Exam (elaborations)
Nursing 309 Quiz 3 Iggy 16 Questions With Complete Solutions
- Course
- Institution
Nursing 309 Quiz 3 Iggy 16 Questions With Complete Solutions
[Show more]
Content preview
Nursing 309 Quiz 3 Iggy 16 Questions With CompleteSolutions
A 49 year old patient is in the PACU following a frontal
craniotomy for repair of a ruptured cerebral aneurysm.
The nurse assesses that the patient's eyes open on verbal
stimulation. Pupils are equal, reactive to light, and diameter is 3
mm.
The patient's hand grasps are equal and strong.
The patient's hand grasps are equal and strong.
When the nurse asks the patient to state name, the patient states
names correctly.
The patient has had one episode of nausea and vomiting.
Incision edges are dry and approximated with sutures. Lung
sounds are slightly diminished per auscultation and the nurse
observes the patient is using abdominal accessory muscles to
breathe.
Which body systems has the nurse assessed? Correct Answers
Gastrointestinal. Neurologic. Integumentary. Respiratory.
A client experiences abdominal distention following surgery.
Which nursing actions are appropriate? Correct Answers
Encouraging ambulation.
Auscultating bowel sounds.
A client is extubated in the post anesthesia care unit after
surgery.
,For which common response should the nurse be alert when
monitoring the client for acute respiratory distress? Correct
Answers Restlessness.
A client reports severe pain 2 days after surgery.
Which INITIAL action should the nurse take after assessing the
character of the pain? Correct Answers Obtain the vital signs.
A nurse in the postanesthesia care unit observes that after an
abdominal cholecystectomy a client has serosanguineous
drainage on the abdominal dressing.
What is the next best nursing action? Correct Answers
Reinforce the dressing.
A nurse in the surgical intensive care unit is caring for a client
with a large surgical incision.
What medication does the nurse anticipate will be prescribed for
this client? Correct Answers Ascorbic acid (Ascorbicap)
A nurse is applying a dressing to a client's surgical wound using
sterile technique. While engaging in this activity, the nurse
accidentally places a moist sterile gauze pad on the cloth sterile
field.
What physical principle is applicable for causing the sterile field
to become contaminated? Correct Answers Capillary.
A nurse is caring for a postoperative client who had general
anesthesia during surgery.
, What independent nursing intervention may prevent an
accumulation of secretions? Correct Answers Frequent changes
of position.
A nurse is preparing to change a client's dressing. What is the
reason for using surgical asepsis during this procedure? Correct
Answers Keeps the area free of microorganisms.
A patient arrives at the PACU and the nurse notes a respiratory
rate of 10 with sternal retractions.
The report from anesthesia personnel indicates that the patient
had received fentanyl during surgery.
What is the nurse's best priority first action? Correct Answers
Maintain an open airway through positioning and suction if
needed.
A patient arrives in the PACU.
Which action the nurse performs first? Correct Answers Assess
for a patent airway and adequate gas exchange.
A patient cared for in the PACU has had a colostomy placed for
treatment of Crohn's disease.
The nurse assesses that an abdominal dressing is 25% saturated
with serosanguineous drainage and notes that the incision is
intact.
An IV is infusing with D5/lactated Ringer's at 100 mL/hr
through a 20-g peripheral IV access.
Auscultation of abdomen reveals hypoactive bowel sounds in all
four quadrants, abdomen soft, and no distention.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83662 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now