at the greatest risk for developing of atelectasis?


a. A patient after a hypoxic episode during an acute asthma attack
b. an older adult patient who has undergone cardiothoracic surgery
c. a patient not adherent with the pulmonary regimen after surgery
d. a patient experiencing an acute exacerbation of chronic obstructive pulmonary
disease


Give this one a try later!


answer: C : Atelectasis is a common postoperative complication that is
prevented by a pulmonary regimen of interventions such as deep
breathing, coughing, turning, and using an incentive spirometer. Patients
who have received general anesthesia and are noncompliant with a
pulmonary regimen are at highest risk for atelectasis




What is the priority nursing action when a patient is transferred from the post
anesthesia care unit to the surgical unit after a lobectomy?
a. Assess the patient's pain
b. take the patients vitals

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