Post-Operative Care Quiz for Nurses

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Questions and Answers

Which post-operative finding is the nurse most concerned about?

Lack of appetite

A mild fever

Frequent swallowing (correct)

Throat pain

Why might a patient experience throat pain after surgery?

The patient did not receive adequate pain medication.

The patient is allergic to the anesthetic.

The patient was intubated during the procedure. (correct)

The patient has a bacterial infection.

Which post-operative finding is usually not a serious concern?

Rapid heart rate

Decreased urine output

Lack of appetite (correct)

Excessive bleeding

What is the primary reason for a post-operative patient experiencing a mild fever?

Normal inflammatory response (D) Signup and view all the answers

What is a potential consequence of frequent swallowing after surgery?

Airway obstruction (C) Signup and view all the answers

What is the recommended depth for inserting a thermometer rectally?

4cm (A) Signup and view all the answers

What is the typical age range for a child to be considered a teenager?

13-18 years old (D) Signup and view all the answers

In the case of a 15-year-old girl experiencing diarrhea, what would be the most likely cause? (Assume no other medical information is provided.)

All of the above (D) Signup and view all the answers

What is the primary symptom being described in the provided scenario?

Diarrhea (C) Signup and view all the answers

Which of the following is NOT a common cause of diarrhea in children and adolescents?

Chronic obstructive pulmonary disease (COPD) (E) Signup and view all the answers

What is the main reason for wearing a supportive bra?

To relieve discomfort. (D) Signup and view all the answers

What is the suggested action regarding breastfeeding?

Consult a doctor before making changes. (A) Signup and view all the answers

What is the main concern being addressed in the text?

Discomfort or pain in the breasts. (D) Signup and view all the answers

What is the likely reason for the need to wear a supportive bra?

A medical condition. (D) Signup and view all the answers

What is the most appropriate next step after reading this text?

Consult a doctor or lactation consultant. (C) Signup and view all the answers

What should the nurses do if a patient in the Male Medical Unit needs an abdominal CT with contrast?

Ask the physician to provide a written order for the procedure. (B), Verify the patient's identity and their understanding of the procedure. (D) Signup and view all the answers

Which of the following steps should be taken if a patient in the Male Medical Unit is unresponsive?

Check the patient's vitals and inform the physician. (B) Signup and view all the answers

What is the primary purpose of obtaining a signature from a patient before an abdominal CT with contrast?

To document the patient's consent to the procedure and its risks. (A) Signup and view all the answers

What is the best course of action for nurses when taking a signature on a form for a medical procedure?

Ensure the patient understands the procedure and its risks before obtaining their signature. (B) Signup and view all the answers

What is the role of the physician in the context of the patient needing an abdominal CT with contrast?

To provide a written order for the procedure. (C) Signup and view all the answers

What is the most likely reason a newborn is started on phototherapy?

To treat jaundice (B), To treat hyperbilirubinemia (C) Signup and view all the answers

What is the primary goal of breastfeeding a newborn receiving phototherapy?

To facilitate the excretion of bilirubin (A) Signup and view all the answers

Why is it important to feed a newborn receiving phototherapy frequently?

To provide adequate hydration (A) Signup and view all the answers

What is the purpose of phototherapy in newborn hyperbilirubinemia?

To convert bilirubin into a more soluble form (B) Signup and view all the answers

What does the 'G' in the GTPAL format represent?

The number of pregnancies (C) Signup and view all the answers

What does the abbreviation 'A' in GTPAL signify?

Abortions, both spontaneous and elective (D) Signup and view all the answers

What would the GTPAL format for this client look like?

G5 T2 P2 A1 L4 (A) Signup and view all the answers

What is the correct dosage of the medication to be administered?

15 ML (C) Signup and view all the answers

Which of the following dosages could potentially lead to an overdose?

20 ML (B) Signup and view all the answers

If a nurse administers a dosage of 5 ML, what aspect of patient care could be compromised?

Ineffective treatment (D) Signup and view all the answers

Which dosage might be considered appropriate for a larger patient requiring a higher amount?

15 ML (A) Signup and view all the answers

What is the first action to take regarding team improvement?

Schedule meeting with staff (B) Signup and view all the answers

What should be done to address necessary changes in the team?

Start changes to improve (C) Signup and view all the answers

What could be the potential consequence of administering a dosage below the recommended amount?

No therapeutic effect (D) Signup and view all the answers

What symptom is primarily experienced by the 18-year-old man in the scenario?

Severe quadrant pain (D) Signup and view all the answers

What is an essential step before implementing improvements?

Review evaluation details (A) Signup and view all the answers

Which action is not supportive of an effective team improvement process?

Making unilateral changes (B) Signup and view all the answers

What reaction did the patient have upon palpation of the abdomen?

He jerked in response (B) Signup and view all the answers

What age group does the patient fall into based on the information provided?

Young adult (D) Signup and view all the answers

What is a beneficial practice when aiming to enhance team performance?

Schedule ongoing training sessions (D) Signup and view all the answers

What condition might be indicated by the symptoms described for the patient?

Appendicitis (A) Signup and view all the answers

What was the general state of the patient when he was rushed to seek help?

He was fainting (A) Signup and view all the answers

What is the most appropriate initial nursing action when a discrepancy is found in the narcotic box count?

Report the discrepancy to the nursing supervisor. (C) Signup and view all the answers

Which of the following actions should a nurse avoid when discovering a discrepancy in the narcotic box count?

Accuse staff of theft without evidence. (C) Signup and view all the answers

In the event of a missing pill from the narcotic box, which action enhances safety in the workplace?

Increase security measures around medication storage. (A) Signup and view all the answers

When a nurse identifies a difference between the narcotic box count and the recorded amount, what should the nurse consider doing first?

Reconcile the counts with the last records. (A) Signup and view all the answers

What is a potential consequence of not addressing a discrepancy in the narcotic count promptly?

Increased risk of drug misuse or theft. (B) Signup and view all the answers

What is the most concerning behavior of the patient post-thyroidectomy based on the provided information?

Inability to respond verbally (B) Signup and view all the answers

How is the patient's level of consciousness best described in this scenario?

Drowsy but responsive to stimuli (D) Signup and view all the answers

What might be an expected physiological response after thyroid surgery?

Uncontrolled nausea and vomiting (D) Signup and view all the answers

Which observation would likely require immediate medical attention for the patient?

Consistent drowsiness without improvement (A) Signup and view all the answers

What key factor should be monitored in the patient immediately after a thyroidectomy?

Respiratory function (A) Signup and view all the answers

Why is incident reporting essential in healthcare?

It helps identify areas for improvement. (A) Signup and view all the answers

What is a potential outcome of neglecting incident reporting?

Reduced patient safety. (D) Signup and view all the answers

How should incident reporting be prioritized in healthcare settings?

As a primary duty of all staff members. (C) Signup and view all the answers

Who should be responsible for reporting incidents in a healthcare facility?

Each individual healthcare worker. (C) Signup and view all the answers

What might occur if incidents are not reported effectively?

Lessons learned from incidents may be forgotten. (A) Signup and view all the answers

Study Notes

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Description

This quiz tests your knowledge on post-operative findings, common concerns, and nursing care considerations for patients recovering from surgery. Topics include observing symptoms, temperature management, and patient education. Perfect for nursing students and professionals looking to refresh their understanding of post-operative care.