GNRS 555: Exam 1 Review Questions m m m m m
1. Obesity places patients at an increased surgical risk because of which oft
m m m m m m m m m m m m m
he following factors?
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1. Risk for bleeding is increased.
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2. Ventilatory capacity is reduced. m m m
3. Fatty tissue has a poor blood supply.
m m m m m m
4. Metabolic demands are increased. m m m
5. Physical mobility is often impaired.: 2, 3, 5
m m m m m m m
CH. 50 m
2. The primary reason that you need to include family members when youtea
m m m m m m m m m m m m m
ch a patient preoperative exercises is so they can:
m m m m m m m m
1. Coach and encourage the patient after surgery.
m m m m m m
1m/m89
,2. Demonstrate to the patient at home. m m m m m
3. Relieve the nurse by getting the patient to do the exercises every 2 hours.
m m m m m m m m m m m m m
4. Practice with the patient while he or she is waiting to be taken to the
m m m m m m m m m m m m m m
operating room.: 1
m m m
CH. 50 m
3. In the postanesthesia care unit (PACU) a nurse notes that a patient is hav
m m m m m m m m m m m m m m
ng difficulty breathing and suspects an upper-
m m m m m m
airway obstruction. Thenurse's priority intervention at this time is:
m m m m m m m m m
1. Suction the pharynx and bronchial tree.
m m m m m
2. Give oxygen through a mask at 4 L/min.
m m m m m m m
3. Ask the patient to use an incentive spirometer.
m m m m m m m
4. Position the patient on one side with the face down and the neck slightly
m m m m m m m m m m m m m m
extended so the tongue falls forward.: 4
m m m m m m
CH. 50 m
2m/m89
,4. Because an older adult is at increased risk for respiratory complications
m m m m m m m m m m m m
after surgery, the nurse needs to:
m m m m m
1. Withhold pain medications and ambulate the patient every 2 hours.
m m m m m m m m m
2. Monitor fluid and electrolyte status every shift and vital signs with temper-
m m m m m m m m m m m
ature every 4 hours.
m m m m
3. Orient the patient to the surrounding environment frequently and ambulate
m m m m m m m m m
3m/m89
, him or her every 2 hours.
m m m m m
4. Encourage the patient to turn, deep breathe, and cough frequently and
m m m m m m m m m m m
ensure adequate pain control.: 4
m m m m
CH. 50
m
5. You are caring for a patient after surgery who had a liver resection. His
m m m m m m m m m m m m m m
prothrombin time (PT) is greater than normal. He has low blood pressure;
m m m m m m m m m m m m
tachycardia; thready pulse; and cool, clammy, pale skin, and he is restless.
m m m m m m m m m m m m
You assess his surgical wound, and the dressing is saturated with blood.
m m m m m m m m m m m m
Which immediate interventions do you perform? (Select all that apply.)
m m m m m m m m m
1. Notify the surgeon.
m m
2. Maintain intravenous (IV) fluid infusion and prepare to give volume re-
m m m m m m m m m m
placement.
m
3. Monitor the patient's vital signs every 15 minutes or more frequently until
m m m m m m m m m m m m
his condition stabilizes.
m m
4. Wean oxygen therapy.
m m
5. Provide comfort through bathing.: 1, 2, 3
m m m m m m
4m/m89
1. Obesity places patients at an increased surgical risk because of which oft
m m m m m m m m m m m m m
he following factors?
m m
1. Risk for bleeding is increased.
m m m m
2. Ventilatory capacity is reduced. m m m
3. Fatty tissue has a poor blood supply.
m m m m m m
4. Metabolic demands are increased. m m m
5. Physical mobility is often impaired.: 2, 3, 5
m m m m m m m
CH. 50 m
2. The primary reason that you need to include family members when youtea
m m m m m m m m m m m m m
ch a patient preoperative exercises is so they can:
m m m m m m m m
1. Coach and encourage the patient after surgery.
m m m m m m
1m/m89
,2. Demonstrate to the patient at home. m m m m m
3. Relieve the nurse by getting the patient to do the exercises every 2 hours.
m m m m m m m m m m m m m
4. Practice with the patient while he or she is waiting to be taken to the
m m m m m m m m m m m m m m
operating room.: 1
m m m
CH. 50 m
3. In the postanesthesia care unit (PACU) a nurse notes that a patient is hav
m m m m m m m m m m m m m m
ng difficulty breathing and suspects an upper-
m m m m m m
airway obstruction. Thenurse's priority intervention at this time is:
m m m m m m m m m
1. Suction the pharynx and bronchial tree.
m m m m m
2. Give oxygen through a mask at 4 L/min.
m m m m m m m
3. Ask the patient to use an incentive spirometer.
m m m m m m m
4. Position the patient on one side with the face down and the neck slightly
m m m m m m m m m m m m m m
extended so the tongue falls forward.: 4
m m m m m m
CH. 50 m
2m/m89
,4. Because an older adult is at increased risk for respiratory complications
m m m m m m m m m m m m
after surgery, the nurse needs to:
m m m m m
1. Withhold pain medications and ambulate the patient every 2 hours.
m m m m m m m m m
2. Monitor fluid and electrolyte status every shift and vital signs with temper-
m m m m m m m m m m m
ature every 4 hours.
m m m m
3. Orient the patient to the surrounding environment frequently and ambulate
m m m m m m m m m
3m/m89
, him or her every 2 hours.
m m m m m
4. Encourage the patient to turn, deep breathe, and cough frequently and
m m m m m m m m m m m
ensure adequate pain control.: 4
m m m m
CH. 50
m
5. You are caring for a patient after surgery who had a liver resection. His
m m m m m m m m m m m m m m
prothrombin time (PT) is greater than normal. He has low blood pressure;
m m m m m m m m m m m m
tachycardia; thready pulse; and cool, clammy, pale skin, and he is restless.
m m m m m m m m m m m m
You assess his surgical wound, and the dressing is saturated with blood.
m m m m m m m m m m m m
Which immediate interventions do you perform? (Select all that apply.)
m m m m m m m m m
1. Notify the surgeon.
m m
2. Maintain intravenous (IV) fluid infusion and prepare to give volume re-
m m m m m m m m m m
placement.
m
3. Monitor the patient's vital signs every 15 minutes or more frequently until
m m m m m m m m m m m m
his condition stabilizes.
m m
4. Wean oxygen therapy.
m m
5. Provide comfort through bathing.: 1, 2, 3
m m m m m m
4m/m89
