Question 1

The nurse is caring for a patient following abdominal surgery.The patient asks the nurse when he will be able to eat a normal diet.Which response is best?

Accepted Answer

A)  "It will depend on how well you tolerate advancing from a clear liquid diet." 
B)  "We will have to wait until your surgeon orders a regular diet for you." 
C)  "Most patients are able to eat regular foods within 2 to 3 days following abdominal surgery." 
D)  "Once you have bowel sounds and are passing gas, you may have clear liquids, and your diet will be advanced based upon your tolerance." 
A)  "It will depend on how well you tolerate advancing from a clear liquid diet." 
B)  "We will have to wait until your surgeon orders a regular diet for you." 
C)  "Most patients are able to eat regular foods within 2 to 3 days following abdominal surgery." 
D)  "Once you have bowel sounds and are passing gas, you may have clear liquids, and your diet will be advanced based upon your tolerance."

Question 2

When the postoperative patient refuses to cough due to incisional pain,which action should the nurse take first?

Accepted Answer

A)  Encourage deep breathing instead of coughing. 
B)  Splint the abdomen with a pillow. 
C)  Explain the importance of controlled coughing. 
D)  Administer pain medication. 
A)  Encourage deep breathing instead of coughing. 
B)  Splint the abdomen with a pillow. 
C)  Explain the importance of controlled coughing. 
D)  Administer pain medication.

Question 3

The postoperative patient complains of pain only 1 hour after having been medicated with an opioid,which cannot be repeated for three more hours.What action should the nurse take?

Accepted Answer

A)  Give one-half of the prescribed dose now. 
B)  Contact the prescriber. 
C)  Ambulate the patient in the hall. 
D)  Reposition the patient. 
A)  Give one-half of the prescribed dose now. 
B)  Contact the prescriber. 
C)  Ambulate the patient in the hall. 
D)  Reposition the patient.

Question 4

The nurse assesses the musty odor coming from the wound drainage as being indicative of an infection by a(n)____________ organism,such as Pseudomonas or Staphylococcus.

Accepted Answer

aerobic
A musty odor from the

Question 5

The patient's initial vital signs immediately on return from surgery include: blood pressure (BP)of 140/90; pulse (P)of 80; respirations (R)of 14; and temperature (T)of 98° F.One hour later the vital signs are: BP of 130/84; P of 72; R of 16; and T of 96.8° F.What action should the nurse take next?

Accepted Answer

A)  Add a blanket for warmth to the patient. 
B)  Notify the charge nurse of a probable hemorrhage. 
C)  Raise the head of the bed 45 degrees. 
D)  Document the assessment findings. 
A)  Add a blanket for warmth to the patient. 
B)  Notify the charge nurse of a probable hemorrhage. 
C)  Raise the head of the bed 45 degrees. 
D)  Document the assessment findings.

Question 6

The nurse in the PACU performs postsurgical assessments on the newly admitted patient every _________ minutes.

Accepted Answer

15
fifteen
The staff in PACU m

Question 7

The nurse is caring for a patient during the first postoperative day.Which goal works to prevent atelectasis and is most appropriate for the nursing care plan?

Accepted Answer

A)  Patient will turn, cough, and deep-breathe every 4 hours. 
B)  Patient will "huff-cough" every 2 hours. 
C)  Patient will use the incentive spirometer twice a day. 
D)  Patient will resume diet as soon as possible. 
A)  Patient will turn, cough, and deep-breathe every 4 hours. 
B)  Patient will "huff-cough" every 2 hours. 
C)  Patient will use the incentive spirometer twice a day. 
D)  Patient will resume diet as soon as possible.

Question 8

The nurse is caring for a surgical patient who complains of excessive gas.Which action should the nurse take?

Accepted Answer

A)  Offer iced fluids. 
B)  Arrange for large meal servings. 
C)  Provide a straw for drinking fluids. 
D)  Ambulate the patient in the hall. 
A)  Offer iced fluids. 
B)  Arrange for large meal servings. 
C)  Provide a straw for drinking fluids. 
D)  Ambulate the patient in the hall.

Exam 5: Care of Postoperative Patients

The nurse is caring for a patient following abdominal surgery.The patient asks the nurse when he will be able to eat a normal diet.Which response is best?

When the postoperative patient refuses to cough due to incisional pain,which action should the nurse take first?

The postoperative patient complains of pain only 1 hour after having been medicated with an opioid,which cannot be repeated for three more hours.What action should the nurse take?

The nurse assesses the musty odor coming from the wound drainage as being indicative of an infection by a(n)____________ organism,such as Pseudomonas or Staphylococcus.

The nurse in the PACU performs postsurgical assessments on the newly admitted patient every _________ minutes.

The nurse is caring for a patient during the first postoperative day.Which goal works to prevent atelectasis and is most appropriate for the nursing care plan?

The nurse is caring for a surgical patient who complains of excessive gas.Which action should the nurse take?

Caring for Medical-Surgical Patients

Critical Thinking and the Nursing Process

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

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