NUR 337 Final Exam Questions with Complete Correct Answers | Grade A+

A postoperative patient has a nursing diagnosis of ineffective airway clearance. The nurse determines that interventions for this nursing diagnosis have been successful if which activity or assessment is observed? a. Patient uses the spirometer 10 times every hour. b. Patient's breath sounds are clear to auscultation. c. Patient's temperature is less than 100.4° F orally. d. Patient drinks 2 to 3 L of fluid in 24 hours. B? In the postanesthesia care unit (PACU), a patient's vital signs are blood pressure 116/72, pulse 74, respirations 12, and SpO2 91%. The patient is sleepy but awakens easily. Which action should the nurse take first? a. Increase the rate of the postoperative IV fluids. 2 b. Place the patient in a side-lying position. c. Encourage the patient to take deep breaths. d. Prepare to transfer the patient to a clinical unit. C? What instruction would be appropriate for the nurse give to nursing assistive personnel (NAP) caring for a postsurgical patient? a. "Please reassure the family, and explain to them what is going on." b. "Let me know when the patient's family arrives on the floor." c. "Please teach him about the incentive spirometer while I speak with the physician." d. "Assess his urine output, and compare it to intake." 3 B What is the most effective, primary way in which the nurse can lower a patient's risk for postsurgical complications? a. Identify deviations from normal that may interfere with the recovery process. b. Adequately prepare the patient for discharge from the agency. c. Evaluate the patient's emotional reaction to the surgical process. d. Provide continuity of nursing care throughout the patient's stay at the agency. A? When a patient returns to the unit from the PACU, how would the nurse best assess possible urinary retention? a. Check the chart for lab values specific to urinary function. b. Encourage the patient to void. c. Complete a bladder scan. 4 d. Straight-catheterize the patient.