Exam 28: Preoperative and Postoperative Care

The nurse wants to detect a paralytic ileus promptly in a patient after a total abdominal hysterectomy.Which method is best for the nurse to use to assess for this postoperative complication?

The nurse is caring for a shivering 66-year-old patient immediately after back surgery under general anesthesia.Which nursing intervention is most suitable for this patient?

The nurse admits the patient to the postanesthesia care unit (PACU)after hand surgery.The patient is groggy but can respond after receiving conscious sedation and regional anesthesia.Which action by the nurse is priority?

While being prepared for surgery,the patient tells the nurse that he didn't take the ordered antibiotics in preparation for the surgery.What initial action should the nurse take?

The nurse interviews a preoperative patient who evades all questions about medications taken at home.Which is the best response for the nurse to use to facilitate safe,effective nursing care?

1. Postoperative pain tends to be undertreated in _______ ___________.

The nurse plans assignments for the staff in an ambulatory surgery center.Which assignment can the nurse delegate to nursing assistive personnel (NAP)?

3. Maintenance of body temperature in infants and children after surgery is a priority because of their ____________ temperature-control mechanisms.

At what point in the surgical recovery process does the nurse need to ambulate the hospitalized patient for the first time?

2. Effective methods for helping children share their feelings about surgery are _____ and __________.

The nurse is caring for a patient who had an ovarian cyst removed under general anesthesia 12 hours ago.Which is the most important goal for this patient?

The nurse prepares the patient for surgery to begin in 1 hour,but the pregnancy test included in the preoperative orders written yesterday is not in the medical record.Which action should the nurse implement first?

4. The __________ phase in the care of postoperative patients extends from the time the patient leaves the operating room (OR)to the time of transfer to the nursing unit.