Exam III Prep QUiz

Why does a nurse in a PACU perform assessments on immediate postoperative clients?

• To gauge the duration required for anesthesia recovery

• To establish a reference point by utilizing intraoperative data

• To concentrate on cardiovascular data and observations

• To avert complications arising from anesthesia and surgery

Why is a nurse positioning a postoperative client with pneumonia in the Fowler's or semi-Fowler's position?

• To enhance blood flow to the heart.

• To enhance client comfort and reduce pain.

• To aid in nursing assessments of skin color and temperature.

• To facilitate complete lung aeration.

How can a nurse alleviate the excruciating pain experienced by a client with abdominal incisions during coughing?

• Administer prescribed pain medication just before coughing.

• Encourage the client to drink plenty of water before coughing.

• Instruct the client to lie in a lateral position when coughing.

• Administer prescribed pain medication 30 minutes prior to intentionally coughing.

The nurse is caring for a one day postoperative client with a new colostomy. What nursing diagnosis would be the primary concern for the nurse?

• Activity intolerance

• Ineffective Health Maintenance

• Impaired bowel elimination

• Ineffective coping

One hour after receiving pain medication, a postoperative client reports intense pain. What is the nurse's most appropriate first action?

• Discuss the frequency of pain medication orders with the client.

• Assess the client to determine the cause of the pain

• Consult with the healthcare provider for additional pain orders

• Assist the client to reposition and splint the incision site

A nurse is taking care of a client during the immediate postoperative period. Which duty performed during the immediate postoperative period is most important?

• Ensure the safe recovery of surgical clients.  

• Monitor the client for complications

• Prepare a room for the client's return.

• Assess the client's health constantly.

In the intensive care unit after a stroke, the nurse adjusts the care plan to foster relaxation and prevent sensory overload for the client. Which independent nursing intervention would be most appropriate?

• Sitting in a chair beside the client and engaging in conversation.

• Playing music selected by the client.

• Turning on the television to a program preferred by the nurse.

• Encouraging frequent visits from family and friends.

When communicating with a delusional client, what is crucial for the nurse to do?

• Offer gentle touches while conversing.

• Refrain from disputing erroneous statements.

• Provide reinforcement of reality for delusional assertions.

• Sustain consistent eye contact throughout the interaction.

In an intensive care unit, how can the nurse reduce sensory overload for the client?

• Providing a guided tour of the unit.

• Reassuring the client of comprehensive care by the nursing staff.

• Instructing the client to use the call light for inquiries.

• Clarifying unfamiliar procedures to the client.

How can a nurse alleviate a preschool child's fears about surgery?

• Assure the child that the procedure won't cause harm and will end quickly.

• Honestly address pain using age-appropriate language.

• Request parents to act as if no procedure will occur.

• Disregard the child's fears and concentrate on educating the parents.