Exam 2: Care of the Surgical Patient

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On the patient's return to the medical-surgical unit,the nurse performing an abdominal assessment can affirm an absence of bowel sounds after listening in each quadrant for at least:

(Multiple Choice)
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When the postoperative patient complains of sudden chest pain combined with dyspnea,cyanosis,and tachycardia,the nurse recognizes the signs of:

(Multiple Choice)
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In preparation for the return of the surgical patient,the patient's bed and equipment should be in what position?

(Multiple Choice)
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What is the ideal time for preoperative teaching?

(Multiple Choice)
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A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF)of his left ankle.Which is the first assessment to make?

(Multiple Choice)
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The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:

(Multiple Choice)
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Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon?

(Multiple Choice)
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The type of anesthesia that uses a combination of drugs to reduce the level of consciousness and provides amnesia is _________________ __________.

(Short Answer)
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Why might the older adult patient not respond to surgical treatment as well as a younger adult patient?

(Multiple Choice)
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A 73-year-old patient with diabetes was admitted for below-the-knee amputation of his right leg.Removal of his right leg is an example of which type of surgery?

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Which of the following are considerations for the older adult surgical patient? (Select all that apply. )

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What instruction should a nurse give when teaching the patient to cough effectively after surgery?

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A patient is on postoperative day 2 after a nephrectomy.What is the most effective way to increase her peristalsis?

(Multiple Choice)
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The nurse would include the nursing diagnosis of deficient knowledge,postoperative,when the patient scheduled for a bowel resection tomorrow remarks:

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Which circumstance could prevent the patient from signing his informed consent for a cholecystectomy?

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The patient who had a nephrectomy yesterday has not used the patient-controlled analgesia (PCA)delivery system but admits to being in pain but fearful of addiction.What is the nurse's best response?

(Multiple Choice)
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Which medication would cause surgery to be delayed if it had not been discontinued several days before surgery?

(Multiple Choice)
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In which situation might surgery be delayed?

(Multiple Choice)
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The nurse caring for a postsurgical patient is aware that the patient should void ____ to _____ hours postsurgery.

(Short Answer)
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While turning a patient who had a bowel resection yesterday,the wound eviscerated.What is the initial nursing intervention?

(Multiple Choice)
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