nurs 112 exam 1 extra

subq length gauge angle

5/8 27-31g 45 degree

IM length guage angle

1-1.5 21-23g 90 degrees

ID length guage angle

3/8 27G 5-15 degree

.A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which of the following medications should the nurse plan to administer for DVT prophylaxis?

Enoxaparin subcutaneous

inhaltion anestetics examples

Ethrane Fluothane Nitrous Oxide

Succinlycholine

Depolarizing neuromuscular blocker

brevitol

Rapid induction, duration <5 minutes

how should the penrose drain be changed?

The nurse should change the Penrose drain dressing using the surgical aseptic technique. using sterile technique when performing dressing changes

injection anestetics

Valium Sublimaze Ketamine ( may cause hallucinations) Ativan Penothal Versed Demerol Morphine

A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients?

a client who is 3 days postop following a gastric bypass surgery

flumenzil

benzodapioine agonist

local topical anestetics

caine

a client who is post op with a closed drain system what hsould be done?

clean it

A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for which of the following potential adverse effects of this medication?

miosis, blurred vision, diplopia.A nurse is receiving a client who is immediately postoperative following hip arthroplasty.

client post op continuously vomitting whats the next move?

ng tube

barburturate examples

ambian, restoril, halcion

sedative hypnotics def and examples

antianxiolitic, bariburtrates benzos

A nurse in the post-anesthesia care unit is caring for a client who is postoperative following a thoracotomy and lobectomy. Which of the following postoperative assessments should the nurse give highest priority to?

arterial blood gases

What is no longer recommended for Im injection?

aspiration

A nurse is caring for a client who is postoperative following a cholecystectomy and reports pain. Which of the following actions should the nurse take? (Select all that apply.)

back rub, encourage incisional splinting, assess pain level, change the clients position

Volatile liquids and gases

complications include coughing and laryngospasm

Prior to the start of Mrs. Smith's surgical procedure, all members of the surgical team participate in a time-out. Which of the following are components of the time-out? SATA Correct answer:

correct site, correct procedure, laterality

What does an ng tube do?

decompresses the bowel

IM sites and volume hold

deltoid 1ml vastus lateralis 3ml ventrogluteal 3-5

What Im injection site is no longer an injection site?

dorsogluteal

cholinergic blocking agents def and examples

dry up respiratory secretions, atropine, robinol

A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medications to manage discomfort. Aside from managing pain, which of the following desired effects of medications should the nurse identify as most important for the client's recovery?

faclitates deep breathing

Which information does the post-anesthesia care unit (PACU) nurse include in the hand-off that to the nurse who will assume care on the medical-surgical unit? Select all that apply.

fluid intake and blood loss, information regarding the surgical procedure, placement of i.v lines

A nurse is caring for a client 1 day postoperative who has developed atelectasis. Which of the following manifestations is an expected finding for this condition?

hypoxia

A nurse is providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. Which of the following statements by the client indicates the need for further teaching?

i will eat solid food immediately after surgery

.A nurse is teaching a client who is preoperative how to do deep-breathing exercises and cough effectively after surgery. Which of the following statements by the client indicates an understanding of the teaching?

ill splint my incision with a pillow to cough

Deltoid anatomical landmarks

inject between the acomion process and the axilla upside down triangle

pt expresses their religous beliefs preop, what is the priority?

listen and make sure the procedure doesnt go against any o their beliefs

why should you keep or room cool

reduce wirsk of infection

low potassium or inr quetsion

low potassium is worse because of arythmias

What can lead to tissue damage after injection?

massaging area

A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?

massaging her legs

should the nurse explain the surgical procedure to the patient?

nope

ventrogluteal anatomical site

opposite hand of pt hip, pointer finger on anterior superior illiac crest, other 3 fingers on the illiac crest, heel of hand on greater trcanter inject in the v

0.A nurse is planning care for a client who is postoperative. Which of the following statements about pain management should the nurse consider when implementing client care? (Select all that apply.

pca offers a constant level of opioids, pain level and pain tolerence 0-10 scale, everyone displays pain differently

Which patient finding indicates the need for further monitoring rather than discharge home after an outpatient surgical procedure?

persistent nausea without vomiting

how is the effectiveness of o2 monitered

pulse ox and arterial blood gas

.A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client?

semi fowlers

nurse is providing care for a client who is 2 days postoperative following abdominal surgery and is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?

skim milk

history of obstructive sleep apnea what should be assesed

spo2

A nurse is caring for an older adult client who has just returned from PACU after receiving a spinal anesthetic during knee surgery. For which of the following findings should the nurse notify the provider?

systolic bp 140- 120 bc of spinal anesthetic effects

FLAG A nurse is caring for a client who 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?

take vitals to asses for shock

.A nurse is caring for client who just returned from the PACU with an IV fluid infusion and an NG tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?

the surgical dressing

pca pump biggest piece of teaching is

to not let other people push it

pt recovering from spinal anesthesia what will come back first?

touch

id sites with landmarks and volumes

upper back, forearm, chest,

A nurse is reviewing the diagnostic test results of an older adult female client who is preoperative for a knee arthroplasty. The nurse should notify the surgeon of which of the following results?

wbc 20k

A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

your pain will gradually become less severe