Fundamentals Proctored Preoperative Nursing Exam

There are discharge criteria for clients in the post anesthesia 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? - Motor and sensory function returns A client is admitted to the post anesthesia care unit. Which nursing action is most important during the client's stay in this unit? - Suctioning 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? - Changing 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? - Auscultate for bowel sounds 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? - Place the client in the low-fowlers position Which factor places a client at the highest risk for postoperative nausea and vomiting after receiving general anesthesia? - Obesity 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? - Wrap 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 infection? - Drinking an adequate amount of fluid A client received conscious sedation during a colonoscopy. Which should the nurse expect regarding the client's experience with this procedure? - C 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? - individual who has alcoholism a nurse is caring for a client who had an abdominal hysterectomy. Which intervention best prevents postoperative thrombophlebitis? - Leg exercises 10 times per hour when awake An obese client has abdominal surgery for removal of the gallbladder. Which should the nurse be most concerned about if exhibited by the client? - Shallow breathing A client arrives in the post anesthesia care unit. Which is the most important info that the nurse needs to know? - Type and extent of the surgery Which client réponses best support the decision to discharge the client from the post anesthesia care unit? - Sao2 of 95%, vital signs stable for 30 minutes, active gag reflux How many days after surgery should the nurse anticipate that a postoperative client will begin to exhibit signs and symptoms of a wound infection if it should occur? - Third day