Kaplan Periop Questions-In Class

The LPN reports to the nurse that a client's surgical wound has burst and abdominal contents are protruding. Which action does the nurse take first?

• Assess the client's wound

• Call the health care provider

• Cover the wound with sterile saline soaked gauze

• Place the client on NPO status

The nurse provides care for a client who is 5'7" tall, weighs 300 pounds (136.4 kg), and is recuperating from an exploratory laparotomy. The client cooperates with coughing and deep breathing exercises and ambulates a distance of 25 feet in the hallway. For which postoperative complication does the nurse most vigilantly assess the patient?

• Pneumonia

• Fat embolism

• Pulmonary embolism

• Wound dehiscence

The nurse performs preoperative teaching for a client scheduled for an open breast biopsy. Which action does the nurse use to assess that the client is properly prepared on the day of surgery?

• The client brings the results of preoperative lab work when admitted

• The client tells the admitting nurse, "I have not eaten or drunk anything since midnight"

• The client tells the nurse that "I used deodorant this morning"

• The client brings a signed copy of the surgical consent form on the day of admission

The nurse cares for a client after a traditional cholecystectomy. The nurse contacts the health care provider if which observation is made?

• Moderate, dark red drainage on the operative dressing

• Frequent reports of abdominal pain for the first 24 hours

• Nasogastric tube connected to intermittent suction

• Temperature 100^o F (37.8^o C) the evening of surgery

The nurse becomes concerned because a client has not voided since before surgery, 10 hours ago. Which nursing action is most appropriate?

• Insert a catheter into the bladder

• Encourage client to take sips of water

• Inform the health care provider immediately

• Palpate for bladder distention