Exam 12: Nursing Care of Patients Having Surgery

The nurse is assisting in the preparation of patients for surgery.Which patient should the nurse recognize as being in the best condition for surgery and at lower risk for complications?

The nurse is caring for a patient after ambulatory surgery.Which oxygen saturation level should the nurse use as evidence that the patient is ready for discharge?

The nurse is reinforcing teaching provided to a patient to learn how to get out of bed independently at home after surgery.What should the nurse emphasize in this teaching? (Select all that apply.)

A patient recovering from hernia repair surgery reports pain of 4 on a 0-to-10 scale.The patient's orders include ibuprofen (Motrin)400 mg orally every 6 hours prn for pain.Which action should the nurse take?

The nurse has reinforced preoperative teaching with a patient about coughing and deep breathing techniques.Which patient statements indicate a correct understanding of the teaching? (Select all that apply.)

A patient recovering from an abdominal hysterectomy is experiencing abdominal gas pain.Which action should the nurse take?

The nurse recommends early ambulation as ordered to be included in the plan of care for a patient recovering from surgery.Which adverse effect is the nurse planning to prevent by early ambulation?

The practical/vocational nurse is preparing a patient for surgery who has asthma and is hard of hearing.Which actions are within the scope of practice for the nurse? (Select all that apply.)

While dangling a patient in preparation for ambulation after surgery the abdominal incision suddenly eviscerates.What action should the nurse take after positioning the patient supine with flexed knees?

The nurse is planning to witness an adult patient's consent for a knee arthroscopy.What should the nurse confirm before witnessing the consent?

The nurse is contributing to the plan of care for a surgical patient.What should the nurse recognize as the most common human response to the stress associated with surgery?

The nurse is contributing to the intraoperative plan of care for a patient undergoing an appendectomy.Which statement would be an appropriate intraoperative outcome for this patient?

A patient recovering from surgery in the post-anesthesia care unit begins to thrash in bed and pull at the endotracheal tube and IV lines.For which health problem should the nurse provide care for this patient?

The nurse is reviewing the medication history of a preoperative patient who is NPO.The patient is noted to have been on long-term oral steroid therapy.What action should the nurse take?

The nurse provides recommendations for the plan of care for a patient scheduled to undergo a cholecystectomy.Why should the nurse include preoperative teaching of deep breathing exercises to prevent postoperative complications for this patient? (Select all that apply.)

The nurse is assisting in the surgical holding area.When should the nurse administer a prophylactic antibiotic to a patient?

The nurse is caring for a patient recovering from surgery.Which outcome should the nurse identify as being the most important to address the nursing diagnosis of Pain related to surgical incision?

The nurse is caring for a patient who is scheduled for surgery.Which nursing action should the nurse use to address the patient's psychological concerns?

A patient recovering from surgery becomes restless,has a drop in blood pressure,increase in heart rate,and is breathing at a rate of 30 per minute.Which action should the nurse take first?

The nurse is caring for a patient 23 hours after abdominal surgery.Which finding would require the nurse to take action?