Management PN 2023
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals
are the nurse trying to achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
c. Induce pressure ulcers.
d. Reduce cardiacarrests.
e.Reduce surgical site infection. - answersb. Reduce blood loss
d. reduce cardiac arrests
e. reduce surgical site infection
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the
occurrence of hypothermia.Prevention of hypothermia (core temperature < 36° C) helps
to reduce complications such as shivering, cardiac arrest, blood loss, SSI, pressure
ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the
nurse take to decrease wound infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
d. Perform first dressing change 2 days postoperatively.
e. Perform hand hygiene before and after contact with the patient.
f. Administer antibiotics within 60 minutes before surgical incision. - answersa. maintain
normoglycemia
e. perform hand hygiene before and after contact with the patient.
, Performing hand hygiene before and after contact with the patient helps to decrease the
number of microorganisms and break thechain of infection. Maintaining blood glucose
levels at less than 150 mg/dL has resulted in decreased wound infection.
Removingunwanted hair by clipping instead of shaving decreases the numbers of nicks
and cuts caused by a razor and the potential for the introduction of microbes. The
patient is postoperative; administration of an antibiotic 60 minutes before the surgical
incisionsupports the defense against infection preoperatively. Providing a bath and linen
change daily is positive but is not necessarily important for infection control. Many
surgeons prefer to change surgical dressings the first time so they can inspect the
incisional area, but this is done before 2 days postoperatively.
A nurse is assigned the following four clients for the current shift. Which of the following
clients should thenurse assess first? - answersA client who has a C diff infection and
needs a stool specimen collected.
The nurse is participating in a "time-out." In which activities will the nurse be involved?
(Select all that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
Performtheactualmarkingoftheoperativesite. - answersa. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
A time-out is performed just before starting the procedure for final verification of the
correct patient, procedure, site, and any implants. The marking and time-out most
commonly occur in the holding area, just before the patient enters the OR. The
individual performing surgery and who is accountable for it must personally mark the
site, and the patient mustbe involved if possible.
A nurse is caring for a client who fell and is reporting pain in the left hip with external
rotation of the left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions should the
nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client's physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort - answersA. notify the nursing supervisor about the
issues.
The mother of a client with breast cancer states, it's been hard for her, especially after
losing her hair. And it has been difficult to pay for all the treatments. Which of the
following actions is appropriate for client advocacy?
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals
are the nurse trying to achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
c. Induce pressure ulcers.
d. Reduce cardiacarrests.
e.Reduce surgical site infection. - answersb. Reduce blood loss
d. reduce cardiac arrests
e. reduce surgical site infection
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the
occurrence of hypothermia.Prevention of hypothermia (core temperature < 36° C) helps
to reduce complications such as shivering, cardiac arrest, blood loss, SSI, pressure
ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the
nurse take to decrease wound infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
d. Perform first dressing change 2 days postoperatively.
e. Perform hand hygiene before and after contact with the patient.
f. Administer antibiotics within 60 minutes before surgical incision. - answersa. maintain
normoglycemia
e. perform hand hygiene before and after contact with the patient.
, Performing hand hygiene before and after contact with the patient helps to decrease the
number of microorganisms and break thechain of infection. Maintaining blood glucose
levels at less than 150 mg/dL has resulted in decreased wound infection.
Removingunwanted hair by clipping instead of shaving decreases the numbers of nicks
and cuts caused by a razor and the potential for the introduction of microbes. The
patient is postoperative; administration of an antibiotic 60 minutes before the surgical
incisionsupports the defense against infection preoperatively. Providing a bath and linen
change daily is positive but is not necessarily important for infection control. Many
surgeons prefer to change surgical dressings the first time so they can inspect the
incisional area, but this is done before 2 days postoperatively.
A nurse is assigned the following four clients for the current shift. Which of the following
clients should thenurse assess first? - answersA client who has a C diff infection and
needs a stool specimen collected.
The nurse is participating in a "time-out." In which activities will the nurse be involved?
(Select all that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
Performtheactualmarkingoftheoperativesite. - answersa. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
A time-out is performed just before starting the procedure for final verification of the
correct patient, procedure, site, and any implants. The marking and time-out most
commonly occur in the holding area, just before the patient enters the OR. The
individual performing surgery and who is accountable for it must personally mark the
site, and the patient mustbe involved if possible.
A nurse is caring for a client who fell and is reporting pain in the left hip with external
rotation of the left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions should the
nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client's physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort - answersA. notify the nursing supervisor about the
issues.
The mother of a client with breast cancer states, it's been hard for her, especially after
losing her hair. And it has been difficult to pay for all the treatments. Which of the
following actions is appropriate for client advocacy?
