Chapter 22--Postoperative Nursing Management

Chapter 22–Postoperative Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse in the postanesthesia recovery room documents a client’s vital signs and current status and then covers the clipboard with a blank sheet of paper. The nurse’s actions are to support which of the following?

ANS:  1

In order to protect client privacy and confidentiality with HIPAA laws, written information is to be covered so that casual observers cannot violate the law. Blank sheets should be placed over clipboards to obstruct viewing. The nurse is not covering the clipboard because of postsurgical care expectations. This action is not a surgeon or anesthesiologist’s expectation.

PTS:   1                    DIF:    Analyze

REF:   Ethics in Practice: HIPAA: Implications for Perioperative Care

2. The nurse, caring for a postoperative client, will assess vital signs:

ANS:  1

Vital signs are performed every 15 minutes for the first hour and may be done more often if the client is less stable. Vital sign assessment is extremely important and should be done more frequently than every 20 or 30 minutes.

PTS:   1                    DIF:    Apply            REF:   Postoperative Physiological Stabilization

3. The nurse, caring for a postoperative client, will apply supplemental oxygen because:

ANS:  2

Postoperative clients require supplemental oxygen because they may still be retaining anesthetic gasses in the lungs. The client will not be able to state that they need oxygen. Oxygen will not control blood pressure nor will it help with wound healing.

PTS:   1                    DIF:    Analyze         REF:   Postoperative Physiological Stabilization

4. A client recovering from anesthesia in the care unit has an artificial airway. The nurse knows the purpose of an artificial airway is to:

ANS:  2

The artificial airway ensures that the tongue does not block the upper airway. An artificial airway may or may not keep the mouth open. An artificial airway will not prevent the client from vomiting and is not used to facilitate client communication.

PTS:   1                    DIF:    Analyze         REF:   Postoperative Physiological Stabilization

5. The nurse, caring for a client recovering from surgery, is monitoring the urine output and will notify the surgeon if the output falls below:

ANS:  3

With proper renal function, the kidneys will produce a minimum of 30 mL of urine per hour. A urine output of 10 or 20 mL/hr should be reported to the physician. A urine output of 50 mL/hr does not need to be reported.

PTS:   1                    DIF:    Apply            REF:   Postoperative Physiological Stabilization