100% Verified Answers, Complete Study Guide, and
Updated Prep Material (Already Graded A+)
A patient is now in the recovery room after having vaginal surgery. Due
to the positioning of the procedure, you would want to assess for what
while the patient is in recovery?
A. Bowel Sounds
B. Dysrhythmia
C. Homan's Sign
D. Hemoglobin Level - CORRECT ANSWER>>>>C
After surgery your patient is semicomatose with vital signs within normal
limits. As the nurse, what position would be best for this patient?
A. Semi-Fowlers
B. Prone
C. Low-Fowlers
D. Side positioning preferably on the left side
- CORRECT ANSWER D
After surgery your patient starts to shiver uncontrollably. What nursing
intervention would you do FIRST?
A. Apply warm blankets & continue oxygen as prescribed
B. Take the patient's rectal temperature
C. Page the doctor for further orders
D. Adjust the thermostat in the room - CORRECT ANSWER A
,The nurse is monitoring the patient who is 24 hours post-opt from surgery.
Which
finding requires intervention?
A. BP 100/80
B. 24-hour urine output of 300 ml
C. Pain rating of 4 on 1-10 scale
D. Temperature of 99.3' F - CORRECT ANSWER B
A patient is 6 days post-opt from abdominal surgery. The patient is to be
discharged later today. The patient uses the call light and asks you to
come to his room and look at his surgical site. On arrival, you see that
approximately 2 inches of internal organs are protruding through the
incision. What intervention would you NOT do?
A. Put the patient in prone position with knees extended to put pressure on
the site
B. Cover the wound with sterile normal saline dressing
C. Monitor for signs of shock
D. Notify the MD and administer as prescribed antiemetic to
prevent vomiting - CORRECT ANSWER A
,A patient reports he hasn't had a bowel movement or passed gas since
surgery. On assessment, you note the abdomen is distended and no
bowel sounds are noted in the four quadrants. You notify the MD. What
non-invasive nursing interventions can you perform without a MD order?
A. Insert a nasogastric attached to intermittent
suction B. Administer IV fluids
C. Encourage ambulation, maintain NPO status, and monitor
intake & output
D. Encourage at least 3000 ml of fluids per day - CORRECT
ANSWER C
What is a potential postoperative concern regarding a patient who has
already resumed a solid diet?
A. Failure to pass stool within 12 hours of eating solid foods
B. Failure to pass stool within 48 hours of eating solid foods
C. Passage of excessive flatus
D. Patient reports a decreased appetite - CORRECT ANSWER B
A nurse is developing a care plan for a patient who is at risk for
developing pneumonia after surgery. Which of the following is not an
appropriate nursing intervention?
A. Encourage patient intake of 3000 ml/day of fluids if not contraindicated
B. Encourage patient to use the incentive spirometer device 10 times
every 1-2 hours while awake
, C. Encourage early ambulation and patient to eat meals in
beside chair
D. Repositioning every 3-4 hours - CORRECT ANSWER D
When assessing your patient who is post-opt, you notice that the patient's
right calf vein feels hard, cord-like, and is tender to the touch. The patient
reports it is aching and painful. What would NOT be an appropriate nursing
intervention for this patient?
A. Allow the patient to dangle the legs to help increase circulation and
alleviate pain
B. Instruct the patient to not sit in one position for a long period of time
C. Elevate the extremity 30 degrees without allowing any pressure on
affected area D. Administer anticoagulants as ordered by MD -
CORRECT ANSWER A
A patient is recovering from surgery. The patient is very restless, heart
rate is 120 bpm and blood pressure is 70/53, skin is cool/clammy. As the
nurse you would?
A. Continue to monitor the patient
B. Notify the MD
C. Obtain an EKG
D. Check the patient's blood glucose - CORRECT ANSWER B
A patient is taking Aspirin 325 mg PO by mouth daily. The patient is
scheduled for