NUR 155 Test 2: FOUNDATIONS OF NURSING Comprehensive Questions and Answers
The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour? A. Urine output of 20ml/hour B. Temperature of 37.6 C C. Blood pressure of 114/70 D. Serous drainage on the surgical dressing, A postoperative client asks the nurse why it is so important to deep-breathe and cough after surgery. When formulating a response, the nurse incorporates the understanding that retained pulmonary secretions in a postoperative client can lead to which condition? A. Pneumonia B. Hypoxemia C. Fluid imbalance D. Pulmonary embolism, The nurse is developing a plan of care for a client scheduled for surgery. The nurse should include which activity in the nursing care plan for the client on the day of surgery? A. Avoid oral hygiene and rinsing with mouthwash B. Verify that the client has not eaten for the last 24 hours C. Have the client void immediately before going into surgery D. Report immediately any slight increase in BP or pulse, A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client? A. Obtain a court order for the surgery. B. Have the charge nurse sign the informed consent immediately C. Send the client to surgery without the consent form being signed D. Obtain a telephone consent from a family member, following agency policy, A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse? A. "If it's any help, everyone is nervous before surgery." B. "I will be happy to explain the entire surgical procedure with you." C. "Can you share with me what you've been told about your surgery?" D. "Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate"., The nurse is conducting preoperative teaching with a client about the use of an incentive spirometer. The nurse should include which piece of information in discussions with the client? A. Inhale as rapidly as possible B. Keep a loose seal between the lips and the mouthpiece C. After maximum inspiration, hold the breath for 15 seconds and exhale. D. The best results are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees, The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. The client has a history of arthritis and has been taking acetylsalicylic acid. The nurse determines that the client needs additional teaching if the client makes which statement? A. "Aspirin can cause bleeding after surgery." B. "Aspirin can cause my ability to clot blood to be abnormal." C. "I need to continue to take the aspirin until the day of surgery." D. "I need to check with my HCP about the need to stop the aspirin before the scheduled surgery."....
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nur 155 test 2 foundations of nursing
