NUR 1300 Perioperative Care - 2020 | NUR1300 Perioperative Care - Graded A

NUR 1300 Perioperative Care Practice Questions 2020 – Graded A 1. A circulating nurse is monitoring the temperature in a surgical suite. The nurse should identify that cool temperatures reduce a client's risk for which of the following potential complications of surgery? a. Malignant hyperthermia b. Blood clots c. Infection: The nurse should identify that a cool room temperature with humidity between 30% and 60%, along with a proper air exchange and filtering system, reduces the risk of infection for clients during surgery d. Hypoxia 2. A client had an open transverse colectomy 5 days ago. The nurse enters the client's room and recognizes that the wound has eviscerated. After covering the wound with a sterile, saline-soaked dressing, which of the following actions should the nurse take? a. Go to the nurse’s station to seek assistance b. Reinsert the organs into the abdominal cavity c. Place the client in a reverse Trendelenburg position d. Obtain vital signs to assess for shock: The nurse should obtain vital signs to assess the client's current status. 3. A nurse is monitoring a client who received succinylcholine during a surgical procedure. Which of the following actions should the nurse take if the client develops manifestations of malignant hyperthermia? a. Administer dantrolene: The nurse should administer dantrolene by IV bolus at 2 to 5 mg/kg to reverse the manifestations for a client who has malignant hyperthermia. b. Institute seizure precautions c. Remove endotracheal tube d. Give IV atropine 4. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following nursing interventions should the nurse perform to prevent respiratory complications? a. Instruct the client to exhale into the incentive spirometer every 1-2 hr b. Minimize the amount of pain medication the client receives to prevent sedation c. Advise the client to splint the surgical incision when coughing and deep breathing: Splinting the incision supports the surgical site and decreases pain during coughing and deep breathing. d. Reposition the client every 8 hr for the first 48 hr 5. A nurse is providing teaching for a client who is in the immediate postoperative period and has a PCA pump. Which of the following statements should the nurse include in the teaching? a. "You will receive a dose of medication every time you push the button" b. "Do not allow your family to push the PCA button if you are sleeping": The nurse should instruct the client that she should be awake when receiving a dose of the medication and that she is the only authorized user of the PCA pump. Therefore, allowing a family member to push the button is unauthorized and a safety risk for the client. - - - -