Exam 95: Care of Surgical Patients

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The nurse is caring for a postoperative patient who has had a carpel tunnel repair.The patient has a temperature of 97° F and is shivering.Which of the following is the best reason for this condition?

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B

The nurse is caring for a patient in the operating suite who is experiencing hypercarbia,tachypnea,tachycardia,premature ventricular contractions,and muscle rigidity.The nurse suspects that this patient may be experiencing

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B

The nurse is caring for a patient in the postanesthesia care unit who has undergone a left total knee arthroplasty.The anesthesia provider has indicated that the patient received a left femoral peripheral nerve block.Which assessment would be an expected finding for a patient with this type of regional block?

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C

The nurse is preparing a patient for surgery.Aims of assessment before surgery include

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The nurse is caring for an ambulatory surgery patient.To be discharged home,what criteria must the patient meet?

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The nurse and the nursing assistant are assisting a postoperative patient to turn in the bed.To assist in minimizing discomfort,which instruction should the nurse provide to the patient?

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The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm.Which would be the best explanation for diet progression after surgery?

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The ambulatory surgical nurse calls to check on the patient at home the morning after surgery.The patient is reporting continued nausea and vomiting.Which of the following discharge education points should be reviewed with the patient?

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The nurse is caring for a postoperative patient with a history of obstructive sleep apnea.The nurse monitors for which of the following?

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The nurse is caring for a patient who is scheduled to undergo a surgical procedure.The nurse is completing an assessment and reviews the patient's laboratory tests and allergies.In which perioperative nursing phase would this work be completed?

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Which nursing assessment would indicate that the patient is performing diaphragmatic breathing correctly?

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The nurse is caring for a postoperative patient with an abdominal incision.A pillow is used during coughing to provide

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The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data.Of the following,which would be the most important next step?

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The nurse is encouraging a reluctant postoperative patient to deep breathe and cough.What explanation can the nurse provide that may encourage the patient to cough more effectively?

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During preoperative assessment for a 7:30 case,the patient indicates to the nurse that he had a cup of coffee this morning.The nurse reports this information to the anesthesia provider anticipating

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The patient has presented to the ambulatory surgery center to have a colonoscopy.The patient is scheduled to receive moderate sedation (conscious sedation)during the procedure.Moderate sedation is used routinely for procedures that require

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The nurse is preparing for a patient who will be going to surgery.The nurse screens for risk factors that can increase a person's risks in surgery.What risk factors are included in the nurse's screening?

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The nurse is reviewing the surgical consent with the patient during preoperative education.The patient indicates that he does not understand what procedure will be completed.What is the nurse's best next step?

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The nurse is caring for a patient in the operating suite.Which of the following outcomes would be most appropriate for this patient?

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The postanesthesia care unit (PACU)nurse transports the inpatient surgical patient to the medical-surgical floor.Before leaving the floor,the medical-surgical nurse obtains a complete set of vital signs.What is the rationale for this nursing action?

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