Foundations 2 Module 3 Assignment Quiz
A nurse is caring for a patient who is postoperative following abdominal surgery. The nurse discovers a loop of bowel through an opening in the surgical incision. Which of the following actions should the nurse take?
Apply moistened sterile gauze to the site
A nurse is caring for a pt who is 2 days postoperative following abdominal surgery and observes that the pt's wound has eviscerated. After calling for help. Which of the following actions should the nurse take first?
Cover the area with a sterile dressing , moistened with 0.9% sodium chloride irrigation
A nurse is assessing a patient 1 day postoperative following abdominal surgery. Suddenly the patient reports a pulling sensation and pain in his surgical incision. which of the following actions should the nurse take?
Cover the area with saline-soaked sterile dressing
A nurse is assessing a patient who is postoperative and has anemia due to excess blood loss following surgery. Which of the following findings should the nurse expect?
Fatigue
A nurse is teaching a patient who had a total knee arthroplasty about self administering morphine via a patient controlled analgesia (PCA) infusion device. Which of the following patient statements indicates an understanding of the teaching?
I should tell the nurse if I can't control my pain with this device.
A nurse is providing preoperative teaching to a pt who is to undergo an open bowel resection at 1300 next week. Which of the following statements by the pt indicates the need for further further teaching?
I will be able to eat solid food when i wake up from anesthesia
A nurse is teaching a patient who is preoperative how to do deep-breathing exercises and cough effectively after surgery. Which of the following statements by the patient indicates an understanding of the teaching?
I'll splint my incision with a pillow to cough
A nurse is providing teaching to a patient who is post operative following coronary 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 patient's recovery?
It facilitates the patient's deep breathing
A nurse is caring for a patient who is experiencing hypovolemia shock. Which of the following blood products should the nurse anticipate administering to the patient?
Packed RBCs
A nurse is assessing a patient who is 3 days postoperative following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the patient passing no flatus. Which of the following conditions should the nurse suspect?
Paralytic ileus
A nurse is teaching a newly licensed nurse about the risk factors for dehiscence for patients who have surgical incisions. Which of the following factors should the nurse include in the teaching. (SATA)
Poor nutritional state Obesity Wound infection
A nurse is caring for a patient who has returned from the surgical suite following surgery for a fractured mandible. The patient had inter-maxillary fixation to repair and stabilize the fraction. Which of the following actions is the priority for the nurse to take?
Prevent aspiration
A nurse is caring for an older adult patient 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?
Pulse oximetry changed from 98% to 96%
A nurse is changing the dressing of a patient who is 1 week post operative following abdominal surgery and notes the prescence of serosanguineous drainage. The nurse should recognize that this is an indication of which of the following circumstances?
Serosanguineous drainage at this time is a manifestation of possible dehiscence
A nurse is assessing a patient who is receiving one unit of packed RBCs to treat intraoperative blood loss. The patient reports chills and back, and the patient's blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first.
Stop the infusion of blood
A nurse is caring for a patient 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
A nurse is providing teaching for a patient who is postoperative following below the knee amputation. The nurse should instruct the patient that which of the following nutrients is necessary for wound healing?
Vitamin C
A nurse is assessing a patient who is 48 hr postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider
Yellow-green drainage on the surgical incision
A nurse is caring for a pt who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. the nurse enters the room to find the patient asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?
Your husband should decide when more medication is needed
A nurse is preparing to administer a unit of RBC's. The nurse's responsibility is to compare and verify the information on the blood label with the patient's information. The nurse should use which of the following as the priority source of verification?
identification wristband
