Exam 28: Preoperative and Postoperative Care

The nurse instructs the patient about postoperative coughing and deep-breathing exercises following abdominal surgery.Which technique should the nurse use to engage the patient in prevention of pneumonia and atelectasis?

The nurse assesses a patient before surgery.Which piece of patient information is most likely to require follow-up nursing interventions?

A nurse admits a patient,who works in dental office,to ambulatory surgery.The patient's history includes multiple surgeries over the last 10 years.In addition,when the patient wears antiembolism stockings,a rash develops.Which action should the nurse take initially?

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 nurse is explaining the purpose and procedure regarding informed consent to a nursing student.What information should be included in the explanation?

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

The nurse determines that the patient is at risk for atelectasis caused by pain from back surgery 3 hours ago.Which is the best goal for the nurse to help the patient achieve?

The nurse is caring for the patient who has stridor 30 minutes after a thyroidectomy.Which action should the nurse implement?

The nurse instructs the patient about scheduled surgery involving general anesthesia and about postoperative care.Which should the nurse include in patient teaching?

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

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

The nurse assesses the patient and determines that he may be at risk for altered peripheral tissue perfusion.Which activity should the nurse include in patient teaching to prevent decreased perfusion to his extremities while he is on bed rest?

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

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

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 assesses a patient before knee surgery.Which assessment finding reported by the nurse will most likely require the surgery to be delayed?

The patient had shoulder surgery 2 hours ago,and the Hemovac drain is filling at a continuous rate.Which should the nurse do first?

The nurse is caring for the patient after general anesthesia.How often does the nurse perform routine patient assessment and documentation in the postanesthesia care unit (PACU)?

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?