POST OPERATIVE NURSING MANAGEMENT 2024 -2025 EXAM
|COMPLETE EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+.
The recovery room nurse is admitting a patient from the OR following
the patients successful splenectomy. What is the first assessment
that the nurse should perform on this newly admitted patient?
A) Heart rate and rhythm
B) Skin integrity
C) Core body temperature
D) Airway patency - ANSWER-D
(The primary objective in the immediate postoperative period is to
maintain ventilation and, thus, prevent hypoxemia and hypercapnia.
Both can occur if the airway is obstructed and ventilation is reduced.
This assessment is followed by cardiovascular status and the
condition of the surgical site. The core temperature would be
assessed after the airway, cardiovascular status, and wound (skin
integrity).
An adult patient is in the recovery room following a nephrectomy
performed for the treatment of renal cell carcinoma. The patients vital
signs and level of consciousness stabilized, but the patient then
complains of severe nausea and begins to retch. What should the
nurse do next?
A) Administer a dose of IV analgesic.
B) Apply a cool cloth to the patients forehead.
C) Offer the patient a small amount of ice chips.
,D) Turn the patient completely to one side. - ANSWER-D
(Turning the patient completely to one side allows collected fluid to
escape from the side of the mouth if the patient vomits. After turning
the patient to the side, the nurse can offer a cool cloth to the patients
forehead. Ice chips can increase feelings of nausea. An analgesic is
not administered for nausea and vomiting.)
The perioperative nurse is preparing to discharge a female patient
home from day surgery performed under general anesthetic. What
instruction should the nurse give the patient prior to the patient
leaving the hospital?
A) The patient should not drive herself home.
B) The patient should take an OTC sleeping pill for 2 nights.
C) The patient should attempt to eat a large meal at home to aid
wound healing.
D) The patient should remain in bed for the first 48 hours
postoperative. - ANSWER-A
The nurse is caring for a 78-year-old man who has had an outpatient
cholecystectomy. The nurse is getting him up for his first walk
postoperatively. To decrease the potential for orthostatic hypotension
and consequent falls, what should the nurse have the patient do? A)
Sit in a chair for 10 minutes prior to ambulating.
B) Drink plenty of fluids to increase circulating blood volume.
C) Stand upright for 2 to 3 minutes prior to ambulating.
D) Perform range-of-motion exercises for each joint. - ANSWER-C
, (Older adults are at an increased risk for orthostatic hypotension
secondary to age-related changes in vascular tone. The patient
should sit up and then stand for 2 to 3 minutes before ambulating to
alleviate orthostatic hypotension. The nurse should assess the
patients ability to mobilize safely, but full assessment of range of
motion in all joints is not normally necessary. Sitting in a chair and
increasing fluid intake are insufficient to prevent orthostatic
hypotension and consequent falls.)
The perioperative nurse is providing care for a patient who is
recovering on the postsurgical unit following a transurethral prostate
resection (TUPR). The patient is reluctant to ambulate, citing the need
to recover in bed. For what complication is the patient most at risk?
A) Atelectasis
B) Anemia
C) Dehydration
D) Peripheral edema - ANSWER-A
(Atelectasis occurs when the postoperative patient fails to move,
cough, and breathe deeply. With good nursing care, this is an
avoidable complication, but reduced mobility greatly increases the
risk. Anemia occurs rarely and usually in situations where the patient
loses a significant amount of blood or continues bleeding
postoperatively. Fluid shifts postoperatively may result in dehydration
and peripheral edema, but the patient is most at risk for atelectasis.)
The nurse is caring for a patient on the medicalsurgical unit
postoperative day 5. During each patient assessment, the nurse
|COMPLETE EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+.
The recovery room nurse is admitting a patient from the OR following
the patients successful splenectomy. What is the first assessment
that the nurse should perform on this newly admitted patient?
A) Heart rate and rhythm
B) Skin integrity
C) Core body temperature
D) Airway patency - ANSWER-D
(The primary objective in the immediate postoperative period is to
maintain ventilation and, thus, prevent hypoxemia and hypercapnia.
Both can occur if the airway is obstructed and ventilation is reduced.
This assessment is followed by cardiovascular status and the
condition of the surgical site. The core temperature would be
assessed after the airway, cardiovascular status, and wound (skin
integrity).
An adult patient is in the recovery room following a nephrectomy
performed for the treatment of renal cell carcinoma. The patients vital
signs and level of consciousness stabilized, but the patient then
complains of severe nausea and begins to retch. What should the
nurse do next?
A) Administer a dose of IV analgesic.
B) Apply a cool cloth to the patients forehead.
C) Offer the patient a small amount of ice chips.
,D) Turn the patient completely to one side. - ANSWER-D
(Turning the patient completely to one side allows collected fluid to
escape from the side of the mouth if the patient vomits. After turning
the patient to the side, the nurse can offer a cool cloth to the patients
forehead. Ice chips can increase feelings of nausea. An analgesic is
not administered for nausea and vomiting.)
The perioperative nurse is preparing to discharge a female patient
home from day surgery performed under general anesthetic. What
instruction should the nurse give the patient prior to the patient
leaving the hospital?
A) The patient should not drive herself home.
B) The patient should take an OTC sleeping pill for 2 nights.
C) The patient should attempt to eat a large meal at home to aid
wound healing.
D) The patient should remain in bed for the first 48 hours
postoperative. - ANSWER-A
The nurse is caring for a 78-year-old man who has had an outpatient
cholecystectomy. The nurse is getting him up for his first walk
postoperatively. To decrease the potential for orthostatic hypotension
and consequent falls, what should the nurse have the patient do? A)
Sit in a chair for 10 minutes prior to ambulating.
B) Drink plenty of fluids to increase circulating blood volume.
C) Stand upright for 2 to 3 minutes prior to ambulating.
D) Perform range-of-motion exercises for each joint. - ANSWER-C
, (Older adults are at an increased risk for orthostatic hypotension
secondary to age-related changes in vascular tone. The patient
should sit up and then stand for 2 to 3 minutes before ambulating to
alleviate orthostatic hypotension. The nurse should assess the
patients ability to mobilize safely, but full assessment of range of
motion in all joints is not normally necessary. Sitting in a chair and
increasing fluid intake are insufficient to prevent orthostatic
hypotension and consequent falls.)
The perioperative nurse is providing care for a patient who is
recovering on the postsurgical unit following a transurethral prostate
resection (TUPR). The patient is reluctant to ambulate, citing the need
to recover in bed. For what complication is the patient most at risk?
A) Atelectasis
B) Anemia
C) Dehydration
D) Peripheral edema - ANSWER-A
(Atelectasis occurs when the postoperative patient fails to move,
cough, and breathe deeply. With good nursing care, this is an
avoidable complication, but reduced mobility greatly increases the
risk. Anemia occurs rarely and usually in situations where the patient
loses a significant amount of blood or continues bleeding
postoperatively. Fluid shifts postoperatively may result in dehydration
and peripheral edema, but the patient is most at risk for atelectasis.)
The nurse is caring for a patient on the medicalsurgical unit
postoperative day 5. During each patient assessment, the nurse
