Exam 17: Surgical Care

The nurse is doing an assessment of a patient who has returned from a cardiac catheterization and had conscious sedation.The nurse should report which of the following findings?

The nurse is caring for the postoperative patient who has had spinal anesthesia.The nurse would place highest priority on reporting which of these assessments?

The suprapubic area of a postoperative patient is distended.The patient states that he has not voided since surgery approximately 9 hours ago.The nurse's first action would be to:

The circulating nurse is responsible for:

Patients with preoperative disorders put them at risk during recovery.The nurse should be aware of disorders that may pose this hazard,which are:

When the patient who received Penthrane as an inhaled anesthesia complains of a sore throat and a raspy voice,the nurse explains that these discomforts are probably due to:

The patient has an extensive bowel preparation of oral laxatives and enemas for a colon resection.When asked about the rigorous preparation,the nurse would list as the rationales:

The nurse should include the proper use of an incentive spirometer in teaching a preoperative patient.Postoperative monitoring of this patient would reveal that the incentive spirometry has been effective if the patient has:

When obtaining the patient's signature on the surgical consent form,the patient seems confused about the procedure to be performed.The appropriate response by the nurse is to:

The nurse assesses the patient's limbs and position frequently after a regional anesthesia because:

The postanesthesia care nurse is evaluating the patient for possible transfer to the surgical unit.The following assessment would prevent the patient's transfer:

The technique the nurse should use to change a postoperative dressing is:

To prevent the effects of postoperative immobility on the gastrointestinal system,the nurse suggests that the patient:

Because malignant hyperthermia is a potential postoperative complication,the nurse should ask:

The nurse carefully monitors the obese patient after her hysterectomy for the peculiar postoperative complications associated with obesity:

A nurse is assisting in the transfer of a postoperative patient from the postanesthesia care unit to the surgical nursing unit.To ensure the safety of the patient,the nurse would:

A postoperative patient is complaining of incisional pain.An order has been given for morphine every 4 to 6 hours as needed (PRN).The first assessment by the nurse should be to:

To best prevent deep vein thrombosis (DVT)in the postoperative patient,the nurse plans to ensure that the patient:

The postoperative patient who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the postanesthesia care unit.The nurse monitors the pulse oximeter and gets a reading of 85%.The nurse's next action should be to:

The nurse has completed giving discharge instructions to the patient after a hernia repair.The nurse would determine that the patient understands the instructions if he verbalizes that he will: