Care Of The Surgical Patient - Adult Health Nursing Proctored Exam

A postoperative client is showing signs of hypovolemic shock after abdominal surgery. The nurse has positioned the client supine with legs elevated. Which collaborative interventions should the nurse

A client reports taking acetaminophen (Tylenol) several times daily for chronic back pain over the past several months. Which potential complication should the nurse monitor for?

A 70-year-old client is recovering from hip replacement surgery. The nurse prepares to apply antiembolism stockings as part of the postoperative care plan. The client asks, "Why do I have to wear thes

Which of the following is the most common long-term side effect of opioid use?

The inability of the patient to have a bowel movement after surgery, usually combined with hypoactive bowel sounds, and distension is called:

Which assessment finding BEST supports the assumption that the client has a thrombus in a leg vein?

The nurse is caring for a client who is 24 hours postoperative. The client's provider has ordered "ambulate in hallway 3 times daily." Which action should the nurse take first before assisting the cli

Which nursing intervention is most important to promote effective airway clearance in the postoperative patient?

Your patient has returned from the operating room for a bowel resection. The assessment of the patient reveals that the incision has opened up and you can currently see inside your patient, but no org

The nurse is teaching a client about a new transdermal medication for chronic pain management. Which statement by the client indicates correct understanding of this route of administration?

A nurse is caring for a postoperative client who has a surgical dressing over an abdominal incision. The nurse notes that the dressing is saturated with serosanguineous drainage. Which action should t

A postoperative client has not voided for 8 hours since returning from surgery. Before notifying the healthcare provider, which assessments should the nurse perform?

A 65-year-old client is 12 hours postoperative following a total knee arthroplasty. During the shift assessment, the nurse notes that the client's capillary refill is 5 seconds, the foot is cool to th

A 60-year-old client is two days postoperative following abdominal surgery. The client suddenly reports sharp chest pain and shortness of breath. The nurse observes restlessness, cyanosis, tachycardia

A nurse is reinforcing post incision care for a client after an appendectomy. Which statement by the client demonstrates the need for further education?

The nurse is monitoring a client receiving opioid analgesics for postoperative pain. Which side effects should the nurse assess for? (Select all that apply)

A postoperative client received an IV dose of morphine for pain control. Thirty minutes later, the nurse finds the client difficult to arouse, with respirations of 6 breaths per minute and oxygen satu

A nurse is applying sequential compression devices (SCDs) to a postoperative client's legs. What is the primary purpose of this device?

A nurse is preparing a client for surgery. The provider has explained the procedure, risks, and benefits. The client then signs the consent form. What is the nurse's primary responsibility when witnes

A 40-year-old client is 1 day postoperative following an open cholecystectomy and is receiving pain medication through a PCA (patient-controlled analgesia) pump with morphine. The nurse is reinforcing

While changing the client's dressing, the nurse observes the wound's drainage is pale red/pinkish. What does the nurse describe the drainage as?

The provider orders heparin sodium 7,500 units subcutaneously, twice daily. The client is due for one dose now. Pharmacy sends 1 mL vials containing 5,000 units/mL. Based on the provider's order, how

A nurse is caring for a client who is 2 days postoperative after kidney surgery. The client's bowel sounds are hypoactive, and they have not yet passed flatus. Which nursing intervention is most effec

The nurse reviews the preoperative laboratory results for a client scheduled for abdominal surgery. The client's serum potassium level is pending. Why is it important for the nurse to check the potass

An LPN is assisting in the care of a postoperative client. The nurse understands that "splinting" an incision with a pillow during coughing and deep breathing is primarily done to: