Nursing 327 Exam 1 Questions And Answers Latest
Solutions
The perioperative nurse is preparing to discharge a female client home from day surgery performed
under general anesthetic. What instruction should the nurse give the client prior to the client leaving
the hospital? ANS The client shouldn’t drive home
The nurse is caring for a patient who experienced trauma in a workplace accident. The patient is
complaining of having trouble breathing. ABG reveals the following results pH 7.28, PaCO2 50
mmhg. HCO325 mEq/l. The nurse should recognize the likelihood of what acid base disorder? ANS
Respiratory acidosis
The nurse is caring for a 79 year old man who has returned to the post surgical unit following
abdominal surgery. The client is unable to ambulate and is now refusing to wear an external
pneumatic compression stockings. The nurse should explain that refusing to wear external pneumatic
compression stockings increases his risk of what postsurgical complication? ANS Pulmonary
embolism
When a hospitalized client is in contact precautions, what action is necessary? ANS Should be
placed in a private room if possible
An elderly client with significant dementia is brought to emergency care triage stating that she
believes people are invading her bedroom several times a night trying to take her purse. The
caregiver is concerned about a stroke because the client complains of a constant tingling in her lips
and fingertips. The client has the following arterial blood gas (ABG) values pH7.55, ; partial pressure
of arterial oxygen (PaO2) 27 mmhg, and bicarbonate (HCO3) 24 meq/l. Based on these values, the
nurse suspects: ANS Respiratory alkaloids
The nurse is providing preoperative teaching to a client scheduled for surgery. The nurse is
instructing the client the use of deep breathing, coughing, and the use of incentive spirometry when
the client states, "I don't know why you're focusing on my breathing, My surgery is on my hip, not
my chest." what rationale for these instructions should the nurse apply? ANS Promote optimal
lung expansion
The nurse is giving an analgesic to an older adult patient. Why is it important for the nurse to assess
the patient carefully? ANS Older clients are more sensitive to drugs
, To prevent pneumonia and promote the integrity of the pulmonary system, an essential postoperative
nursing intervention includes ANS Ambulate client as soon as possible
A client in the emergency department is diagnosed with a communicable disease. When
complications of the disease are discovered, the client is admitted to the hospital and placed in
respiratory isolation. Which infection warrants airborne isolation? ANS Measles
The nurse is preparing an elderly client for a scheduled removal of orthopedic hardware, a procedure
to be performed under general anesthetic, for which adverse effect should the nurse most closely
monitor the client? ANS Hypothermia
The nurse is doing preoperative client education with a 61 year old male client who has a 40 pack
year history of cigarette smoking. The client will undergo an elective bunionectomy at a time that fits
his work schedule in a few months. What would be the best instruction to give to this client? ANS
The patient should be smoke free for at least a month preop
A client with chronic renal failure has a serum potassium level of 6.8 meq/l. What should the nurse
assess first? ANS The patient's pulse
A newly graduated nurse is admitting a client with a long history of emphysema. The nurse learns
that the client's PaCO2 has been between 56 and 64 mmhg for several months. What should the nurse
be cautious administering oxygen? ANS Using O2 may result in the client developing CO2
necrosis and hypoxemia
A client is administered succinylcholine and propofol for induction of anesthesia. One hour after
administration, the client demonstrates muscle rigidity with a heart rate of 180. What should the
nurse do first? ANS Notify the surgical team
The nurse is caring for an unconscious trauma victim who needs emergency surgery. The client is a
55 year old man with an adult son. He is legally divorced and is planning to be remarried in a few
weeks. His parents are the hospital with the other family members. The physician has explained the
need for surgery, the procedure to be done, and the risks to the children, the parents, and the fiance.
Who should be asked to sign surgery consent form? ANS The son
Solutions
The perioperative nurse is preparing to discharge a female client home from day surgery performed
under general anesthetic. What instruction should the nurse give the client prior to the client leaving
the hospital? ANS The client shouldn’t drive home
The nurse is caring for a patient who experienced trauma in a workplace accident. The patient is
complaining of having trouble breathing. ABG reveals the following results pH 7.28, PaCO2 50
mmhg. HCO325 mEq/l. The nurse should recognize the likelihood of what acid base disorder? ANS
Respiratory acidosis
The nurse is caring for a 79 year old man who has returned to the post surgical unit following
abdominal surgery. The client is unable to ambulate and is now refusing to wear an external
pneumatic compression stockings. The nurse should explain that refusing to wear external pneumatic
compression stockings increases his risk of what postsurgical complication? ANS Pulmonary
embolism
When a hospitalized client is in contact precautions, what action is necessary? ANS Should be
placed in a private room if possible
An elderly client with significant dementia is brought to emergency care triage stating that she
believes people are invading her bedroom several times a night trying to take her purse. The
caregiver is concerned about a stroke because the client complains of a constant tingling in her lips
and fingertips. The client has the following arterial blood gas (ABG) values pH7.55, ; partial pressure
of arterial oxygen (PaO2) 27 mmhg, and bicarbonate (HCO3) 24 meq/l. Based on these values, the
nurse suspects: ANS Respiratory alkaloids
The nurse is providing preoperative teaching to a client scheduled for surgery. The nurse is
instructing the client the use of deep breathing, coughing, and the use of incentive spirometry when
the client states, "I don't know why you're focusing on my breathing, My surgery is on my hip, not
my chest." what rationale for these instructions should the nurse apply? ANS Promote optimal
lung expansion
The nurse is giving an analgesic to an older adult patient. Why is it important for the nurse to assess
the patient carefully? ANS Older clients are more sensitive to drugs
, To prevent pneumonia and promote the integrity of the pulmonary system, an essential postoperative
nursing intervention includes ANS Ambulate client as soon as possible
A client in the emergency department is diagnosed with a communicable disease. When
complications of the disease are discovered, the client is admitted to the hospital and placed in
respiratory isolation. Which infection warrants airborne isolation? ANS Measles
The nurse is preparing an elderly client for a scheduled removal of orthopedic hardware, a procedure
to be performed under general anesthetic, for which adverse effect should the nurse most closely
monitor the client? ANS Hypothermia
The nurse is doing preoperative client education with a 61 year old male client who has a 40 pack
year history of cigarette smoking. The client will undergo an elective bunionectomy at a time that fits
his work schedule in a few months. What would be the best instruction to give to this client? ANS
The patient should be smoke free for at least a month preop
A client with chronic renal failure has a serum potassium level of 6.8 meq/l. What should the nurse
assess first? ANS The patient's pulse
A newly graduated nurse is admitting a client with a long history of emphysema. The nurse learns
that the client's PaCO2 has been between 56 and 64 mmhg for several months. What should the nurse
be cautious administering oxygen? ANS Using O2 may result in the client developing CO2
necrosis and hypoxemia
A client is administered succinylcholine and propofol for induction of anesthesia. One hour after
administration, the client demonstrates muscle rigidity with a heart rate of 180. What should the
nurse do first? ANS Notify the surgical team
The nurse is caring for an unconscious trauma victim who needs emergency surgery. The client is a
55 year old man with an adult son. He is legally divorced and is planning to be remarried in a few
weeks. His parents are the hospital with the other family members. The physician has explained the
need for surgery, the procedure to be done, and the risks to the children, the parents, and the fiance.
Who should be asked to sign surgery consent form? ANS The son
