Management PN 2020 Exam with
complete solution updated2023-2024
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals are the
nurse trying to achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
c. Induce pressure ulcers.
d. Reduce cardiacarrests.
e.Reduce surgical site infection. - Answersb. Reduce blood loss
d. reduce cardiac arrests
e. reduce surgical site infection
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of
hypothermia.Prevention of hypothermia (core temperature < 36° C) helps to reduce complications
such as shivering, cardiac arrest, blood loss, SSI, pressure ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to
decrease wound infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
d. Perform first dressing change 2 days postoperatively.
e. Perform hand hygiene before and after contact with the patient.
, f. Administer antibiotics within 60 minutes before surgical incision. - Answersa. maintain
normoglycemia
e. perform hand hygiene before and after contact with the patient.
Performing hand hygiene before and after contact with the patient helps to decrease the number of
microorganisms and break thechain of infection. Maintaining blood glucose levels at less than 150
mg/dL has resulted in decreased wound infection. Removingunwanted hair by clipping instead of
shaving decreases the numbers of nicks and cuts caused by a razor and the potential for the
introduction of microbes. The patient is postoperative; administration of an antibiotic 60 minutes
before the surgical incisionsupports the defense against infection preoperatively. Providing a bath
and linen change daily is positive but is not necessarily important for infection control. Many
surgeons prefer to change surgical dressings the first time so they can inspect the incisional area, but
this is done before 2 days postoperatively.
A nurse is assigned the following four clients for the current shift. Which of the following clients
should thenurse assess first? - AnswersA client who has a C diff infection and needs a stool specimen
collected.
The nurse is participating in a "time-out." In which activities will the nurse be involved? (Select all
that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
Performtheactualmarkingoftheoperativesite. - Answersa. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
A time-out is performed just before starting the procedure for final verification of the correct
patient, procedure, site, and any implants. The marking and time-out most commonly occur in the
holding area, just before the patient enters the OR. The individual performing surgery and who is
accountable for it must personally mark the site, and the patient mustbe involved if possible.
A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the
left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions should the nurse take?
complete solution updated2023-2024
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals are the
nurse trying to achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
c. Induce pressure ulcers.
d. Reduce cardiacarrests.
e.Reduce surgical site infection. - Answersb. Reduce blood loss
d. reduce cardiac arrests
e. reduce surgical site infection
Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of
hypothermia.Prevention of hypothermia (core temperature < 36° C) helps to reduce complications
such as shivering, cardiac arrest, blood loss, SSI, pressure ulcers, and mortality.
The nurse is caring for a postoperative patient with an incision. Which actions will the nurse take to
decrease wound infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
d. Perform first dressing change 2 days postoperatively.
e. Perform hand hygiene before and after contact with the patient.
, f. Administer antibiotics within 60 minutes before surgical incision. - Answersa. maintain
normoglycemia
e. perform hand hygiene before and after contact with the patient.
Performing hand hygiene before and after contact with the patient helps to decrease the number of
microorganisms and break thechain of infection. Maintaining blood glucose levels at less than 150
mg/dL has resulted in decreased wound infection. Removingunwanted hair by clipping instead of
shaving decreases the numbers of nicks and cuts caused by a razor and the potential for the
introduction of microbes. The patient is postoperative; administration of an antibiotic 60 minutes
before the surgical incisionsupports the defense against infection preoperatively. Providing a bath
and linen change daily is positive but is not necessarily important for infection control. Many
surgeons prefer to change surgical dressings the first time so they can inspect the incisional area, but
this is done before 2 days postoperatively.
A nurse is assigned the following four clients for the current shift. Which of the following clients
should thenurse assess first? - AnswersA client who has a C diff infection and needs a stool specimen
collected.
The nurse is participating in a "time-out." In which activities will the nurse be involved? (Select all
that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
Performtheactualmarkingoftheoperativesite. - Answersa. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
A time-out is performed just before starting the procedure for final verification of the correct
patient, procedure, site, and any implants. The marking and time-out most commonly occur in the
holding area, just before the patient enters the OR. The individual performing surgery and who is
accountable for it must personally mark the site, and the patient mustbe involved if possible.
A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the
left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions should the nurse take?
