Exam 12: Nursing Care of Patients Having Surgery

The nurse is caring for a patient who is about to undergo a mastectomy. The nurse notes that the patient has not signed the consent. The patient tells the nurse, "The doctor didn't explain the risks of the surgery to me." Which action should the nurse take?

The nurse is preparing to administer cefazolin (Ancef) 1 g in 100 mL of normal saline to run over 30 minutes intravenously to a patient as a surgical prophylactic medication. At what rate will the nurse set the infusion pump? Enter the numeral only.

The nurse answers a patient's call light and finds the patient sitting up in bed with a wound evisceration. What action should the nurse take first?

The nurse is caring for a patient with stage IV lung cancer who is preparing to undergo surgery. What is most likely the purpose of the surgery?

The nurse is caring for a postoperative patient at risk for deep vein thrombosis. Which actions should the nurse recommend be included in the patient's plan of care? (Select all that apply.)

A patient is preparing to undergo an appendectomy for a ruptured appendix. Which level of urgency is this surgery?

A patient who is NPO (nothing by mouth) for scheduled surgery has been on long-term oral steroid therapy and should receive a dose of Prednisone 10 mg by mouth at 0600. Which action should the nurse take?

The nurse is assisting during surgery when a patient develops malignant hyperthermia. Which protocol should the nurse prepare to assist with as directed?

The nurse is calculating the intake of a patient who underwent surgery. The patient consumed two 240-mL juice boxes, 800 mL of water, 120 mL of gelatin, and two 40-mL cups of soda. The patient also received 1 L of lactated ringer's IV. Calculate the patient's total intake (in mL). Enter the numeral only.

The nurse is contributing to an education program for older adults who are preparing for joint replacement surgery. Which interventions should the nurse use to enhance older patient learning? (Select all that apply.)

The nurse is reinforcing discharge teaching for a patient who underwent abdominal surgery. Which statements made by the patient indicate an understanding of the teaching? (Select all that apply.)

The nurse is caring for a patient who underwent a colostomy yesterday morning. The nurse removed the catheter 1 hour after surgery, and the patient has not yet voided. Which action should the nurse take?

The nurse is witnessing an adult patient's surgical consent. What should the nurse confirm before witnessing the surgical consent? (Select all that apply.)