Med Surg 1 (Exam 2) A+ GRADED

One hour after admission to the post anesthesia care unit (PACU), the postoperative patient has become very restless. What is the nurse's first action? A. Assess the oxygen saturation level B. Administer pain medication as ordered C. Call the surgeon to assess the patient D. Assess for bladder distention correct answers A Patient asks nurse what does this "thing" do and why do i have to use it. Nurse explains that using this thing (incentive spirometer) A. "The spirometer will help prevent blood clots" B. "The spirometer will help your lungs expand." C. "The spirometer will improve blood flow in your lungs." D. "The spirometer will help you cough effectively." correct answers B After abdominal surgery, the patient complains of severe gas pains and states, "I have not had bowels in 3 days." What is the appropriate nursing intervention? A. Call the physician for an order for a laxative B. Reinsert a nasogastric tube C. Provide the ordered prn Morphine D. Have the patient ambulate frequently correct answers D A patient with emphysema reports social isolation. What should the nurse encourage patient to do? A. Participate in community activities B. Ask the patient's physician for an anti anxiety agent C. Verbalize his or her thoughts and feelings D. Join a support group for people with emphysema correct answers C The patient's abdominal incision is draining a small amount of pinkish color secretion. How nurse document this finding on the patient's record? A. Small amount of bloody drainage noted on dressings. B. Small amount of serosanguineous drainage noted on dressings. C. Small amount of serous drainage noted on dressings. D. Small amount of sanguineous drainage noted on dressings. correct answers B What interventions should the nurse carry out to reduce postoperative pain and promote comfort to surgical patient? (Select all that apply) A. Control or remove noxious stimuli in the environment. B. Instruct the patient in relaxation techniques. C. Use ice to reduce and prevent swelling as indicated D. Encourage activity and exercise to point of fatigue E. Use pillows to assist to a position of comfort correct answers A B C E