With Complete Solutions
A patient admitted to the PACU after major colon surgery says,
"I am going to throw up." Which statement by the nurse reflects
a priority nursing intervention? Correct Answers "Let me help
you turn to your side".
A patient has been admitted to the PACU. Which assessment
finding requires the nurse's immediate action? Correct Answers
The patient is restless, agitated, and hypotensive.
A patient has been admitted to the PACU. Which assessment
finding requires the nurse's immediate action? Correct Answers
The patient is restless, agitated, and hypotensive.
A patient is transferred to the PACU after surgery. Which
nursing intervention is the highest priority initially? Correct
Answers Assess airway, breathing, and circulation status.
A patient taking warfarin for a DVT had had the medication
discontinues before an upcoming surgery. Until the medication
is resumed, the nurse would assess the patient diligently for
which complication early in the postoperative period? Correct
Answers Pulmonary embolism
A patient taking warfarin for a previous deep vein thrombosis
has had the medication discontinued before an upcoming
surgery. Until the medication is resumed, the nurse would assess
the patient diligently for which complication early in the
postoperative period? Correct Answers Pulmonary embolism
, A patient who underwent surgery has an abdominal pressure
bandage. While providing postoperative care, the nurse assesses
that the patient has shallow respiration and is hypoxemic and
hypercapnic. Which action would the nurse implement to
promote normal breaking in this patient? Select all that apply.
Correct Answers Reposition the patient, loosen the dressing, &
raise the head end of the bed
A patient's blood pressure increases from 110/76 mm HG to
160/90 mm HG 2 hours after a cholecystectomy. Which action
would the nurse take first? Correct Answers Assess pain level
Bronchial obstruction caused by deflated alveoli has contributed
to a postoperative patient's recent pulse oximetry reading of
87%. Which of the following health problems is the patient
experiencing? Correct Answers Atelectasis
In planning postoperative interventions to promote ambulation,
coughing, deep breathing, and turning, the nurse recognizes that
which of the following actions will best enable the patient to
achieve the desired outcomes? Correct Answers Administer
adequate analgesics to promote relief or control of pain
The nurse is preparing to administer cefazolin 2 g in 100 mL of
normal saline intravenously to a postoperative patient. Which of
the following IV rates will infuse this medication over 20
minutes? Correct Answers 300 mL/hour
The nurse is working on a surgical floor and is preparing to
receive a postoperative patient from the postanaesthesia unit.