nursing 341 exam 1 Questions With Complete Solutions
•Nursing Interventions to Prevent Urinary Complications
Correct Answers •Monitor urine output
•Adequate hydration
•Normal positioning for elimination
•No void? Palpate Bladder.
•Bladder scan/straight catheter per orders
•Remove urinary catheter when no longer indicated
48 hours after surgery, hyperthermia indicates what Correct
Answers infection
A 68-year-old male scheduled for hernia repair at an ambulatory
surgical center expresses concern that he will not have enough
care at home and asks if he can stay in the hospital after the
surgery. The best response by the nurse is
a."Who is available to help you at home after the surgery?"
b."I'm sure you will be able to manage at home after surgery. It
is a simple procedure."
c."We will teach you everything you need to know to be able to
care for yourself after surgery."
d."Your health insurance will pay for inpatient care only if
complications develop during surgery." Correct Answers
a."Who is available to help you at home after the surgery?"
a nurse's role in preop include Correct Answers Have
knowledge of the nature of the disorder requiring surgery and
comorbidities
Identify the individual patient's response to the stress of surgery
Have knowledge of the results of preoperative diagnostic tests
,Identify potential risks and complications associated with
surgery
- Speak with pt regarding feelings of surgery. "Tell me more..."
A patient becomes restless and agitated in the postanesthesia
care unit (PACU) as he begins to regain consciousness. The first
action the nurse should take is to
a. Turn the patient to a lateral position.
b. Orient the patient and tell him surgery is over.
c. Give the ordered postoperative pain medication.
d. Check the patient's oxygen saturation with pulse oximetry.
Correct Answers d. Check the patient's oxygen saturation with
pulse oximetry.
A pt with osteomyelitis undergoes surgical debridement with
implantation of antibiotic beads. When the pt asks why the
beads are used, the nurse answers
A.Oral and bead antibiotics are only effective with osteomyelitis
B. The beads are used to deliver antibiotics directly to the site of
the infection
C. This is the safest method to deliver long-term antibiotics
D. Ischemia and bone death related to osteomyelitis are
impenetrable to IV antibiotics Correct Answers B. The beads
are used to deliver antibiotics directly to the site of the infection
after sx, what does a hand off include Correct Answers
Patient's status
Procedure done
Medications
Fluids given
Safety Considerations
, Communication
anatomy of a long bone includes Correct Answers epiphysis
diaphysis
metaphysis
epiphyseal plate
periosteum
Attatches bone to bone Correct Answers ligament
attatches muscle to bone Correct Answers tendon
bleeding into a joint Correct Answers hemarthrosis
bone forming cells Correct Answers osteoblasts
breakdown of bone tissue Correct Answers osteoclasts
breakdown RICE Correct Answers Rest: Stop activity and limit
movement
Ice: 24 to 48 hours; 20 to 30 minutes at a time
Compression: elastic bandage; apply distal to proximal to
immobilize
Elevate: above the heart
Can a patient overdose with a PCA? Correct Answers no
causes of amputation often include Correct Answers PVD,
diabetes, trauma, tumors, osteomyelitis, thermal injuries
•Nursing Interventions to Prevent Urinary Complications
Correct Answers •Monitor urine output
•Adequate hydration
•Normal positioning for elimination
•No void? Palpate Bladder.
•Bladder scan/straight catheter per orders
•Remove urinary catheter when no longer indicated
48 hours after surgery, hyperthermia indicates what Correct
Answers infection
A 68-year-old male scheduled for hernia repair at an ambulatory
surgical center expresses concern that he will not have enough
care at home and asks if he can stay in the hospital after the
surgery. The best response by the nurse is
a."Who is available to help you at home after the surgery?"
b."I'm sure you will be able to manage at home after surgery. It
is a simple procedure."
c."We will teach you everything you need to know to be able to
care for yourself after surgery."
d."Your health insurance will pay for inpatient care only if
complications develop during surgery." Correct Answers
a."Who is available to help you at home after the surgery?"
a nurse's role in preop include Correct Answers Have
knowledge of the nature of the disorder requiring surgery and
comorbidities
Identify the individual patient's response to the stress of surgery
Have knowledge of the results of preoperative diagnostic tests
,Identify potential risks and complications associated with
surgery
- Speak with pt regarding feelings of surgery. "Tell me more..."
A patient becomes restless and agitated in the postanesthesia
care unit (PACU) as he begins to regain consciousness. The first
action the nurse should take is to
a. Turn the patient to a lateral position.
b. Orient the patient and tell him surgery is over.
c. Give the ordered postoperative pain medication.
d. Check the patient's oxygen saturation with pulse oximetry.
Correct Answers d. Check the patient's oxygen saturation with
pulse oximetry.
A pt with osteomyelitis undergoes surgical debridement with
implantation of antibiotic beads. When the pt asks why the
beads are used, the nurse answers
A.Oral and bead antibiotics are only effective with osteomyelitis
B. The beads are used to deliver antibiotics directly to the site of
the infection
C. This is the safest method to deliver long-term antibiotics
D. Ischemia and bone death related to osteomyelitis are
impenetrable to IV antibiotics Correct Answers B. The beads
are used to deliver antibiotics directly to the site of the infection
after sx, what does a hand off include Correct Answers
Patient's status
Procedure done
Medications
Fluids given
Safety Considerations
, Communication
anatomy of a long bone includes Correct Answers epiphysis
diaphysis
metaphysis
epiphyseal plate
periosteum
Attatches bone to bone Correct Answers ligament
attatches muscle to bone Correct Answers tendon
bleeding into a joint Correct Answers hemarthrosis
bone forming cells Correct Answers osteoblasts
breakdown of bone tissue Correct Answers osteoclasts
breakdown RICE Correct Answers Rest: Stop activity and limit
movement
Ice: 24 to 48 hours; 20 to 30 minutes at a time
Compression: elastic bandage; apply distal to proximal to
immobilize
Elevate: above the heart
Can a patient overdose with a PCA? Correct Answers no
causes of amputation often include Correct Answers PVD,
diabetes, trauma, tumors, osteomyelitis, thermal injuries
