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Post-operative Nursing Care

Total questions: 25

Worksheet time: 12mins

Name
Class
Date
1.

What is the priority nursing intervention for a patient during the immediate post operative period?

a)

Observing for haemorrhage

b)

  Maintaining a patent airway

c)

  Recording the intake and output

d)

  Checking the vital signs every 15 minutes

2.

Constant surveillance and meticulous aseptic technique are required to reduce the risk of contamination.

a)

True

b)

False

3.

The immediate postoperative goal is to maintain ventilation and avoid hypoxia and hypercapnia.

a)

True

b)

False

4.

The PACU nurse reviews vital information with the anesthesiologist and the circulating nurse.

a)

True

b)

False

5.

Complications of the lungs are the most common postoperative problem.

a)

True

b)

False

6.

In the PACU, 10% of patients vomit. The nurse should not intervene until the patient vomits.

a)

True

b)

False

7.

Healthcare workers encourage patients to cough and deep breath to prevent against (a)   .

8.

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?

a)

Allow the client to do the exercises later when he or she is in less pain

b)

Give the client an incentive spirometer to use instead.

c)

Help the client to do the exercise from the supine position.

d)

Support the incision site with a small pillow while doing the exercises.

9.

How does a sequential compression device (SCD) work?

a)

The sleeves around the legs fill with air and then deflate, massaging the leg and assisting with blood return back to the heart.

b)

Different areas of the mattress inflate and deflate, helping to prevent the formation of pressure ulcers.

c)

Suction is applied to keep the stomach empty.

d)

The elastic fabric applies pressure to the legs to assist blood to return back to the heart.

10.

The most important responsibility a nurse has to a client who has just returned from having surgery is to

a)

be sure the client understands the importance of using the call bell.

b)

have the client cough and deep breath at least every hour.

c)

take and record the client's vital signs often.

d)

report anything unusual about the client's condition immediately to the nurse.

11.

The biggest reason a nurse provides good skin care to the head and face of a client receiving supplemental oxygen therapy is because

a)

The mask or cannula can cause skin breakdown.

b)

The head and face are very easily irritated.

c)

If the person is uncomfortable, he or she won't use the oxygen.

d)

Oxygen therapy is very drying to the skin.

12.

Assisting and encouraging ambulation is part of what phase of surgery?

a)

intra-operative phase

b)

post-operative phase

c)

peri-operative phase

d)

pre-operative phase

13.

Name the O2 device displayed on the patient.

a)

non-rebreather

b)

face mask

c)

venti-mask

d)

nasal cannula

14.

Name the O2 device used by this displayed patient.

a)

non-rebreather

b)

venti-mask

c)

simple face mask

d)

nasal cannula

15.

What type of O2 device is displayed on this patient?

a)

non-rebreather

b)

face mask

c)

venti mask

d)

nasal cannula

16.

How many liters is your patient receiving?

a)

1 L

b)

2 L

c)

3 L

d)

4 L

17.

The PACU nurse is responsible for admitting the patient for surgery.

a)

True

b)

False

18.

The handoff report to the PACU nurse should include which of the following?

a)

Patient Name

b)

Surgical Procedure

c)

Current Medications and Allergies

d)

All Of The Above

19.

The PACU nurse assess the patient's:

a)

Airway

b)

Breathing

c)

Circulation

d)

All Of The Above

20.

What is the PACU nurses priority nursing intervention?

a)

Preventing post operative complications

b)

Positioning the patient

c)

Preventing pain

d)

Keeping the patient warm

21.

A PACU nurse is assessing the wound of a surgical site. Which of the following should be assessed?

a)

Assess drainage

b)

Assess color and consistency

c)

Assess for signs of infection

d)

All Of The Above

22.

Postoperatively, the nurse instructs the patient to perform leg exercises every hour in order to:

a)

Maintain muscle tone.

b)

Increase venous return.

c)

Exercise fatigued muscles.

d)

Assess range of motion.

23.

An obese patient is admitted for abdominal surgery. The nurse recognizes that this patient is more susceptible to the postoperative complication of:

a)

Anemia

b)

Nausea/vomiting

c)

Protein loss

d)

Dehiscence

24.

The nurse has just finished receiving report for the shift. Which patient should the nurse see first?

a)

A patient who is scheduled for an operative procedure later in the morning who has a temperature of 100.4 degrees F.

.

b)

A patient complaining of constipation.

c)

A patient who is non-compliant with his fluid restriction.

d)

A patient who needs discharge teaching before being discharged

25.

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:

a)

Radial artery

b)

Ulnar artery

c)

Brachial artery

d)

Dorsalis pedis artery