Care Of The Surgical Patient - Adult Health Nursing Proctored Exam

A postoperative client who had abdominal surgery 6 hours ago begins to exhibit signs of hypovolemic shock. Which assessment findings should the nurse expect? (Select all that apply)

A postoperative client who had abdominal surgery 6 hours ago becomes restless and pale, with a blood pressure of 84/50 mm Hg, pulse 124 bpm, and respirations 28/min. The nurse suspects hypovolemic sho

The most common postoperative cardiac complications include:

A patient is found to have a respiratory rate of 4 breaths per minute after having received morphine for postoperative pain. The LPN knows the reversal agent for opioid toxicity is:

The nurse is caring for a client with a head injury who is being treated for increased intracranial pressure (ICP). Which instruction should the nurse include in the client's care plan?

The nurse working in the postoperative area knows that a client that takes which medication is at an increased risk of infection due to the mechanism of action of the drug?

The nurse is planning care for an older adult client scheduled for surgery. Which considerations are important for this client's perioperative care? (Select all that apply)

A client is recovering from abdominal surgery and reports sharp pain at the incision site when coughing. What should the nurse teach the client to do to reduce discomfort and protect the incision?

A nurse is preparing a client for surgery and notes that Betadine will be used for skin cleansing. Which preoperative assessment takes priority before the surgical prep is applied?

The nurse is caring for a client who returned from abdominal surgery 3 hours ago. Which finding is the most concerning for the nurse?

The nurse is preparing to administer ondansetron (Zofran) to a postoperative client. Which statement by the client indicates understanding of the purpose of this medication?

A postoperative client is at risk for developing venous stasis due to decreased mobility. Which nursing intervention is most effective in reducing the risk of venous stasis and thrombosis?

Which action should the nurse take first when a postoperative client reports feeling a "pop" in the abdominal incision area after sneezing?

A nurse is assessing a postoperative client who has not voided for 8 hours since surgery. The nurse suspects bladder distention. What is the best way to assess the client for bladder distention?

A 45-year-old client is 1 day postoperative following an open cholecystectomy. The client reports severe abdominal pain rated 10 out of 10, stating, "The pain is unbearable." The nurse reviews the pro

The nurse is reviewing the preoperative assessment forms for four clients scheduled for surgery this morning. Based on the data below, which client is at the highest risk for postoperative complicatio

A postoperative client has a prescription for "Enoxaparin 40 mg SQ daily." The nurse understands that the primary purpose of this medication in the postoperative period is to:

A client is being prepared for abdominal surgery. The nurse is assigned as the circulating nurse in the operating room. Which action is the primary responsibility of the circulating nurse?

The nurse receives a report at the beginning of shift regarding the surgical client's abdominal incision healing by "primary intention". What does healing by "primary intention" mean?

During the preoperative assessment, the nurse notes that the client reports a severe allergy to latex. Which nursing action is most appropriate to ensure client safety during the perioperative period?

In the first hour after surgery, the client is in the post-anesthesia care unit (PACU), during that time the nurse should assess the client's blood pressure:

A 58-year-old client with a 30-year history of smoking has just returned to the surgical unit after abdominal surgery. The nurse recognizes that this client is at increased risk for:

A post-mastectomy client will be discharged with a Jackson-Pratt drain. The nurse should instruct the client to immediately report which symptom to the healthcare provider?

The nurse is preparing a client for surgery and presents the informed consent form for signature. Which client should the nurse recognize as not legally able to provide informed consent?

Medication reconciliation refers to: