NRS 3015 Final Review ., ., .,
The nurse is preparing a client for surgery scheduled in two hours.
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Which interventions are appropriate in the preoperative period? S
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elect all that apply. - correct answer ✔ ✔
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assist the client to void before transfer to the operating room, re
., ., ., ., ., ., ., ., ., ., .,
view the client's record for a history and physical report and lab re
., ., ., ., ., ., ., ., ., ., ., .,
ports, check all surgeon's prescriptions to ensure they have been c
., ., ., ., ., ., ., ., ., .,
arried out .,
The nurse is creating a plan of care for a client scheduled for surge
., ., ., ., ., ., ., ., ., ., ., ., .,
ry. The nurse should include which activity in the nursing care pla
., ., ., ., ., ., ., ., ., ., .,
n for the client on the day of surgery? - correct answer ✔ ✔
., ., ., ., ., ., ., ., ., ., ., .,
have the client void immediately before going into surgery
., ., ., ., ., ., ., .,
The nurse is conducting preoperative teaching with a client about
., ., ., ., ., ., ., ., ., .,
the use of an incentive spirometer. The nurse should include whic
., ., ., ., ., ., ., ., ., .,
h piece of information in discussions with the client? -
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correct answer ✔ ✔
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the best results are achieved when sitting up or with the head of
., ., ., ., ., ., ., ., ., ., ., ., .,
the bed elevated 45 to 90 degrees
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,In preparation for ambulation, the nurse is planning to assist a pos
., ., ., ., ., ., ., ., ., ., .,
toperative client to progress from a lying position to a sitting posit
., ., ., ., ., ., ., ., ., ., .,
ion. Which nursing action is appropriate to maintain the safety of t
., ., ., ., ., ., ., ., ., ., .,
he client? - correct answer ✔ ✔
., ., ., ., .,
assess the client for signs of dizziness and hypotension
., ., ., ., ., ., ., .,
The PACU nurse caring for a client with a nasogastric (NG) tube
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notes 300 mL of bright red blood has collected. What is the appro
., ., ., ., ., ., ., ., ., ., ., .,
priate nursing action? - correct answer ✔ ✔
., ., ., ., ., .,
call the client's surgeon to report the drainage
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The nurse is preparing a preoperative client for transfer to the ope
., ., ., ., ., ., ., ., ., ., .,
rating room. The nurse should take which action in the care of this
., ., ., ., ., ., ., ., ., ., ., .,
client at this time? - correct answer ✔ ✔
., ., ., ., ., ., ., .,
ensure that the client has not eaten for the past 24 hours
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A client is admitted to the ambulatory surgery center for elective s
., ., ., ., ., ., ., ., ., ., .,
urgery. The nurse asks the client whether any food, fluid, or medi
., ., ., ., ., ., ., ., ., ., .,
cation was taken today. Which medication, if taken by the client, s
., ., ., ., ., ., ., ., ., ., .,
hould indicate to the nurse the need to contact the health care prov
., ., ., ., ., ., ., ., ., ., ., .,
ider? - correct answer ✔ ✔ an anticoagulatn
., ., ., ., .,
, The nurse is caring for a client who recently returned from the ope
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rating room. On data collection, the nurse notes that the client's vit
., ., ., ., ., ., ., ., ., ., .,
al signs are blood pressure (BP), 118/70 mm Hg; pulse, 91 beats/
., ., ., ., ., ., ., ., ., ., .,
minute; and respirations, 16 breaths/minute. Preoperative vital sig
., ., ., ., ., ., .,
ns were BP, 132/88 mm Hg; pulse, 74 beats/minute; and respirati
., ., ., ., ., ., ., ., ., .,
ons, 20 breaths/minute. Which action should the nurse plan to tak
., ., ., ., ., ., ., ., ., .,
e first? - correct answer ✔ ✔
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recheck the vital signs in 15 mins ., ., ., ., ., .,
A client is scheduled for surgery at noon. The surgeon is delayed
., ., ., ., ., ., ., ., ., ., ., .,
and the surgery is now scheduled for 3:00 PM. How will the nurse
., ., ., ., ., ., ., ., ., ., ., .,
plan to administer the preoperative prophylactic antibiotic? -
., ., ., ., ., ., ., .,
correct answer ✔ ✔
., ., .,
adjust the administration time to be given within one hour prior
., ., ., ., ., ., ., ., ., ., .,
to surgery.,
Which assessment data finding for a client scheduled for total kne
., ., ., ., ., ., ., ., ., .,
e replacement surgery is most important for the nurse to communi
., ., ., ., ., ., ., ., ., .,
cate to the surgeon and the anesthesia provider before the procedu
., ., ., ., ., ., ., ., ., .,
re? Select all that apply. - correct answer ✔ ✔
., ., ., ., ., ., ., .,
the client took a total of 1300 mg of aspirin yesterday, after rece
., ., ., ., ., ., ., ., ., ., ., .,
iving the preoperative medications the client tells the nurse that he
., ., ., ., ., ., ., ., ., .,
lied on the assessment form and that he really is a current smoker,
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serum potassium level is 3.0
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The nurse is preparing a client for surgery scheduled in two hours.
., ., ., ., ., ., ., ., ., ., .,
Which interventions are appropriate in the preoperative period? S
., ., ., ., ., ., ., ., .,
elect all that apply. - correct answer ✔ ✔
., ., ., ., ., ., .,
assist the client to void before transfer to the operating room, re
., ., ., ., ., ., ., ., ., ., .,
view the client's record for a history and physical report and lab re
., ., ., ., ., ., ., ., ., ., ., .,
ports, check all surgeon's prescriptions to ensure they have been c
., ., ., ., ., ., ., ., ., .,
arried out .,
The nurse is creating a plan of care for a client scheduled for surge
., ., ., ., ., ., ., ., ., ., ., ., .,
ry. The nurse should include which activity in the nursing care pla
., ., ., ., ., ., ., ., ., ., .,
n for the client on the day of surgery? - correct answer ✔ ✔
., ., ., ., ., ., ., ., ., ., ., .,
have the client void immediately before going into surgery
., ., ., ., ., ., ., .,
The nurse is conducting preoperative teaching with a client about
., ., ., ., ., ., ., ., ., .,
the use of an incentive spirometer. The nurse should include whic
., ., ., ., ., ., ., ., ., .,
h piece of information in discussions with the client? -
., ., ., ., ., ., ., ., .,
correct answer ✔ ✔
., ., .,
the best results are achieved when sitting up or with the head of
., ., ., ., ., ., ., ., ., ., ., ., .,
the bed elevated 45 to 90 degrees
., ., ., ., ., .,
,In preparation for ambulation, the nurse is planning to assist a pos
., ., ., ., ., ., ., ., ., ., .,
toperative client to progress from a lying position to a sitting posit
., ., ., ., ., ., ., ., ., ., .,
ion. Which nursing action is appropriate to maintain the safety of t
., ., ., ., ., ., ., ., ., ., .,
he client? - correct answer ✔ ✔
., ., ., ., .,
assess the client for signs of dizziness and hypotension
., ., ., ., ., ., ., .,
The PACU nurse caring for a client with a nasogastric (NG) tube
., ., ., ., ., ., ., ., ., ., ., .,
notes 300 mL of bright red blood has collected. What is the appro
., ., ., ., ., ., ., ., ., ., ., .,
priate nursing action? - correct answer ✔ ✔
., ., ., ., ., .,
call the client's surgeon to report the drainage
., ., ., ., ., ., .,
The nurse is preparing a preoperative client for transfer to the ope
., ., ., ., ., ., ., ., ., ., .,
rating room. The nurse should take which action in the care of this
., ., ., ., ., ., ., ., ., ., ., .,
client at this time? - correct answer ✔ ✔
., ., ., ., ., ., ., .,
ensure that the client has not eaten for the past 24 hours
., ., ., ., ., ., ., ., ., ., .,
A client is admitted to the ambulatory surgery center for elective s
., ., ., ., ., ., ., ., ., ., .,
urgery. The nurse asks the client whether any food, fluid, or medi
., ., ., ., ., ., ., ., ., ., .,
cation was taken today. Which medication, if taken by the client, s
., ., ., ., ., ., ., ., ., ., .,
hould indicate to the nurse the need to contact the health care prov
., ., ., ., ., ., ., ., ., ., ., .,
ider? - correct answer ✔ ✔ an anticoagulatn
., ., ., ., .,
, The nurse is caring for a client who recently returned from the ope
., ., ., ., ., ., ., ., ., ., ., .,
rating room. On data collection, the nurse notes that the client's vit
., ., ., ., ., ., ., ., ., ., .,
al signs are blood pressure (BP), 118/70 mm Hg; pulse, 91 beats/
., ., ., ., ., ., ., ., ., ., .,
minute; and respirations, 16 breaths/minute. Preoperative vital sig
., ., ., ., ., ., .,
ns were BP, 132/88 mm Hg; pulse, 74 beats/minute; and respirati
., ., ., ., ., ., ., ., ., .,
ons, 20 breaths/minute. Which action should the nurse plan to tak
., ., ., ., ., ., ., ., ., .,
e first? - correct answer ✔ ✔
., ., ., ., .,
recheck the vital signs in 15 mins ., ., ., ., ., .,
A client is scheduled for surgery at noon. The surgeon is delayed
., ., ., ., ., ., ., ., ., ., ., .,
and the surgery is now scheduled for 3:00 PM. How will the nurse
., ., ., ., ., ., ., ., ., ., ., .,
plan to administer the preoperative prophylactic antibiotic? -
., ., ., ., ., ., ., .,
correct answer ✔ ✔
., ., .,
adjust the administration time to be given within one hour prior
., ., ., ., ., ., ., ., ., ., .,
to surgery.,
Which assessment data finding for a client scheduled for total kne
., ., ., ., ., ., ., ., ., .,
e replacement surgery is most important for the nurse to communi
., ., ., ., ., ., ., ., ., .,
cate to the surgeon and the anesthesia provider before the procedu
., ., ., ., ., ., ., ., ., .,
re? Select all that apply. - correct answer ✔ ✔
., ., ., ., ., ., ., .,
the client took a total of 1300 mg of aspirin yesterday, after rece
., ., ., ., ., ., ., ., ., ., ., .,
iving the preoperative medications the client tells the nurse that he
., ., ., ., ., ., ., ., ., .,
lied on the assessment form and that he really is a current smoker,
., ., ., ., ., ., ., ., ., ., ., ., .,
serum potassium level is 3.0
., ., ., ., .,