Surgical Patient Post Questions

The nurse is obtaining a health history from a client scheduled for surgery in 1 week. Which medication should the nurse anticipate discontinuing for the surgery?

• Lisinopril

• Atorvastatin

• Warfarin

• Glyburide

The nurse is reviewing the procedure for conscious sedation. Which statement made by a client warrants intervention?

• “I won’t remember anything after waking up.”

• “I will not be able to control my airway.”

• “I can’t eat for 6 hours before.”

• “I will need an IV.”

The nurse is caring for a client in the postanesthesia care unit after an abdominal surgery. Which nursing action is appropriate?

• Provide the client with ice chips.

• Document the surgical site incision.

• Administer ondansetron intravenously as needed.

• Wash the site with warm, soapy water.

The nurse is reviewing the laboratory test results for a client experiencing malignant hyperthermia. Which laboratory finding would the nurse expect? Select all that apply.

• Numbness

• Respiratory acidosis

• Respiratory alkalosis

• Metabolic acidosis

• Hyponatremia

The nurse is drawing general preoperative blood work on a client. Which laboratory test would the nurse expect to be ordered?

• Liver function tests (LFTs)

• Partial thromboplastin time (PTT)

• Troponin

• Ammonia

The nurse is educating a client about the use of incentive spirometry after surgery. Which statement by the nurse is correct? Choose all that apply.

• Elevate the head of the bed to at least 45 degrees

• Exhale completely

• Hold breath for 3 to 5 seconds

• Perform hourly while awake

• Continue for 72 hours after surgery

The nurse is assisting during general surgery for a client. The nurse notes tachycardia, muscle rigidity, respiratory acidosis, and hyperthermia. The nurse suspects which complication of surgery?

• Surgical site infection

• Malignant hyperthermia

• Hypertensive crisis

• Hypercapnia

The nurse is assisting in the care of a client undergoing a closed fracture reduction. Which type of sedation would the nurse expect to be given to the client?

• Intravenous

• Procedural

• General

• Local