The nurse is caring for a patient who has just been transferred to the PACU from the
OR. What is the
highest nursing priority?
Give this one a try later!
Maintaining a patent airway
The OR will be caring for a patient who will receive a transsacral block. For what
patient would the use
of a transsacral block be appropriate for pain control?
Give this one a try later!
An older adult man who will undergo an inguinal hernia repair
,The nurse is preparing an elderly patient for a scheduled removal of orthopedic
hardware, a procedure to
be performed under general anesthetic. For which adverse effect should the nurse
most closely monitor
the patient?
Give this one a try later!
Hypothermia
A patient is scheduled for a bowel resection in the morning and the patients orders
include a cleansing
enema tonight. The patient wants to know why this is necessary. The nurse should
explain that the
cleansing enema will have what therapeutic effect?
Give this one a try later!
Preventing potential contamination of the peritoneum
The nurse is caring for a 79-year-old man who has returned to the postsurgical unit
following abdominal
surgery. The patient is unable to ambulate and is now refusing to wear an external
pneumatic
compression stocking. The nurse should explain that refusing to wear external
pneumatic compression
stockings increases his risk of what postsurgical complication?
Give this one a try later!
, Pulmonary embolism
A nurse is providing preoperative teaching to a patient who will soon undergo a
cardiac bypass. The
nurses teaching plan includes exercises of the extremities. What is the purpose of
teaching a patient leg
exercises prior to surgery?
Give this one a try later!
Leg exercises improve circulation and prevent venous thrombosis.
The dressing surrounding a mastectomy patients Jackson-Pratt drain has scant
drainage on it. The nurse
believes that the amount of drainage on the dressing may be increasing. How can the
nurse best confirm
this suspicion?
Give this one a try later!
Trace the outline of the drainage on the dressing for future comparison.
The nurse is caring for an 82-year-old female patient in the PACU. The woman begins
to awaken and
responds to her name, but is confused, restless, and agitated. What principle should
guide the nurses
subsequent assessment?
Give this one a try later!
, Postoperative confusion is common in the older adult patent, but it could
also indicate a significant
blood loss.
The nurse is caring for an 88-year-old patient who is recovering from an ileac-femoral
bypass graft. The
patient is day 2 postoperative and has been mentally intact, as per baseline. When the
nurse assesses the
patient, it is clear that he is confused and has been experiencing disturbed sleep
patterns and impaired
psychomotor skills. What should the nurse suspect is the problem with the patient?
Give this one a try later!
Postoperative delirium
A 68-year-old patient is scheduled for a bilateral mastectomy. The OR nurse has come
out to the holding
area to meet the patient and quickly realizes that the patient is profoundly anxious.
What is the most
appropriate intervention for the nurse to apply?
Give this one a try later!
Clearly explain any information that the patient seeks.
The perioperative nurse has completed the presurgical assessment of an 82-year-old
female patient who
is scheduled for a left total knee replacement. When planning this patients care, the
OR. What is the
highest nursing priority?
Give this one a try later!
Maintaining a patent airway
The OR will be caring for a patient who will receive a transsacral block. For what
patient would the use
of a transsacral block be appropriate for pain control?
Give this one a try later!
An older adult man who will undergo an inguinal hernia repair
,The nurse is preparing an elderly patient for a scheduled removal of orthopedic
hardware, a procedure to
be performed under general anesthetic. For which adverse effect should the nurse
most closely monitor
the patient?
Give this one a try later!
Hypothermia
A patient is scheduled for a bowel resection in the morning and the patients orders
include a cleansing
enema tonight. The patient wants to know why this is necessary. The nurse should
explain that the
cleansing enema will have what therapeutic effect?
Give this one a try later!
Preventing potential contamination of the peritoneum
The nurse is caring for a 79-year-old man who has returned to the postsurgical unit
following abdominal
surgery. The patient is unable to ambulate and is now refusing to wear an external
pneumatic
compression stocking. The nurse should explain that refusing to wear external
pneumatic compression
stockings increases his risk of what postsurgical complication?
Give this one a try later!
, Pulmonary embolism
A nurse is providing preoperative teaching to a patient who will soon undergo a
cardiac bypass. The
nurses teaching plan includes exercises of the extremities. What is the purpose of
teaching a patient leg
exercises prior to surgery?
Give this one a try later!
Leg exercises improve circulation and prevent venous thrombosis.
The dressing surrounding a mastectomy patients Jackson-Pratt drain has scant
drainage on it. The nurse
believes that the amount of drainage on the dressing may be increasing. How can the
nurse best confirm
this suspicion?
Give this one a try later!
Trace the outline of the drainage on the dressing for future comparison.
The nurse is caring for an 82-year-old female patient in the PACU. The woman begins
to awaken and
responds to her name, but is confused, restless, and agitated. What principle should
guide the nurses
subsequent assessment?
Give this one a try later!
, Postoperative confusion is common in the older adult patent, but it could
also indicate a significant
blood loss.
The nurse is caring for an 88-year-old patient who is recovering from an ileac-femoral
bypass graft. The
patient is day 2 postoperative and has been mentally intact, as per baseline. When the
nurse assesses the
patient, it is clear that he is confused and has been experiencing disturbed sleep
patterns and impaired
psychomotor skills. What should the nurse suspect is the problem with the patient?
Give this one a try later!
Postoperative delirium
A 68-year-old patient is scheduled for a bilateral mastectomy. The OR nurse has come
out to the holding
area to meet the patient and quickly realizes that the patient is profoundly anxious.
What is the most
appropriate intervention for the nurse to apply?
Give this one a try later!
Clearly explain any information that the patient seeks.
The perioperative nurse has completed the presurgical assessment of an 82-year-old
female patient who
is scheduled for a left total knee replacement. When planning this patients care, the
