pe – Flashcard
Unlock all answers in this set
Unlock answersquestion
A nurse is caring for a client who has bradycardia following a surgical procedure using spinal anesthesia
answer
epinephrine
question
a nurse is planning care for a client who is postoperative and has a closed-wound drainage system in place
answer
clamp the drain while ambulating and check patency every 12 hours are wrong
question
a nurse is reviewing the medical records of a client who is scheduled for an elective surgery. which meds would you discontinue
answer
warfarin
question
a surgical nurse enters a surgical suit to ensure surgical asepsis is maintained
answer
scrub tech is wearing watch under scrubs
question
a nurse is providing discharge instructions for a client who is postoperative following an abdominal surgery
answer
I will eat food high in protein and vitamin c
question
a nurse is caring for a client who is preop and is asking multiple questions about the risks of the procedure
answer
ask the surgeon to speak to the client for clarificaiton
question
a nurse is assessing a client who is 2 days postop following a total prostatectomy. calf is red edematous and warm
answer
elevate the clients right extremity
question
a nurse is caring for a client who has a surgical wound with a penrose drain in place
answer
use the sterile technique when preforming dressing changes
question
A nurse is assessing a client's recovery from spinal anesthesia. Which of the following sensations should the nurse expect to return to the client first?
answer
touch
question
A nurse is caring for a client who has an NG tube set to continuous low suction following a gastrectomy. Which of the following findings should the nurse report to the provider?
answer
gastric distention
question
A nurse is providing teaching for a client who is scheduled to undergo moderate (conscious) sedation for a bronchoscopy. The nurse should verify that the client understands the procedure when the client states which of the following?
answer
I can expect to feel sleepy for several hours after the procedure
question
A nurse is monitoring a client receiving succinylcholine during a surgical procedure. Which of the following actions should the nurse take if the client develops malignant hyperthermia?
answer
administer dantrolene
question
a nurse is receiving evening shift report on four client who returned from the pacu that morning which client do you assess first
answer
A client who is postoperative following a thoracotomy has a chest tube with 150 mL bright-red of blood in the collection chamber from the past hour.
question
a nurse is assessing a client who is preop the nurse should identify that which of the following factors reported by the client increases the risk for a postoperative wound infection
answer
long term use of corticosteroids
question
A nurse is providing teaching for a client who is in the immediate postoperative period and has a PCA pump. Which of the following statements should the nurse include in the teaching?
answer
"Do not allow your family to push the PCA button if you are sleeping."
question
A nurse is reviewing the medical record of a client who is to undergo general anesthesia for surgery. The nurse should report which of the following findings to the provider?
answer
potassium 2.8
question
a nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia which would you include
answer
use a cool compresses on your eyes nose and face
question
a circulating nurse is monitoring the temp in a surgical suite the nurse should identify that cool temperatures reduce the risk of which complications
answer
infection
question
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following nursing interventions should the nurse perform to prevent respiratory complications?
answer
advise the client to splint the surgical incision when coughing and deep breathing
question
a nurse in the pacu is assessing a client who is postop which of the following findings would the nurse report
answer
presence of inspiratory stridor
question
A nurse is providing preoperative teaching for a client who is scheduled to have a mastectomy. Which of the following statements by the client indicates a need for further teaching?
answer
shower after drains removed
question
A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. The client has been vomiting for the past 24 hr and reports a pain level of 8 on a scale from 0 to 10. The nurse notes a hard, distended abdomen and absent bowel sounds. After conferring with the provider, which of the following actions should the nurse take first?
answer
insert an ng tube
question
a nurse is providing preop teaching to a client who is scheduled for a gastrectomy in 1 week. the client is anxious
answer
provide concise and factual information
question
A nurse is assessing a client who is 2 hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
answer
urine output of 20 ml/hr
question
a nurse is caring for a client who is receiving moderate sedation with midazolam respiratory rates decrease from 16 to 6
answer
flumazenil
question
a nurse is creating a plan of care for a client who is preoperative for a total hip arthroplasty, practices Judaism and adheres to a kosher diet
answer
determine if the clients faith conflicts with the treatment plan
question
a nurse is reviewing the medication administration record for a client who is scheduled for surgery the next day. which medication would put the client at risk for complications
answer
clopidogrel
question
A client is transferred from the surgical suite to the PACU following oral surgery. While monitoring the client's vital signs, the nurse finds that the tongue has become swollen and is obstructing the airway. Which of the following actions should the nurse take first?
answer
use the head tilt chin lift method to open the airway
question
a nurse is providing preop teaching for a client who is about to have a below the knee amputation
answer
surgeon may prescribe antibiotic before surgery
question
A client had an open transverse colectomy 5 days ago. The nurse enters the client's room and recognizes that the wound has eviscerated. After covering the wound with a sterile, saline-soaked dressing, which of the following actions should the nurse take?
answer
obtain vitals to assess for shock
