Saunders NCLEX Ch 19 Perioperative
Exam Questions And Answers
The nurse has just reassessed the condition of a postoperative
client who was admitted 1 hour ago to the surgical unit. The nurse
plans to monitor which parameter most carefully during the next
hour?
1. Urinary output of 20 mL/hour
2. Temperature of 37.6 ° C (99.6 ° F)
3. Blood pressure of 100/70 mm Hg
4. Serous drainage on the surgical dressing -
correct answer ✅1. Urinary output of 20 mL/hour
R: Urine output should be maintained at a minimum of 30 mL/hour
for an adult. An output of less than 30 mL for each of 2 consecutive
hours should be reported to the health care provider. A
temperature higher than 37.7 ° C (100 ° F) or lower than 36.1 ° C
(97 ° F) and a falling systolic blood pressure, lower than 90 mm Hg,
are usually considered reportable immediately. The client's
preoperative or baseline blood pressure is used to make informed
postoperative comparisons. Moderate or light serous drainage from
the surgical site is considered normal.
,Saunders NCLEX Ch 19 Perioperative
Exam Questions And Answers
A postoperative client asks the nurse why it is so important to deep-
breathe and cough after surgery. When formulating a response, the
nurse incorporates the understanding that retained pulmonary
secretions in a postoperative client can lead to which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism -
correct answer ✅1. Pneumonia
R: Postoperative respiratory problems are atelectasis, pneumonia,
and pulmonary emboli. Pneumonia is the inflammation of lung
tissue that causes productive cough, dyspnea, and lung crackles and
can be caused by retained pulmonary secretions. Hypoxemia is an
inadequate concentration of oxygen in arterial blood. Fluid
imbalance can be a deficit or excess related to fluid loss or
overload. Pulmonary embolus occurs as a result of a blockage of
, Saunders NCLEX Ch 19 Perioperative
Exam Questions And Answers
the pulmonary artery that disrupts blood flow to one or more lobes
of the lung; this is usually due to clot formation.
The nurse is developing a plan of care for a client scheduled for
surgery. The nurse should include which activity in the nursing care
plan for the client on the day of surgery?
1. Avoid oral hygiene and rinsing with mouthwash.
2. Verify that the client has not eaten for the last 24 hours.
3. Have the client void immediately before going into surgery.
4. Report immediately any slight increase in blood pressure or
pulse. -
correct answer ✅3. Have the client void immediately before going
into surgery.
R: The nurse would assist the client to void immediately before
surgery so that the bladder will be empty. Oral hygiene is allowed,
but the client should not swallow any water. The client usually has a
restriction of food and fluids for 6 to 8 hours before surgery instead
of 24 hours. A slight increase in blood pressure and pulse is
Exam Questions And Answers
The nurse has just reassessed the condition of a postoperative
client who was admitted 1 hour ago to the surgical unit. The nurse
plans to monitor which parameter most carefully during the next
hour?
1. Urinary output of 20 mL/hour
2. Temperature of 37.6 ° C (99.6 ° F)
3. Blood pressure of 100/70 mm Hg
4. Serous drainage on the surgical dressing -
correct answer ✅1. Urinary output of 20 mL/hour
R: Urine output should be maintained at a minimum of 30 mL/hour
for an adult. An output of less than 30 mL for each of 2 consecutive
hours should be reported to the health care provider. A
temperature higher than 37.7 ° C (100 ° F) or lower than 36.1 ° C
(97 ° F) and a falling systolic blood pressure, lower than 90 mm Hg,
are usually considered reportable immediately. The client's
preoperative or baseline blood pressure is used to make informed
postoperative comparisons. Moderate or light serous drainage from
the surgical site is considered normal.
,Saunders NCLEX Ch 19 Perioperative
Exam Questions And Answers
A postoperative client asks the nurse why it is so important to deep-
breathe and cough after surgery. When formulating a response, the
nurse incorporates the understanding that retained pulmonary
secretions in a postoperative client can lead to which condition?
1. Pneumonia
2. Hypoxemia
3. Fluid imbalance
4. Pulmonary embolism -
correct answer ✅1. Pneumonia
R: Postoperative respiratory problems are atelectasis, pneumonia,
and pulmonary emboli. Pneumonia is the inflammation of lung
tissue that causes productive cough, dyspnea, and lung crackles and
can be caused by retained pulmonary secretions. Hypoxemia is an
inadequate concentration of oxygen in arterial blood. Fluid
imbalance can be a deficit or excess related to fluid loss or
overload. Pulmonary embolus occurs as a result of a blockage of
, Saunders NCLEX Ch 19 Perioperative
Exam Questions And Answers
the pulmonary artery that disrupts blood flow to one or more lobes
of the lung; this is usually due to clot formation.
The nurse is developing a plan of care for a client scheduled for
surgery. The nurse should include which activity in the nursing care
plan for the client on the day of surgery?
1. Avoid oral hygiene and rinsing with mouthwash.
2. Verify that the client has not eaten for the last 24 hours.
3. Have the client void immediately before going into surgery.
4. Report immediately any slight increase in blood pressure or
pulse. -
correct answer ✅3. Have the client void immediately before going
into surgery.
R: The nurse would assist the client to void immediately before
surgery so that the bladder will be empty. Oral hygiene is allowed,
but the client should not swallow any water. The client usually has a
restriction of food and fluids for 6 to 8 hours before surgery instead
of 24 hours. A slight increase in blood pressure and pulse is
