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WITH ANSWERS |\
A nurse is assessing a client who is 48 hours post-op following
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abdominal surgery. Which of the following findings should the
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nurse report to the provider?
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A. Blood pressure 102/66 mm Hg
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B. Straw-colored urine from an indwelling urinary catheter
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C. Yellow-Green drainage on the surgical incision
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D. Respiratory rate 18/min - CORRECT ANSWERS ✔✔C. Yellow-
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Green drainage on the surgical incision
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A nurse is caring for a client who is in the immediate
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postoperative period following a partial laryngectomy. Which of|\ |\ |\ |\ |\ |\ |\ |\
the following parameters should the nurse assess first?
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A. Pain severity
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B. Wound drainage
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C. Tissue integrity
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D. Airway patency - CORRECT ANSWERS ✔✔D. Airway patency
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A nurse is providing teaching to a client who is postoperative
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following coronary artery bypass graft (CABG) surgery and is
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receiving opioid medications to manage discomfort. Aside from
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managing pain, which of the following desired effects of
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,medications should the nurse identify as most important for the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
clients recovery? |\
A. It decreases the clients level of anxiety
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B. It facilitates the clients deep breathing
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C. It enhances the clients ability to sleep
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D. It reduces the clients blood pressure - CORRECT ANSWERS
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✔✔B. It facilitates the clients deep breathing
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A nurse on a medical-surgical unit is caring for four clients who
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are 24-36 hour postoperative. Which of the following surgical
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procedures place the client at risk for deep-vein thrombosis? |\ |\ |\ |\ |\ |\ |\ |\
A. Myringotomy
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B. Laparoscopic appendectomy
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C. Hip arthroplasty
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D. Cataract extraction - CORRECT ANSWERS ✔✔C. Hip
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arthroplasty
A nurse is assessing a client who has had staples removed from
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an abdominal wound postoperatively. The nurse notes separation
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of the wound edges with copious light-brown serous drainage.
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Which of the following actions should the nurse perform first?
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A. Check the clients vital signs
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B. Assess the clients pain level
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C. Cover the wound with a moist, sterile gauze dressing
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, D. Obtain a culture and sensitivity of the wound drainage -
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CORRECT ANSWERS ✔✔C. Cover the wound with a moist, sterile
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gauze dressing |\
A nurse is developing a plan of care for a client who is
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postoperative. Which of the following interventions should the |\ |\ |\ |\ |\ |\ |\ |\
nurse include in the plan to prevent pulmonary complications?
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A. Perform range of motion exercises
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B. Place suction equipment at the bedside
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C. Encourage the use of an incentive spirometer
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D. Administer an expectorant - CORRECT ANSWERS ✔✔C.
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Encourage the use of an incentive spirometer |\ |\ |\ |\ |\ |\
A nurse is assessing a client who will undergo abdominal surgery
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in 2 hr. The client reports being nervous about the surgery, last
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had food and fluids at 2330 the previous evening, and signed the
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surgical consent 2 days ago. Which of the following is an
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appropriate nursing action regarding these findings? |\ |\ |\ |\ |\
A. Call the anesthesiologist to sedate the client
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B. Notify the surgeon of the clients food and fluid consumption
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C. Witness the surgical consent
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D. Document the findings in the clients medical record -
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CORRECT ANSWERS ✔✔D. Document the findings in the clients
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medical record |\