Edition!
Homan's Sign A patient is now in the recovery room after having vaginal surgery .
Due to the positioning of the procedure you would want to assess
for what while the patient is in recovery ?
Side positioning preferably on the left side After surgery your patient is semicomatose with vital signs within normal
limits . As the
nurse , what position would be best for this patient ?
Apply warm blankets & continue oxygen as prescribedAfter surgery your patient starts to shiver uncontrollably . What nursing
intervention
would you do FIRST ?
24 - hour urine output of 300 ml The nurse is monitoring the patient who is 24 hours post - opt from
surgery . Which finding requires intervention ?
Put the patient in prone position with knees extended to put A patient is 6 days post - opt from abdominal
surgery . The patient is to be discharged pressure on the site later today . The patient uses the call light and asks
you to come to his room and look at
his surgical site On arrival you see that approximately 2 inches of internal
. organs are protruding through the incision . What intervention
would you NOT do ?
Encourage ambulation maintain NPO A patient reports he hasn't had a bowel movement or passed gas since
surgery . On
assessment , you note the abdomen is distended and no bowel sounds
, are noted in the four quadrants . You notify the MD . What non -
invasive nursing interventions can you perform without a MD
order ?
Failure to pass stool within 48 hours of eating solid foods What is a potential postoperative concern regarding a patient
who has already resumed a
solid diet ?
Repositioning every 3-4 hours A nurse is developing a care plan for a patient who is at risk for
developing pneumonia after surgery . Which of the following is
not an appropriate nursing intervention ?
Allow the patient to dangle the legs to help increase When assessing your patient who is post - opt , you notice that
the patient's right calf vein circulation and alleviate pain feels hard cord like , and is tender to the touch . The patient
reports it is aching and painful
. What would NOT be an appropriate nursing intervention for this patient
?
Notify the MD A patient is recovering from surgery . The patient is very restless , heart
rate is 120 bpm and blood pressure is 70/53 , skin is cool clammy .
As the nurse you would ?
The medication should be discontinued for 48 hours prior to A patient is taking Aspirin 325 mg PO by mouth daily .
The patient is scheduled for surgery the scheduled surgery date in a week . What education do you provide the
patient with before surgery ?
The patient inhales slowly on the device and maintains the You are observing your patient use the incentive
spirometry . What demonstration by the flow indicator between 600 to 900 level patient lets you know the patient
understands how to use the device properly ?