Exam 12: Nursing Care of Patients Having Surgery

The nurse has reinforced preoperative teaching with a patient about coughing and deep-breathing techniques. Which patient statements indicate a correct understanding of the teaching? (Select all that apply.)

The LPN/LVN is assisting in the operating room (OR). Which practice requires correction by the nurse?

The nurse is reviewing laboratory values for a patient who will undergo surgery. Which value requires notification of the surgeon?

The LPN/LVN is taking a history on a patient who is scheduled for surgery in which he was to remain NPO after midnight. The nurse asks the patient when he last had something to eat, to which the patient replies, "About 2 hours ago." Which action should the nurse take?

The nurse is teaching a patient about following a high-protein diet before and after surgery to promote healing. Which food choice made by the patient indicates an understanding of the teaching?

The nurse assesses a patient's pain level to be an 8 on a 0-to-10 scale. The nurse notes the patient has an order for morphine 4 mg IV as needed for pain. The patient's blood pressure is 80/54 mm Hg, respirations 10 breaths/min, and pulse 64 beats/min. Which action should the nurse take?

The nurse receives an order to administer hydromorphone (Dilaudid) 1 mg IV for postoperative pain. The available dose is hydromorphone (Dilaudid) 2 mg/mL. How many mL will the nurse administer? Enter the numeral only.

The nurse is assessing a patient who underwent an epidural block for a procedure 6 hours ago. Which findings should the nurse report to the RN? (Select all that apply.)

The nurse is taking a medication history of a patient who is to undergo surgery the next morning. Which medication requires immediate notification of the surgeon?

The nurse is caring for a patient after ambulatory surgery. Which oxygen saturation level should the nurse use as evidence that the patient is ready for discharge? 1.70%-79%

Which procedure involves removal of an organ?

The nurse provides recommendations for the plan of care for a patient scheduled to undergo a cholecystectomy. Why should the nurse include preoperative teaching of deep-breathing exercises to prevent postoperative complications for this patient? (Select all that apply.)

The nurse is reviewing preoperative orders for a patient scheduled for a surgical repair of the liver. Which laboratory values should the nurse ensure are ready and placed in the chart before surgery? (Select all that apply.)

The licensed practical nurse/licensed vocational nurse (LPN/LVN) is working in the postoperative care unit. Which assessment finding should be reported to the RN?

A patient recovering from hernia repair surgery reports pain level of 4 on a 0-to-10 scale. The patient's orders include ibuprofen (Motrin) 400 mg orally every 6 hours prn (as needed) for pain. Which action should the nurse take?

The nurse is assisting in the surgical holding area. When should the nurse administer a prophylactic antibiotic to a patient?

The nurse is caring for a patient who has developed an increased temperature during the first 24 hours postoperatively. Which action should the nurse take?

A patient recovering from an abdominal hysterectomy is experiencing abdominal gas pain. Which action should the nurse take?

The nurse reviews an order to administer lactated Ringer 1,000 mL to run over 2 hours intravenously to a patient in the recovery room. At what rate will the nurse set the infusion pump? Enter the numeral only.

The nurse is caring for a group of patients about to undergo surgery. Which patient is at highest risk for surgical complications?