WorksheetsPost-operative Nursing Care
Total questions: 25
Worksheet time: 12mins
What is the priority nursing intervention for a patient during the immediate post operative period?
Observing for haemorrhage
Maintaining a patent airway
Recording the intake and output
Checking the vital signs every 15 minutes
Constant surveillance and meticulous aseptic technique are required to reduce the risk of contamination.
True
False
The immediate postoperative goal is to maintain ventilation and avoid hypoxia and hypercapnia.
True
False
The PACU nurse reviews vital information with the anesthesiologist and the circulating nurse.
True
False
Complications of the lungs are the most common postoperative problem.
True
False
In the PACU, 10% of patients vomit. The nurse should not intervene until the patient vomits.
True
False
Healthcare workers encourage patients to cough and deep breath to prevent against (a) .
Postoperatively, a client is ordered to do coughing and deep-breathing exercises. What will you do when the client reports that it "hurts too much" and refuses to cooperate?
Allow the client to do the exercises later when he or she is in less pain
Give the client an incentive spirometer to use instead.
Help the client to do the exercise from the supine position.
Support the incision site with a small pillow while doing the exercises.
How does a sequential compression device (SCD) work?
The sleeves around the legs fill with air and then deflate, massaging the leg and assisting with blood return back to the heart.
Different areas of the mattress inflate and deflate, helping to prevent the formation of pressure ulcers.
Suction is applied to keep the stomach empty.
The elastic fabric applies pressure to the legs to assist blood to return back to the heart.
The most important responsibility a nurse has to a client who has just returned from having surgery is to
be sure the client understands the importance of using the call bell.
have the client cough and deep breath at least every hour.
take and record the client's vital signs often.
report anything unusual about the client's condition immediately to the nurse.
The biggest reason a nurse provides good skin care to the head and face of a client receiving supplemental oxygen therapy is because
The mask or cannula can cause skin breakdown.
The head and face are very easily irritated.
If the person is uncomfortable, he or she won't use the oxygen.
Oxygen therapy is very drying to the skin.
Assisting and encouraging ambulation is part of what phase of surgery?
intra-operative phase
post-operative phase
peri-operative phase
pre-operative phase
Name the O2 device displayed on the patient.
non-rebreather
face mask
venti-mask
nasal cannula
Name the O2 device used by this displayed patient.
non-rebreather
venti-mask
simple face mask
nasal cannula
What type of O2 device is displayed on this patient?
non-rebreather
face mask
venti mask
nasal cannula
How many liters is your patient receiving?
1 L
2 L
3 L
4 L
The PACU nurse is responsible for admitting the patient for surgery.
True
False
The handoff report to the PACU nurse should include which of the following?
Patient Name
Surgical Procedure
Current Medications and Allergies
All Of The Above
The PACU nurse assess the patient's:
Airway
Breathing
Circulation
All Of The Above
What is the PACU nurses priority nursing intervention?
Preventing post operative complications
Positioning the patient
Preventing pain
Keeping the patient warm
A PACU nurse is assessing the wound of a surgical site. Which of the following should be assessed?
Assess drainage
Assess color and consistency
Assess for signs of infection
All Of The Above
Postoperatively, the nurse instructs the patient to perform leg exercises every hour in order to:
Maintain muscle tone.
Increase venous return.
Exercise fatigued muscles.
Assess range of motion.
An obese patient is admitted for abdominal surgery. The nurse recognizes that this patient is more susceptible to the postoperative complication of:
Anemia
Nausea/vomiting
Protein loss
Dehiscence
The nurse has just finished receiving report for the shift. Which patient should the nurse see first?
A patient who is scheduled for an operative procedure later in the morning who has a temperature of 100.4 degrees F.
.
A patient complaining of constipation.
A patient who is non-compliant with his fluid restriction.
A patient who needs discharge teaching before being discharged
The patient had surgery in the morning that involved the right femoral artery. To assess the patient’s circulation status to the right leg, the nurse will make sure to check the pulse at the:
Radial artery
Ulnar artery
Brachial artery
Dorsalis pedis artery
