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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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What is the rationale for using preoperative b. All pre-op orders are carried out, records are complete
checklists on the day of surgery?
a. The patient is correctly identified
b. All pre-op orders are carried out, records
are complete
c. Family is informed where they can wait for
the patient
d. Pre-op meds are the last procedure
before going to the OR
Which lab result should be immediately d. WBC 18,500/uL
brought to the attention of the surgeon?
a. Serum K+ 3.8 mEq/L
b. Hemoglobin of 15 g/dL
c. Blood glucose of 100 mg/dL
d. WBC 18,500/uL
What does the progression of patients a. Condition of patient
through phases of care in a PACU primarily
depend on?
a. Condition of patient
b. Type of anesthesia used
c. Preference of the surgeon
d. Type of surgical procedure
What will the nurse do to prevent airway d. Position the patient in a side-lying position
obstruction in the postop patient who is
semiconscious?
a. Encourage deep breathing
b. Elevate the head of the bed
c. Administer oxygen per mask
d. Position the patient in a side-lying
position
, The RN determines the patient has residual c. A normal pulse with warm, dry, pink skin
vasodilating effects of anesthesia when what
is assessed?
a. A urinary output of > 30 mL/hr
b. An oxygen saturation of 88%
c. A normal pulse with warm, dry, pink skin
d. A narrowing pulse pressure with a normal
pulse
A patient in the PACU is thrashing and a. Hypoxemia
agitated. What should the nurse assess first?
a. Hypoxemia
b. Neurologic injury
c. Distended bladder
d. Cardiac dysrhythmias
A patient is experiencing stress from the c. Fluid retention
effects of surgery. What can this stress
cause?
a. Diuresis
b. Hyperkalemia
c. Fluid retention
d. Impaired blood coagulation
Teaching about a high-calorie/high-protein a. 2 poached eggs, hash brown potatoes, and whole milk
diet is effective when which foods are
selected?
a. 2 poached eggs, hash brown potatoes,
and whole milk
b. 2 slices of toast w/ butter and jelly,
orange juice, skim milk
c. 3 pancakes with syrup/butter, 2 slices of
bacon, apple juice
d. Cream of wheat, 1/2 grapefruit, and a high
protein milkshake
36 hours post-op, a patient has a temp of d. Normal surgical stress response
100*F. What is the most likely cause?
a. Dehydration
b. Wound infection
c. Lung congestion and atelectasis
d. Normal surgical stress response
What are characteristics of neutrophils? d. All of the above
a. Also know as "segs"
b. Band is an immature cell
c. First WBC at the site of injury
d. All of the above
Which cells are classified as granulocytes? d. All of the above
a. Basophil
b. Eosinophil
c. Neutrophil
d. All of the above