Nurs 110 / Nurs110 Final Exam. Questions With Answers.

38. The nurse is preparing a client for a surgical procedure that is scheduled for the next morning. What nursing action is important for the preparation to limit the risk of intraoperative and postoperative complications? Select all that apply. 39. A nurse is monitoring a client post cardiac surgery. What action would help to prevent cardiovascular complications for this client? 40. A 2-year-old toddler just underwent a tonsillectomy and adenoidectomy surgery. The postanesthesia care unit (PACU) nurse is checking on him. What is the best course of action regarding the developmental care of this child? 41. A client has presented to the outpatient surgical center for a scheduled procedure. Which action should the nurse perform prior to the procedure? 42. A nurse is teaching a client about the rationale for fasting from food and fluids prior to surgery. What condition does this measure attempt to avoid? 43. The nurse is providing education about deep-breathing exercises to a postoperative client whose surgery took place earlier today. Which instruction should the nurse provide? 44. The nurse is performing a preoperative assessment of a client who has been scheduled for a reduction mammoplasty (breast reduction). The client states, "I'm starting to wonder if I made the right decision in going ahead with this." What should the nurse do next? 45. The preoperative nurse is teaching a client about deep-breathing exercises. The client asks, "Why do I need to learn about this?" Which response by the nurse is correct? "After surgery, deep-breathing exercises help to remove anesthetic gases and mucus and improve oxygen supply to body tissues." 46. A client who is scheduled to undergo coronary bypass surgery in a week asks the nurse whether he should discontinue taking his cholesterol medicine ahead of the surgery. Which should be the nurse's response? 47. The preoperative nurse has prepared a client for surgery and has been notified that the operating room staff is ready for the client. The client states, "My bladder feels full. I need to go to the bathroom!" Which action by the nurse is appropriate? 48. The nurse is teaching the client who recently experienced abdominal surgery to deep breathe and cough effectively. What observable action serves to best minimize pain that may result from the intervention? 49. The nurse is caring for a client who had a procedure under moderate sedation at the ambulatory surgical center. Which assessment finding indicates to the nurse that the client may be ready for discharge to home? 50. The nurse is caring for a confused older adult client who requires surgery for a broken hip. What steps does the nurse take to determine if the client has a durable power of attorney for health care and how to contact that person? 51. A nurse is caring for a client who is preparing to have a hip replacement. What is the responsibility(ies) of the nurse related to informed consent? Select all that apply. 52. The nurse is caring for a client postoperatively. The vital signs are blood pressure 88/50 mm Hg, heart rate 110 beats/min, respiratory rate 24 breaths/min. The client stated the pain in the abdomen will not stop. The abdominal dressing is saturated with fresh blood. Along with notifying the surgeon, what is the nurse's priority in this situation? Place in supine position