NUR 145 The Point Chapter 19 Postoperative Care Questions and Correct Answers
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Course
NUR 145
Institution
NUR 145
Which method of wound healing is one in which wound edges are not surgically approximated and integumentary continuity is restored by granulation? A. Second-intention healing B. First- intention healing C. Third - intention healing D. Primary intention healing A. Second-intention healing - when wou...
NUR 145 The Point Chapter 19
Postoperative Care Questions and
Correct Answers
Which term refers to the protrusion of abdominal organs through the surgical incision?
A. Hernia
B. Evisceration
C. Dehiscence
D. Erythema ✅B. Evisceration
Which method of wound healing is one in which wound edges are not surgically
approximated and integumentary continuity is restored by granulation?
A. Second-intention healing
B. First- intention healing
C. Third - intention healing
D. Primary intention healing ✅A. Second-intention healing - when wounds dehisce,
they are allowed to heal by secondary intention.
The nurse recognizes which symptoms as a clinical manifestation of shock?
A. Increased urine output
B. Flushed face
C. rapid, weak, thready pulse
D. warm, dry skin ✅C. rapid, weak, thready pulse
When the nurse observes that a postoperative client demonstrates a constant low level
of oxygen saturation, although the patient's breathing appears normal, the nurse
identifies that the patient may be suffering from which type of hypoxemia?
A. Anemic
B. Episodic
C. Subacute
D. Hypoxic ✅C. Subacute - supplemental oxygen may be indicated for subacute
hypoxemia.
When the surgeon performs an appendectomy, the nurse recognizes that the surgical
category will be identified as:
A. Contaminated
B. Dirty
C. Clean
D. Clean contaminated ✅D. Clean contaminated - those with a potential, limited
source for infection, the exposure to which can largely be controlled.
, It is important for the nurse to assist a post-surgical client to sit up and turn the head to
one side when vomiting in order to?
A. Avoid dizziness
B.Maximize comfort
C. Avoid aspiration
D. Help eliminate inhaled anes ✅C. Avoid aspiration
The nurse observes that a postsurgical client has hemorrhaged and is in hypovolemic
shock. Which nursing intervention will manage and minimize hemorrhage and shock?
A. Reinforcing dressings or applying pressure if bleeding is frank
B. Encouraging the client to breath deeply
C. Rubbing the back
D. Elevating the head of the bed ✅A. Reinforcing dressings or applying pressure if
bleeding is frank
Which action should a nurse perform to prevent deep vein thrombosis when caring for a
postsurgical client?
A. Maintain bed rest
B. Reinforce the need to perform leg exercises every hour when awake
C. Instruct the client to cross the legs or prop a pillow under the knees
D. Massage the calves or thighs ✅B. Reinforce the need to perform leg exercises
every hour when awake
Which is a classic sign of hypovolemic shock?
A. Bradycardia
B. Dilute urine
C. High blood pressure
D. Pallor ✅D. Pallor - pallor, rapid, weak thready pulse, low BP, and rapid breathing
The primary objective in the immediate postoperative period is
A. maintain pulmonary ventilation
B. Relieving pain
C. Monitoring for hypotension
D. Controlling nausea and vomiting ✅A. maintain pulmonary ventilation
The immediate postoperative period, vital signs are taken at least every
A. 60 minutes
B. 45 minutes
C. 15 minutes
D. 30 minutes ✅C. 15 minutes
Adequate hourly output for a client with an indwelling urinary catheter is
A. 1.5 mL/kg/h
B. 0.5 mL/kg/h
C. 1.0mL/kg/h
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