Question 1

The nurse is witnessing an adult patient's surgical consent. What should the nurse confirm before witnessing the surgical consent? (Select all that apply.)

Accepted Answer

The nurse should confirm that the patient is not under the influence of sedatives (C) and that the patient is informed about the surgery (D) to ensure the consent is valid and the patient is competent to give consent.

Question 2

The nurse receives an order to administer hydromorphone (Dilaudid) 1 mg IV for postoperative pain. The available dose is hydromorphone (Dilaudid) 2 mg/mL. How many mL will the nurse administer? Enter the numeral only.

Accepted Answer

The answer of The nurse receives an order to administer...

Question 3

The nurse provides recommendations for the plan of care for a patient scheduled to undergo a cholecystectomy. Why should the nurse include preoperative teaching of deep-breathing exercises to prevent postoperative complications for this patient? (Select all that apply.)

Accepted Answer

The answer of The nurse provides recommendations for the plan...

Question 4

The nurse has reinforced preoperative teaching with a patient about coughing and deep-breathing techniques. Which patient statements indicate a correct understanding of the teaching? (Select all that apply.)

Accepted Answer

C) Deep breathing and coughing are essential postoperative exercises to help prevent respiratory complications such as pneumonia. D) Regular intervals for these exercises, such as every hour while awake, ensure that the lungs are adequately ventilated and secretions are cleared.

Question 5

The nurse assesses a patient's pain level to be an 8 on a 0-to-10 scale. The nurse notes the patient has an order for morphine 4 mg IV as needed for pain. The patient's blood pressure is 80/54 mm Hg, respirations 10 breaths/min, and pulse 64 beats/min. Which action should the nurse take?

Accepted Answer

The patient's vital signs indicate hypotension and respiratory depression, which are contraindications for administering morphine. The nurse should notify the RN or healthcare provider for further assessment and possible modification of the pain management plan.

Question 6

The nurse is assessing a patient who underwent an epidural block for a procedure 6 hours ago. Which findings should the nurse report to the RN? (Select all that apply.)

Accepted Answer

Clear fluid leaking from the puncture site may indicate cerebrospinal fluid leak. Headache, dizziness, nausea, and visual disturbances can be symptoms of a spinal headache or other complications related to the epidural block, such as a drop in cerebrospinal fluid pressure. These symptoms require immediate attention. Oxygen saturation of 97% is within normal limits and does not need to be reported.

Question 7

The nurse is reviewing preoperative orders for a patient scheduled for a surgical repair of the liver. Which laboratory values should the nurse ensure are ready and placed in the chart before surgery? (Select all that apply.)

Accepted Answer

The answer of The nurse is reviewing preoperative orders for...

Question 8

The nurse is preparing to administer cefazolin (Ancef) 1 g in 100 mL of normal saline to run over 30 minutes intravenously to a patient as a surgical prophylactic medication. At what rate will the nurse set the infusion pump? Enter the numeral only.

Accepted Answer

The answer of The nurse is preparing to administer cefazolin...

Question 9

The nurse is caring for a postoperative patient at risk for deep vein thrombosis. Which actions should the nurse recommend be included in the patient's plan of care? (Select all that apply.)

Accepted Answer

Early ambulation, applying anti-embolic stockings, and performing leg exercises help prevent deep vein thrombosis by promoting circulation. Massaging the legs could dislodge a clot, and placing a pillow under the knees can hinder venous return.

Question 10

The nurse is contributing to an education program for older adults who are preparing for joint replacement surgery. Which interventions should the nurse use to enhance older patient learning? (Select all that apply.)

Accepted Answer

C) Providing handouts with black print on white non-glare paper makes the material easier to read, especially for older adults who may have vision impairments. E) Conveying a positive attitude and promoting self-care can motivate older adults to engage in their care and follow through with recommended practices, enhancing their learning and outcomes.

Question 11

The nurse is reinforcing discharge teaching for a patient who underwent abdominal surgery. Which statements made by the patient indicate an understanding of the teaching? (Select all that apply.)

Accepted Answer

A, D, and E are correct because scheduling a follow-up appointment with the surgeon, having a spouse help change the dressing, and informing the doctor if a fever develops are all appropriate post-operative care measures. B and C are incorrect because removing one's own stitches and taking an extra dose of pain medication without consulting a healthcare provider can be harmful.

Question 12

The nurse is calculating the intake of a patient who underwent surgery. The patient consumed two 240-mL juice boxes, 800 mL of water, 120 mL of gelatin, and two 40-mL cups of soda. The patient also received 1 L of lactated ringer's IV. Calculate the patient's total intake (in mL). Enter the numeral only.

Accepted Answer

The answer of The nurse is calculating the intake of...

Question 13

The nurse reviews an order to administer lactated Ringer 1,000 mL to run over 2 hours intravenously to a patient in the recovery room. At what rate will the nurse set the infusion pump? Enter the numeral only.

Accepted Answer

The answer of The nurse reviews an order to administer...

Quiz 12: Nursing Care of Patients Having Surgery