RNSGvn1517:vnProtectionvnandvnRegulationvnSemestervn1vnQuiz
Thevnnursevnisvncaringvnforvnanvnoldervnclientvnduringvnthevnintraoperativevnstage.vnThevn
anesthesiavnprocessvnhasvnalreadyvnbegunvnandvnthevnnursevnhasvnalreadyvnremovedvnthev
ndentures,vneyeglasses,vnandvnhearingvnaids.vnAftervnthevnnursevnperforms vnthesevnaction
s,vnwhatvnwouldvnbevnthevnordervnthevnintraoperativevnnursingvninterventionsvnshouldvnta
kevnplace?
1.Thevnnursevnshouldvncovervnthevnclient'svnheadvnandvnfeet.
2.Thevnclientvnisvnliftedvnintovnpositionvntovnpreventvnshearingvnforces.
3.Thevnnursevnshouldvnusevnavnsmallvnpillowvnundervnthevnclient'svnhead.
4.Thevnnursevnshouldvnfollowvnasepticvntechnique.
5.Thevnnursevnshouldvnpadvnbonyvnprominencesvntovnpreventvnpressurevnsores.
6.Thevnnursevnshouldvnusevnwarmingvndevicevntovnpreventvnhypothermia.
7.Thevnnursevnshouldvncarefullyvnmonitorvnthevninputvnandvnoutputvnofvnfluidsvnincludin
gvnblood.
8.Thevnnursevnshouldvnpositionvnarthriticvnandvnartificialvnjointsvncarefullyvntovnpreventvn
postoperativevnpain.
,9.Thevnnursevnshouldvnwarmvnintravenousvnandvnirrigationvnfluidsvnasvnindvn-
vncorrectvnanswer✔ ✔
1.Thevnnursevnshouldvnusevnavnsmallvnpillowvnundervnthevnclient'svnhead.
2.Thevnclientvnisvnliftedvnintovnpositionvntovnpreventvnshearingvnforces.
3.Thevnnursevnshouldvnpositionvnarthriticvnandvnartificialvnjointsvncarefullyvntovnpreventvn
postoperativevnpain.
4.Thevnnursevnshouldvnpadvnbonyvnprominencesvntovnpreventvnpressurevnsores.
5.Thevnnursevnshouldvnusevnwarmingvndevicevntovnpreventvnhypothermia.
6.Thevnnursevnshouldvncovervnthevnclient'svnheadvnandvnfeet.
7.Thevnnursevnshouldvnwarmvnintravenousvnandvnirrigationvnfluidsvnasvnindicatedvnbyvna
gencyvnpolicyvnandvnmanufacturer'svnrecommendations.
8.Thevnnursevnshouldvnfollowvnasepticvntechnique.
9.Thevnnursevnshouldvncarefullyvnmonitorvnthevninputvnandvnoutputvnofvnfluidsvnincludin
gvnblood
Thevnnursevnsuspectsvnthatvnanvnintraoperativevnclientvnhasvnavndistendedvnbladder.vnWhi
chvnmethodvnisvncorrectvntovnassessvnforvnthisvncondition?
1.Inspectvnandvnpalpatevninvnthevnepigastricvnregion.
2.Auscultatevnandvnpercussvninvnthevninguinalvnareas.
3.Percussvnandvnpalpatevninvnthevnhypogastricvnregion.
4.Percussvnandvnpalpatevnbilaterallyvninvnthevnlumbarvnareasvn-vncorrectvnanswer✔ ✔
3.Percussvnandvnpalpatevninvnthevnhypogastricvnregion.
,Tovndetectvnavndistendedvnbladder,vnpercussionvnandvnpalpationvnshouldvnbevnperformed
vnovervnthevnhypogastricvnregionvnofvnthevnabdomen.
Invnthevnpostanesthesiavncarevnunitvnavnclientvnreceivedvnintrathecalvnmorphinevnintraop
erativelyvntovncontrolvnpain.vnConsideringvnthevnadministrationvnofvnthisvnmedication,vn
whatvnshouldvnthevnnursevnincludevnasvnpartvnofvnthevnclient'svninitialvn24-
hourvnpostoperativevncare?vn
1.Monitoringvnofvnrespiratoryvnratevnhourly
2.Assessingvnthevnclientvnforvntachycardia
3.Administeringvnnaloxonevneveryvn3vntovn4vnhours
4.Observingvnthevnclientvnforvnsignsvnofvncentralvnnervousvnsystemvn(CNS)vnexcitementv
n-vncorrectvnanswer✔ ✔ 1.Monitoringvnofvnrespiratoryvnratevnhourly
Intrathecalvnmorphinevncanvndepressvnrespiratoryvnfunctionvndependingvnonvnthevnlevelv
nitvnreachesvnwithinvnthevnspinalvncolumn;vnhourlyvnassessmentsvnduringvnthevnfirstvn12vnt
ovn24vnhoursvnwillvnallowvnforvnearlyvninterventionvnwithvnanvnantidotevnifvnrespiratoryvnd
epressionvnneedsvntovnbevncorrected.
Thevnnursevnisvnpreparingvnanvnintraoperativevncarevnplanvnforvnavnclient.vnWhichvninterv
entionvnshouldvnbevnexcludedvnfromvnthevncarevnplan?
1.Ensuringvnthevnclient'svnskinvnintegrity
2.Reviewingvnthevnpreoperativevninstructions
3.Administeringvngeneralvnanestheticvntovnthevnclient
4.Placingvnthevnclientvninvnthevncorrectvnpositionvnonvnthevnoperatingvntablevn-
vncorrectvnanswer✔ ✔ 3.Administeringvngeneralvnanestheticvntovnthevnclient
, Thevnnursevnisvnprovidingvnpost-
procedurevncarevntovnavnclientvnaftervnanvnarthroscopy.vnWhatvnwillvnbevnthevnnurse'svnpri
orityvnwhilevnprovidingvncarevntovnthevnclient?
1.Encouragingvnthevnclientvntovnperformvnexercises
2.Elevatingvnthevnaffectedvnextremityvnforvn12vntovn24vnhours
3.Assessingvnthevnneurovascularvnstatusvnofvnthevnclient'svnaffectedvnlimb
4.Administeringvnanalgesicsvnasvnprescribedvnbyvnthevnprimaryvnhealthcarevnprovidervn-
vncorrectvnanswer✔ ✔
3.Assessingvnthevnneurovascularvnstatusvnofvnthevnclient'svnaffectedvnlimb.
Thevnpriorityvnforvnpost-
procedurevncarevnaftervnarthroscopyvnisvntovnassessvnthevnneurovascularvnstatusvnofvnthevn
client'svnaffectedvnlimb
Thevnnursevnisvnassessingvnfourvnclientsvninvnthevnpostoperativevnunit.vnWhichvnclientvnw
illvnbevnmonitoredvnforvnfluidvnvolumevnoverloadvnasvnnursingvnsafetyvnpriority?
A.Clientvnwithvnlymphvnnodevndissection
B.Clientvnwithvnlaparoscopicvncholecystechtomyvn
C.Clientvnwithvnsurgicalvninterventionvnforvnhemorrhoidsvn
D.Clientvnwithvnlivervntransplantationvn-vncorrectvnanswer✔ ✔
A.Clientvnwithvnlymphvnnodevndissection
ThevnnursingvnsafetyvnpriorityvnforvnclientvnAvnwithvnlymphvnnodevndissectionvnisvnmonit
oringvnforvnmanifestationsvnofvnfluidvnoverload.
Thevnnursevnisvncaringvnforvnanvnoldervnclientvnduringvnthevnintraoperativevnstage.vnThevn
anesthesiavnprocessvnhasvnalreadyvnbegunvnandvnthevnnursevnhasvnalreadyvnremovedvnthev
ndentures,vneyeglasses,vnandvnhearingvnaids.vnAftervnthevnnursevnperforms vnthesevnaction
s,vnwhatvnwouldvnbevnthevnordervnthevnintraoperativevnnursingvninterventionsvnshouldvnta
kevnplace?
1.Thevnnursevnshouldvncovervnthevnclient'svnheadvnandvnfeet.
2.Thevnclientvnisvnliftedvnintovnpositionvntovnpreventvnshearingvnforces.
3.Thevnnursevnshouldvnusevnavnsmallvnpillowvnundervnthevnclient'svnhead.
4.Thevnnursevnshouldvnfollowvnasepticvntechnique.
5.Thevnnursevnshouldvnpadvnbonyvnprominencesvntovnpreventvnpressurevnsores.
6.Thevnnursevnshouldvnusevnwarmingvndevicevntovnpreventvnhypothermia.
7.Thevnnursevnshouldvncarefullyvnmonitorvnthevninputvnandvnoutputvnofvnfluidsvnincludin
gvnblood.
8.Thevnnursevnshouldvnpositionvnarthriticvnandvnartificialvnjointsvncarefullyvntovnpreventvn
postoperativevnpain.
,9.Thevnnursevnshouldvnwarmvnintravenousvnandvnirrigationvnfluidsvnasvnindvn-
vncorrectvnanswer✔ ✔
1.Thevnnursevnshouldvnusevnavnsmallvnpillowvnundervnthevnclient'svnhead.
2.Thevnclientvnisvnliftedvnintovnpositionvntovnpreventvnshearingvnforces.
3.Thevnnursevnshouldvnpositionvnarthriticvnandvnartificialvnjointsvncarefullyvntovnpreventvn
postoperativevnpain.
4.Thevnnursevnshouldvnpadvnbonyvnprominencesvntovnpreventvnpressurevnsores.
5.Thevnnursevnshouldvnusevnwarmingvndevicevntovnpreventvnhypothermia.
6.Thevnnursevnshouldvncovervnthevnclient'svnheadvnandvnfeet.
7.Thevnnursevnshouldvnwarmvnintravenousvnandvnirrigationvnfluidsvnasvnindicatedvnbyvna
gencyvnpolicyvnandvnmanufacturer'svnrecommendations.
8.Thevnnursevnshouldvnfollowvnasepticvntechnique.
9.Thevnnursevnshouldvncarefullyvnmonitorvnthevninputvnandvnoutputvnofvnfluidsvnincludin
gvnblood
Thevnnursevnsuspectsvnthatvnanvnintraoperativevnclientvnhasvnavndistendedvnbladder.vnWhi
chvnmethodvnisvncorrectvntovnassessvnforvnthisvncondition?
1.Inspectvnandvnpalpatevninvnthevnepigastricvnregion.
2.Auscultatevnandvnpercussvninvnthevninguinalvnareas.
3.Percussvnandvnpalpatevninvnthevnhypogastricvnregion.
4.Percussvnandvnpalpatevnbilaterallyvninvnthevnlumbarvnareasvn-vncorrectvnanswer✔ ✔
3.Percussvnandvnpalpatevninvnthevnhypogastricvnregion.
,Tovndetectvnavndistendedvnbladder,vnpercussionvnandvnpalpationvnshouldvnbevnperformed
vnovervnthevnhypogastricvnregionvnofvnthevnabdomen.
Invnthevnpostanesthesiavncarevnunitvnavnclientvnreceivedvnintrathecalvnmorphinevnintraop
erativelyvntovncontrolvnpain.vnConsideringvnthevnadministrationvnofvnthisvnmedication,vn
whatvnshouldvnthevnnursevnincludevnasvnpartvnofvnthevnclient'svninitialvn24-
hourvnpostoperativevncare?vn
1.Monitoringvnofvnrespiratoryvnratevnhourly
2.Assessingvnthevnclientvnforvntachycardia
3.Administeringvnnaloxonevneveryvn3vntovn4vnhours
4.Observingvnthevnclientvnforvnsignsvnofvncentralvnnervousvnsystemvn(CNS)vnexcitementv
n-vncorrectvnanswer✔ ✔ 1.Monitoringvnofvnrespiratoryvnratevnhourly
Intrathecalvnmorphinevncanvndepressvnrespiratoryvnfunctionvndependingvnonvnthevnlevelv
nitvnreachesvnwithinvnthevnspinalvncolumn;vnhourlyvnassessmentsvnduringvnthevnfirstvn12vnt
ovn24vnhoursvnwillvnallowvnforvnearlyvninterventionvnwithvnanvnantidotevnifvnrespiratoryvnd
epressionvnneedsvntovnbevncorrected.
Thevnnursevnisvnpreparingvnanvnintraoperativevncarevnplanvnforvnavnclient.vnWhichvninterv
entionvnshouldvnbevnexcludedvnfromvnthevncarevnplan?
1.Ensuringvnthevnclient'svnskinvnintegrity
2.Reviewingvnthevnpreoperativevninstructions
3.Administeringvngeneralvnanestheticvntovnthevnclient
4.Placingvnthevnclientvninvnthevncorrectvnpositionvnonvnthevnoperatingvntablevn-
vncorrectvnanswer✔ ✔ 3.Administeringvngeneralvnanestheticvntovnthevnclient
, Thevnnursevnisvnprovidingvnpost-
procedurevncarevntovnavnclientvnaftervnanvnarthroscopy.vnWhatvnwillvnbevnthevnnurse'svnpri
orityvnwhilevnprovidingvncarevntovnthevnclient?
1.Encouragingvnthevnclientvntovnperformvnexercises
2.Elevatingvnthevnaffectedvnextremityvnforvn12vntovn24vnhours
3.Assessingvnthevnneurovascularvnstatusvnofvnthevnclient'svnaffectedvnlimb
4.Administeringvnanalgesicsvnasvnprescribedvnbyvnthevnprimaryvnhealthcarevnprovidervn-
vncorrectvnanswer✔ ✔
3.Assessingvnthevnneurovascularvnstatusvnofvnthevnclient'svnaffectedvnlimb.
Thevnpriorityvnforvnpost-
procedurevncarevnaftervnarthroscopyvnisvntovnassessvnthevnneurovascularvnstatusvnofvnthevn
client'svnaffectedvnlimb
Thevnnursevnisvnassessingvnfourvnclientsvninvnthevnpostoperativevnunit.vnWhichvnclientvnw
illvnbevnmonitoredvnforvnfluidvnvolumevnoverloadvnasvnnursingvnsafetyvnpriority?
A.Clientvnwithvnlymphvnnodevndissection
B.Clientvnwithvnlaparoscopicvncholecystechtomyvn
C.Clientvnwithvnsurgicalvninterventionvnforvnhemorrhoidsvn
D.Clientvnwithvnlivervntransplantationvn-vncorrectvnanswer✔ ✔
A.Clientvnwithvnlymphvnnodevndissection
ThevnnursingvnsafetyvnpriorityvnforvnclientvnAvnwithvnlymphvnnodevndissectionvnisvnmonit
oringvnforvnmanifestationsvnofvnfluidvnoverload.
