2
Perioperative Care Case Study updated |
ut ut ut ut ut
2024
ut
TheutnurseutbeginsuttheutpreoperativeutassessmentutbyuttakingutMs.utJackson'sutvitalutsign
s.ut
1.utWhichutvitalutsignutrequiresutfollow-uputbyuttheutnurse?
A)utBPutofut160/88.
B)utPulseutofut68.
C)utRespirationsutofut14.
D)utTemperatureutofut97.2°utF.ut-utANS;ututA)utBPutofut160/88.
Thisutbloodutpressureutisutelevatedutandutrequiresutfurtherutactionutbyuttheutnurse.
utTheutnurseutreviewsuttheutmedicationsuttakenutbyutMs.utJackson.utMs.utJacksonutstatesut
sheuthasutbeenuttakinguttwoutmedications,uthydrochlorothiazideut(Hydrodiuril),utautdiuretic,
utandutwarfarinut(Coumadin),utanutanticoagulant,uteveryutdayutforutoverutautyear.
2.utWhatutnursingutactionutisutmostutimportant?
A)utObserveuttheutappearanceutofuttheutclient'sutoralutmucosa.
B)utAssessuttheutclientutforutanyutsignsutofutexcessiveutbruising.
C)utReviewutcommonutsideuteffectsutofuteachutofuttheutmedications.
D)utExplainuttheutneeduttoutholduttheutwarfarinutprioruttoutsurgery.ut-
utANS;ututD)utExplainuttheutneeduttoutholduttheutwarfarinutprioruttoutsurgery.
Anticoagulantsutincreaseuttheutriskutforutbleedingutduringutsurgeryutanduttheutpostoperativ
eutperiod,utsouttheutnurseutmustutexplainuttheutneeduttoutholduttheutwarfarinutprioruttoutsurge
, 2
ryutandutinstructuttheutclientuttoutcontactuttheutsurgeonuttoutdetermineuthowutlongutbeforeuts
urgeryuttheutmedicationutshouldutbeutstopped.
utTheutnurseutthenutreviewsutMs.utJackson'sutpreoperativeutlabuttestutresults,utdrawnutearli
erutinuttheutweek.
3.utWhichutserumutlabutvalueutrequiresutfollow-uputbyuttheutnurse?
A)utSodiumutofut135utmEq/L.
B)utWBCutofut14,000/mm3.
C)utCreatinineutofut0.8utmg/dl.
D)utHemoglobinutofut14utg/dl.ut-utANS;ututB)utWBCutofut14,000/mm3.
TheutnormalutWBCutcountutisut5,000uttout10,000/
mm3.utAnutincreaseutmayutindicateuttheutonsetutofutanutinfection,utwhichutmayutbeutautcontr
aindicationuttoutsurgery.utTheutnurseutshouldutnotifyuttheutsurgeonutofutthisutabnormalutlabut
value.
utTheutnurseuttalksutwithutMs.utJacksonutaboututwhatuttoutexpectuttheutdayutofutsurgeryutand
utduringuttheutimmediateutpostoperativeutperiod.utTheutnurseutprovidesutinstructionsutregar
dingutcoughutandutdeeputbreathingutexercises.utMs.utJacksonutperformsutautreturnutdemon
strationutbyutbreathingutinutthroughutherutmouthutdeeplyutandutexhalingutthroughutpursedutli
psutforcefullyutandutrapidly.
4.utWhatutactionutshoulduttheutnurseutimplement?
A)utAdviseuttheutclientuttoutavoidutpursingutherutlipsutwhenutexhaling.
B)utReminduttheutclientuttoutcoughutafteruttakinguttwouttoutthreeutbreaths.
C)utDemonstrateuttheutdeeputbreathingutandutcoughinguttechniqueutagain.
D)utDocumentutsuccessfulutcompletionutofuttheutreturnutdemonstration.ut-
utANS;ututC)utDemonstrateuttheutdeeputbreathingutandutcoughinguttechniqueutagain.
Perioperative Care Case Study updated |
ut ut ut ut ut
2024
ut
TheutnurseutbeginsuttheutpreoperativeutassessmentutbyuttakingutMs.utJackson'sutvitalutsign
s.ut
1.utWhichutvitalutsignutrequiresutfollow-uputbyuttheutnurse?
A)utBPutofut160/88.
B)utPulseutofut68.
C)utRespirationsutofut14.
D)utTemperatureutofut97.2°utF.ut-utANS;ututA)utBPutofut160/88.
Thisutbloodutpressureutisutelevatedutandutrequiresutfurtherutactionutbyuttheutnurse.
utTheutnurseutreviewsuttheutmedicationsuttakenutbyutMs.utJackson.utMs.utJacksonutstatesut
sheuthasutbeenuttakinguttwoutmedications,uthydrochlorothiazideut(Hydrodiuril),utautdiuretic,
utandutwarfarinut(Coumadin),utanutanticoagulant,uteveryutdayutforutoverutautyear.
2.utWhatutnursingutactionutisutmostutimportant?
A)utObserveuttheutappearanceutofuttheutclient'sutoralutmucosa.
B)utAssessuttheutclientutforutanyutsignsutofutexcessiveutbruising.
C)utReviewutcommonutsideuteffectsutofuteachutofuttheutmedications.
D)utExplainuttheutneeduttoutholduttheutwarfarinutprioruttoutsurgery.ut-
utANS;ututD)utExplainuttheutneeduttoutholduttheutwarfarinutprioruttoutsurgery.
Anticoagulantsutincreaseuttheutriskutforutbleedingutduringutsurgeryutanduttheutpostoperativ
eutperiod,utsouttheutnurseutmustutexplainuttheutneeduttoutholduttheutwarfarinutprioruttoutsurge
, 2
ryutandutinstructuttheutclientuttoutcontactuttheutsurgeonuttoutdetermineuthowutlongutbeforeuts
urgeryuttheutmedicationutshouldutbeutstopped.
utTheutnurseutthenutreviewsutMs.utJackson'sutpreoperativeutlabuttestutresults,utdrawnutearli
erutinuttheutweek.
3.utWhichutserumutlabutvalueutrequiresutfollow-uputbyuttheutnurse?
A)utSodiumutofut135utmEq/L.
B)utWBCutofut14,000/mm3.
C)utCreatinineutofut0.8utmg/dl.
D)utHemoglobinutofut14utg/dl.ut-utANS;ututB)utWBCutofut14,000/mm3.
TheutnormalutWBCutcountutisut5,000uttout10,000/
mm3.utAnutincreaseutmayutindicateuttheutonsetutofutanutinfection,utwhichutmayutbeutautcontr
aindicationuttoutsurgery.utTheutnurseutshouldutnotifyuttheutsurgeonutofutthisutabnormalutlabut
value.
utTheutnurseuttalksutwithutMs.utJacksonutaboututwhatuttoutexpectuttheutdayutofutsurgeryutand
utduringuttheutimmediateutpostoperativeutperiod.utTheutnurseutprovidesutinstructionsutregar
dingutcoughutandutdeeputbreathingutexercises.utMs.utJacksonutperformsutautreturnutdemon
strationutbyutbreathingutinutthroughutherutmouthutdeeplyutandutexhalingutthroughutpursedutli
psutforcefullyutandutrapidly.
4.utWhatutactionutshoulduttheutnurseutimplement?
A)utAdviseuttheutclientuttoutavoidutpursingutherutlipsutwhenutexhaling.
B)utReminduttheutclientuttoutcoughutafteruttakinguttwouttoutthreeutbreaths.
C)utDemonstrateuttheutdeeputbreathingutandutcoughinguttechniqueutagain.
D)utDocumentutsuccessfulutcompletionutofuttheutreturnutdemonstration.ut-
utANS;ututC)utDemonstrateuttheutdeeputbreathingutandutcoughinguttechniqueutagain.
