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NURS 320 Quiz / 145 Question and Answers/100% Correct and Verified.
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NURS 320 Quiz / 145 Question and Answers/100% Correct and Verified.
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NURS 320 Quiz 1 2023-Question and Answers/100% Correct and
Verified.
A patient is now in the recovery room after having vaginal
surgery. Due to the positioning of the procedure, you would want
to assess for what while the patient is in recovery?
A. Bowel Sounds
B. Dysrhythmia
C. Homan's Sign
D. Hemoglobin Level - -C
-After surgery your patient is semicomatose with vital signs
within normal limits. As the nurse, what position would be best for
this patient?
A. Semi-Fowlers
B. Prone
C. Low-Fowlers
D. Side positioning preferably on the left side - -D
-After surgery your patient starts to shiver uncontrollably. What
nursing intervention would you do FIRST?*
A. Apply warm blankets & continue oxygen as prescribed
B. Take the patient's rectal temperature
C. Page the doctor for further orders
D. Adjust the thermostat in the room - -A
-The nurse is monitoring the patient who is 24 hours post-opt
from surgery. Which finding requires intervention?*
A. BP 100/80
B. 24-hour urine output of 300 ml
C. Pain rating of 4 on 1-10 scale
D. Temperature of 99.3' F - -B
, -A patient is 6 days post-opt from abdominal surgery. The patient
is to be discharged later today. The patient uses the call light and
asks you to come to his room and look at his surgical site. On
arrival, you see that approximately 2 inches of internal organs are
protruding through the incision. What intervention would you NOT
do?*
A. Put the patient in prone position with knees extended to put
pressure on the site
B. Cover the wound with sterile normal saline dressing
C. Monitor for signs of shock
D. Notify the MD and administer as prescribed antiemetic to
prevent vomiting - -A
-A patient reports he hasn't had a bowel movement or passed
gas since surgery. On assessment, you note the abdomen is
distended and no bowel sounds are noted in the four quadrants.
You notify the MD. What non-invasive nursing interventions can
you perform without a MD order?
A. Insert a nasogastric attached to intermittent suction
B. Administer IV fluids
C. Encourage ambulation, maintain NPO status, and monitor
intake & output
D. Encourage at least 3000 ml of fluids per day - -C
-What is a potential postoperative concern regarding a patient
who has already resumed a solid diet?*
A. Failure to pass stool within 12 hours of eating solid foods
B. Failure to pass stool within 48 hours of eating solid foods
C. Passage of excessive flatus
D. Patient reports a decreased appetite - -B
, -A nurse is developing a care plan for a patient who is at risk for
developing pneumonia after surgery. Which of the following is not
an appropriate nursing intervention?*
A. Encourage patient intake of 3000 ml/day of fluids if not
contraindicated
B. Encourage patient to use the incentive spirometer device 10
times every 1-2 hours while awake
C. Encourage early ambulation and patient to eat meals in beside
chair
D. Repositioning every 3-4 hours - -D
-When assessing your patient who is post-opt, you notice that the
patient's right calf vein feels hard, cord-like, and is tender to the
touch. The patient reports it is aching and painful. What would
NOT be an appropriate nursing intervention for this patient?*
A. Allow the patient to dangle the legs to help increase circulation
and alleviate pain
B. Instruct the patient to not sit in one position for a long period
of time
C. Elevate the extremity 30 degrees without allowing any
pressure on affected area
D. Administer anticoagulants as ordered by MD - -A
-A patient is recovering from surgery. The patient is very restless,
heart rate is 120 bpm and blood pressure is 70/53, skin is
cool/clammy. As the nurse you would?*
A. Continue to monitor the patient
B. Notify the MD
C. Obtain an EKG
D. Check the patient's blood glucose - -B
-A patient is taking Aspirin 325 mg PO by mouth daily. The
patient is scheduled for surgery in a week. What education do you
provide the patient with before surgery?*
, A. Educate the patient to take the scheduled dose of Aspirin the
day of surgery to help prevent blood clots
B. To hold his morning dose of Aspirin because the nurse will give
it to him before surgery
C. None of the above are correct
D. The medication should be discontinued for 48 hours prior to
the scheduled surgery date - -D
-You are observing your patient use the incentive spirometry.
What demonstration by the patient lets you know the patient
understands how to use the device properly?*
A. The patient inhales slowly on the device and maintains the
flow indicator between 600 to 900 level
B. The patient blows on the mouthpiece rapidly.
C. The patient uses the incentive spirometry once a day
D. The patient rapidly inhales on the devices and exhales - -A
-As the nurse you are getting the patient ready for surgery. You
are completing the preoperative checklist. Which of the following
is not part of the preoperative checklist?*
A. Assess for allergies
B. Conducting the Time Out
C. Informed consent is signed
D. Ensuring that the history and physical examination has been
completed - -B
-You are completing the history on a patient who is scheduled to
have surgery. What health history increases the risk for surgery
for the patient?*
A. Urinary Tract infections
B. History of Premature Ventricle Beats
C. Abuse of street drugs
D. Hyperthyroidism - -C
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