ANSWERS GRADED A+ 100% VERIFIED.
A nurse is assessing a client who is 48 hours post-op following
abdominal surgery. Which of the following findings should the
nurse report to the provider?
A. Blood pressure 102/66 mm Hg
B. Straw-coloured urine from an indwelling urinary catheter
C. Yellow-Green drainage on the surgical incision
D. Respiratory rate 18/min ANS >>> C. Yellow-Green drainage on
the surgical incision
A nurse is caring for a client who is in the immediate
postoperative period following a partial laryngectomy. Which of
the following parameters should the nurse assess first?
,A. Pain severity
B. Wound drainage
C. Tissue integrity
D. Airway patency ANS >>> D. Airway patency
A nurse is providing teaching to a client who is postoperative
following coronary artery bypass graft (CABG) surgery and is
receiving opioid medications to manage discomfort. Aside from
managing pain, which of the following desired effects of
medications should the nurse identify as most important for the
client’s recovery?
A. It decreases the client’s level of anxiety
B. It facilitates the clients deep breathing
C. It enhances the client’s ability to sleep
D. It reduces the clients blood pressure ANS >>> B. It facilitates the
clients deep breathing
A nurse on a medical-surgical unit is caring for four clients who
are 24-36 hour postoperative. Which of the following surgical
procedures place the client at risk for deep-vein thrombosis?
, A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction ANS >>> C. Hip arthroplasty
A nurse is assessing a client who has had staples removed from
an abdominal wound postoperatively. The nurse notes
separation of the wound edges with copious light-brown serous
drainage. Which of the following actions should the nurse
perform first?
A. Check the clients’ vital signs
B. Assess the clients pain level
C. Cover the wound with a moist, sterile gauze dressing
D. Obtain a culture and sensitivity of the wound drainage ANS >>>
C. Cover the wound with a moist, sterile gauze dressing
A nurse is developing a plan of care for a client who is
postoperative. Which of the following interventions should the
nurse include in the plan to prevent pulmonary complications?