Surgical Nursing Management: Adult Patient Care
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Questions and Answers

What is the primary goal of the nurse when assisting a patient with a nasogastric tube?

  • Promoting nutrition and hydration
  • Assisting with medication administration
  • Monitoring gastric residual
  • Maintaining patient comfort and safety (correct)

Which of the following assessment findings is indicative of respiratory compromise in a postoperative patient?

  • Decreased oxygen saturation (correct)
  • Tachycardia
  • Hypotension
  • Tachypnea

What is the primary purpose of administering epidural analgesia in the postoperative period?

  • To manage postoperative pain effectively (correct)
  • To reduce the risk of respiratory depression
  • To enhance patient mobility and ambulation
  • To decrease the risk of surgical site infection

A patient is at risk for developing deep vein thrombosis (DVT) due to?

<p>Prolonged immobility (B)</p> Signup and view all the answers

What is the primary purpose of using sequential compression devices (SCDs) in postoperative patients?

<p>To reduce the risk of deep vein thrombosis (A)</p> Signup and view all the answers

In a postoperative patient, which of the following would indicate a possible pulmonary embolism?

<p>Hypoxia with decreased breath sounds (A)</p> Signup and view all the answers

A patient undergoing surgery is at risk for developing hypothermia due to which of the following?

<p>Anesthesia-induced vasodilation (A)</p> Signup and view all the answers

In a postoperative patient, which of the following would be a priority nursing intervention to prevent respiratory complications?

<p>Encouraging deep breathing exercises (A)</p> Signup and view all the answers

A patient is experiencing severe pain after surgery. Which of the following analgesic methods would be most effective in managing the patient's pain?

<p>Patient-controlled analgesia with opioids (D)</p> Signup and view all the answers

A patient is experiencing nausea and vomiting after surgery. Which of the following would be a priority nursing intervention?

<p>Monitoring for signs of dehydration (C)</p> Signup and view all the answers

What is the primary reason for placing a patient in the reverse Trendelenburg position during surgery?

<p>To improve visualization of the surgical site (D)</p> Signup and view all the answers

A patient is experiencing oliguria after surgery. Which of the following medications would be contraindicated?

<p>Epinephrine (B)</p> Signup and view all the answers

A patient is experiencing respiratory distress after surgery. Which of the following is a contraindication for the use of non-invasive positive pressure ventilation (NIPPV)?

<p>Facial trauma (C)</p> Signup and view all the answers

A patient is experiencing tachycardia and hypertension after surgery. Which of the following medications would be the most effective in managing these symptoms?

<p>Labetalol (C)</p> Signup and view all the answers

A patient is experiencing pain and numbness in the toes after surgery. Which of the following is the most likely cause of these symptoms?

<p>Femoral nerve compression (D)</p> Signup and view all the answers

What is the primary purpose of administering intravenous fluid replacement therapy in the postoperative period?

<p>To maintain adequate cardiac output and tissue perfusion (D)</p> Signup and view all the answers

A patient undergoing surgery is at risk for developing hyperkalemia due to which of the following?

<p>Release of potassium from traumatized tissues (D)</p> Signup and view all the answers

Which of the following is a complication of inadequate pain management in the postoperative period?

<p>Cardiac ischemia (B)</p> Signup and view all the answers

A patient is experiencing hypotension after surgery. Which of the following is a priority nursing intervention?

<p>Increasing the rate of intravenous fluid administration (B)</p> Signup and view all the answers

Which of the following is a indication for the use of arterial catheters in postoperative patients?

<p>Continuous monitoring of blood pressure (A)</p> Signup and view all the answers

A patient is experiencing hypervolemia after surgery. Which of the following medications would be indicated to manage this condition?

<p>Furosemide (A)</p> Signup and view all the answers

A patient is experiencing respiratory failure after surgery. Which of the following is a priority nursing intervention to improve oxygenation?

<p>Administering oxygen therapy (D)</p> Signup and view all the answers

A patient is experiencing hyperglycemia after surgery. Which of the following is a priority nursing intervention to manage this condition?

<p>Administering insulin (B)</p> Signup and view all the answers

A patient is experiencing tachypnea after surgery. Which of the following is a potential cause of this condition?

<p>Pulmonary embolism (B)</p> Signup and view all the answers

A patient is experiencing hypertension after surgery. Which of the following is a potential cause of this condition?

<p>Pain (D)</p> Signup and view all the answers

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