Exam 12: Nursing Care of Patients Having Surgery

A patient with chronic obstructive pulmonary disease is scheduled for total hip replacement.What should the nurse instruct the patient about smoking before the surgery?

The nurse identifies the diagnosis of ineffective airway clearance as appropriate for a patient recovering from surgery.Which outcome should the nurse identify for this patient?

A patient recovering from surgery received an IV analgesic in the post-anesthesia care unit.Upon arrival to the medical-surgical care area one hour later the patient rates pain as being 8 on a scale of 0 to 10.The patient is prescribed morphine 10 mg IM injection every 3 hours PRN.What should the nurse do?

The nurse is assisting in preparing the patient for surgery.Which surgical consent should the nurse recognize as being a legal consent? (Select all that apply.)

A patient scheduled for surgery asks if any changes should be made to the diet before the operation occurs.What nutrients should the nurse suggest the patient ingest prior to the operative procedure? (Select all that apply.)

A patient recovering from surgery asks the nurse what types of anesthesia cause a loss of sensation in a specific area of the body while the patient remains alert.Which responses should the nurse give? (Select all that apply.)

The nurse is caring for a postoperative patient.When getting the patient out of bed for the first time after surgery,which actions should the nurse take to maintain safety? (Select all that apply.)

The home health nurse is visiting a patient recovering after an abdominal hysterectomy.Which action should the home health nurse take before promoting patient intake of oral fluids?

The nurse is assisting during surgery when a patient develops malignant hyperthermia.Which protocol should the nurse prepare to assist with as directed?

The nurse is contributing to the preoperative patient's plan of care.Which patient statement should alert the nurse to plan interventions to help prevent postoperative complications?

The nurse is contributing to an education program for older adults who are preparing for joint replacement surgery.Which interventions should the nurse use to enhance older patient learning? (Select all that apply.)

After surgery a patient's surgical dressing covering the Penrose drain is dry and intact.Two hours later,the patient reports pain of 5 on a scale of 0 to 10 at the incisional site and the dressing has a 1 ´ 1 inch area of serosanguineous drainage on the dressing.What actions should the nurse take? (Select all that apply.)

The nurse is caring for a patient in the post anesthesia care unit (PACU).What is the nurse's priority responsibility for the patient while in this unit?

The nurse is collecting data from a patient recovering from epidural anesthetic during surgery.What finding should the nurse make a priority to report?

A patient scheduled for surgery expresses a fear of dying.What action should the nurse take?

A patient who is NPO (nothing by mouth)for scheduled surgery has been on long-term oral steroid therapy and should receive a dose of Prednisone 10 mg by mouth at 0600.Which action should the nurse take?

A patient scheduled for surgery is to receive anesthesia that causes a total loss of sensation and a complete loss of consciousness.What term should the nurse use to document this patient's type of anesthesia?

The nurse is caring for a patient recovering from surgery.When the patient is permitted to get out of bed for the first time postoperatively,which measure should the nurse take to ensure patient safety?

The nurse answers a patient's call light and finds the patient sitting up in bed with a wound evisceration.What action should the nurse take first?

The intraoperative practical/vocational nurse is caring for a patient who is undergoing abdominal surgery with general anesthesia.What interventions should the nurse implement? (Select all that apply.)