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Chapter 15: Postoperative Nursing

Monahan Phipps Medical Surgical 8th Edition By Monahan

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Chapter 15: Postoperative Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Which nursing activity takes priority when caring for any patient emerging from general anesthesia?
1. Administering pain medications every half-hour
2. Obtaining vital signs every 15 minutes until stable
3. Keeping side rails up and calmly orienting patients as they awaken
4. Encouraging movement of extremities within 10 minutes of arrival in the PACU

 

 

ANS: 3                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment

 

  1. While assessing a patient in the PACU the nurse notes gurgling respirations. The nurse will:
1. Reposition the patient’s head to ensure a patent airway
2. Awaken the patient and quickly turn him toward his left side
3. Immediately initiate assisted respirations to relieve hypoxia
4. Do nothing, since this is a normal occurrence following general anesthesia

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Respiratory

TOP:  Nursing Process: Implementation MSC: Client Needs: Physiological Integrity

 

  1. Which data support the nurse’s suspicion that a first-day postoperative patient is developing compromised respiratory function?
1. Lungs clear to auscultation, SaO2 of 98%
2. Gurgling cleared by cough, SaO2 of 92%
3. Shallow respirations at 12 per minute, SaO2 of 86%
4. Respiratory rate of 16 per minute, coughing at intervals

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Respiratory

TOP:  Nursing Process: Evaluation         MSC: Client Needs: Physiological Integrity

 

  1. An immediately postoperative patient who is awake and restless has a consistently elevated blood pressure but no preoperative history of hypertension. Which conclusion is most likely correct? The patient:
1. Is experiencing postoperative pain
2. Has developed hypertension postoperatively
3. Is undergoing a normal reaction to general anesthesia
4. May be having a reaction to his prescribed pain medication

 

 

ANS: 1                    PTS:   1                    DIF:   Category: No applicable category

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

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