Fundamentals Proctored Exam 2023
There are discharge criteria for clients in the postanesthesia care unit (PACU)
regardless of the type of anesthesia used and additional criteria for specific types of
anesthesia. Which is the criterion specific for the client who has received spinal
anesthesia? - ANSWERMotor and sensory function returns
A client is admitted to the postanesthesia care unit. Which nursing action is most
important during the client's stay in this unit? - ANSWERSuctioning mucus from
respiratory passages
A postoperative client is transferred back to the surgical unit with an abdominal dressing
and a Penrose drain. Which is the most important nursing action associated with caring
for a client with a Penrose drain? - ANSWERChanging the soiled dressing carefully
A client has abdominal surgery. Which should the nurse do to best assess for a sign of
postoperative ileus in this client after surgery? - ANSWERIdentify the time of the first
bowel movement
Four days after abdominal surgery, while being transferred from a bed to a chair, a
client says to a nurse, "My incision feels funny all of a sudden." Which should the nurse
do first? - ANSWERPlace the client in the low-Fowler position
Which factor places a client at the highest risk for postoperative nausea and vomiting
after receiving general anesthesia? - ANSWERObesity
On the second postoperative day after an above-the-knee amputation, the client's
elastic dressing accidentally comes off. Which should the nurse do first? -
ANSWERWrap the residual limb with an elastic compression bandage
A nurse is caring for a postoperative client. Which action is effective in preventing
postoperative urinary tract infections? - ANSWERDrinking an adequate amount of fluid
d4. increasing the intake of citrus fruit juices
A client received conscious sedation during a colonoscopy. Which should the nurse
expect regarding the client's experience with this procedure? - ANSWERClient will be
sleepy but able to follow verbal commands
Which client having emergency surgery should the nurse anticipate to be at the highest
risk for postoperative mortality? - ANSWERIndividual who has alcoholism
There are discharge criteria for clients in the postanesthesia care unit (PACU)
regardless of the type of anesthesia used and additional criteria for specific types of
anesthesia. Which is the criterion specific for the client who has received spinal
anesthesia? - ANSWERMotor and sensory function returns
A client is admitted to the postanesthesia care unit. Which nursing action is most
important during the client's stay in this unit? - ANSWERSuctioning mucus from
respiratory passages
A postoperative client is transferred back to the surgical unit with an abdominal dressing
and a Penrose drain. Which is the most important nursing action associated with caring
for a client with a Penrose drain? - ANSWERChanging the soiled dressing carefully
A client has abdominal surgery. Which should the nurse do to best assess for a sign of
postoperative ileus in this client after surgery? - ANSWERIdentify the time of the first
bowel movement
Four days after abdominal surgery, while being transferred from a bed to a chair, a
client says to a nurse, "My incision feels funny all of a sudden." Which should the nurse
do first? - ANSWERPlace the client in the low-Fowler position
Which factor places a client at the highest risk for postoperative nausea and vomiting
after receiving general anesthesia? - ANSWERObesity
On the second postoperative day after an above-the-knee amputation, the client's
elastic dressing accidentally comes off. Which should the nurse do first? -
ANSWERWrap the residual limb with an elastic compression bandage
A nurse is caring for a postoperative client. Which action is effective in preventing
postoperative urinary tract infections? - ANSWERDrinking an adequate amount of fluid
d4. increasing the intake of citrus fruit juices
A client received conscious sedation during a colonoscopy. Which should the nurse
expect regarding the client's experience with this procedure? - ANSWERClient will be
sleepy but able to follow verbal commands
Which client having emergency surgery should the nurse anticipate to be at the highest
risk for postoperative mortality? - ANSWERIndividual who has alcoholism
