Adult 1- Perioperative Nursing Exam 2024.

Adult 1- Perioperative Nursing Exam 2024. A nurse is assessing a client's laboratory values before surgery. Which of the following results should the nurse report to the provider? (Select all that apply) A. Potassium 3.9 mEq/L B. Sodium 145 mEq/L C. Creatinine 2.8 mg/dL D. Blood glucose 235 mg/dL E. WBC 17,850/mm3 - ANSWER C. Creatinine 2.8 mg/dL D. Blood glucose 235 mg/dL E. WBC 17,850/mm3 A nurse providing preoperative teaching to a client who is to have abdominal surgery. Which of the following statements should the nurse make? (Select all that apply) A. "Take your heart medication with a sip of water before surgery." B. "Splint the abdominal incision with a pillow when coughing and deep breathing." C. "Bed rest is recommended for the first 48 hrs." D. "Antiembolism stockings are applied before surgery." E. "You may not eat solid foods up to 4 hr before surgery." - ANSWER A. "Take your heart medication with a sip of water before surgery." B. "Splint the abdominal incision with a pillow when coughing and deep breathing." D. "Antiembolism stockings are applied before surgery." A nurse is verifying informed consent for a client who is having a paracentesis. Which of the following actions should the nurse take? (Select all that apply.) A. Explain to the client the purpose of having the procedure. B. Inform the client of risks to having the procedure. C. Ensure the client understands information about the procedure. D. Witness the client signing the informed consent form. E. Determine if the client is capable of understanding the reason for the procedure. - ANSWER C. Ensure the client understands information about the procedure. D. Witness the client signing the informed consent form. E. Determine if the client is capable of understanding the reason for the procedure. A nurse is caring for a client who is scheduled for an exploratory laparotomy. The client's temperature is 39°C (102.2°F) orally. Which of the following actions should the nurse take? A. Inform the surgeon of the elevated temperature. B. Transfer the client to the preoperative unit. C. Apply ice packs to the groin. D. Encourage the client to increase intake of clear liquids. - ANSWER A. Inform the surgeon of the elevated temperature. A preoperative nurse is caring for a client who is having a colon resection. Which of the following actions should the nurse take? A. Encourage the client to void after preoperative medication administration. B. Administer antibiotics 2 hr prior to surgical incision. C. Remove hair using a manual razor. D. Remove nail polish on fingers and toes. - ANSWER D. Remove nail polish on fingers and toes. A nurse is caring for a client who reports nausea and vomiting 2 days postoperative following hysterectomy. Which of the following actions should the nurse perform first? A. Assess bowel sounds. B. Administer antiemetic medication. C. Restart prescribed IV fluids. D. Insert a prescribed nasogastric tube. - ANSWER A. Assess bowel sounds A nurse is planning care for a client to prevent postoperative atelectasis. Which of the following interventions should the nurse include in the plane of care? (Select all that apply) A. Encourage use of the incentive spirometer every 2 hr. B. Instruct the client to splint the incision when coughing and deep breathing. C. Reposition the client every 2 hr. D. Administer antibiotic therapy. E. Assist with early ambulation. - ANSWER A. Encourage use of the incentive spirometer every 2 hr. B. Instruct the client to splint the incision when coughing and deep breathing. C. Reposition the client every 2 hr. E. Assist with early ambulation. A nurse is caring for a client who arrived in the PACU following a total hip arthroplasty. The client is not responding to verbal stimuli. Which of the following actions should the nurse perform first? A. Compare and contrast the peripheral pulses. B. Apply a warm blanket. C. Assess dressings. D. Place the client in a lateral position. - ANSWER D. Place the client in a lateral position.