Exam 29: Pre-Operative and Post-Operative Care

The nurse is caring for the patient who is vomiting after arriving in the PACU.Which action does the nurse implement first?

The student nurse has learned about complications from general anesthesia.Which of the following are included? (Select all that apply.)

The nurse assesses the patient on the first postoperative day after major abdominal surgery.Which is the most important patient outcome that requires follow-up interventions by the nurse?

The nurse admits the patient to the postanesthesia care unit (PACU) after minor hand surgery with minimal sedation and regional anesthesia.Which action by the nurse is priority?

After instructing the patient in using the incentive spirometer (IS), the nurse instructs nursing assistive personnel (NAP) to encourage the patient to use it.What does the nurse provide to the NAP as a rationale for using the IS after surgery?

The patient's family has had many experiences with surgical complications.What information is most important for the nurse to use to understand the patient's stress in the perioperative period?

The nurse interviews a preoperative patient who evades all questions about medications taken at home.Which is the best response for the nurse to use to facilitate safe, effective nursing care?

A patient will be on bed rest for several days after extensive surgery.Which activity does the nurse teach the patient to prevent complications from decreased perfusion?

The patient is prepared for shoulder surgery and tells the preoperative nurse that the scar will be invisible after the surgery.Which action does the nurse take at this time?

The nurse instructs the patient about postoperative coughing and deep-breathing exercises following abdominal surgery.Which technique does the nurse teach the patient to facilitate cooperation?

A nurse admits a patient to ambulatory surgery.The patient's history includes multiple surgeries over the last 10 years.In addition, when the patient wears antiembolism stockings or has tape on the skin, a rash develops.Which action does the nurse take initially?

A patient on the post-surgical nursing unit has rhinorrhea, muscle aching, and profuse sweating.What action by the nurse is most appropriate?

The nurse admits a patient for ambulatory surgery.The patient tells the nurse that he or she skipped breakfast but drank a cup of coffee and some juice.Which does the nurse implement next?

The patient asks why preoperative application of compression stockings has been ordered.Which response by the nurse is most appropriate?

The nurse has assessed the Aldrete score on four patients in PACU.Which patient is the most appropriate to transfer to the post-surgical nursing unit?

The patient in the PACU is coughing up white mucus after having been intubated for surgery.What action would be most appropriate for the nurse to maintain a patent airway?

The nurse instructs the patient about scheduled surgery involving general anesthesia and about postoperative care.Which does the nurse include during this time?

The nurse assesses a patient before hip surgery.Which piece of information is most critical for the nurse to report to the surgeon before surgery?

The nurse provides instructions about postoperative exercises to the patient who is scheduled for a laparotomy.What does the nurse include in patient teaching?

What does the student nurse learn about age-related differences in surgical patients? (Select all that apply).