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WorksheetsPeripheral Edema Assessment Worksheet
Total questions: 20
Worksheet time: 10mins
The best method of evaluating the amount of peripheral edema is:
Weighing the client daily
Measuring the extremity
Measuring the intake and output
Checking for pitting
Which action by the healthcare worker indicates a need for further teaching?
The nursing assistant ambulates the elderly client using a gait belt
The nurse wears goggles while performing a venipuncture
The nurse washes his hands after changing a dressing
The nurse wears gloves to monitor the IV infusion rate
As a nurse, which statement is incorrect regarding an informed consent signed by a patient?
The nurse is responsible for obtaining the consent for surgery
Patients under 18 years of age may need a parent or legal guardian to sign a consent form
The nurse can witness the client signing the consent form
It is the nurse's responsibility to ensure the patient has been educated by the physician about the procedure before informed consent is obtained
As the nurse you are getting the patient ready for surgery. You are completing the preoperative checklist. Which of the following is not part of the preoperative checklist?
Assess for allergies
Conducting the Time Out
Informed consent is signed
Ensuring that the history and physical examination has been completed
What is a potential postoperative concern regarding a patient who has already resumed a solid diet?
Failure to pass stool within 12 hours of eating solid foods
Failure to pass stool within 48 hours of eating solid foods
Passage of excessive flatus
Patient reports a decreased appetite
After surgery your patient starts to shiver uncontrollably. What nursing intervention would you do FIRST?
Apply warm blankets & continue oxygen as prescribed
Take the patient's rectal temperature
Page the doctor for further orders
Adjust the thermostat in the room
After surgery your patient is semicomatose with vital signs within normal limits. As the nurse, what position would be best for this patient?
Semi-Fowlers
prone
Low-Fowlers
Side positioning preferably on the left side
A patient is scheduled for abdominal surgery. The nurse educates the patient about deep breathing exercises. What is the primary goal of deep breathing exercises postoperatively?
Preventing infection at the incision site
Strengthening the abdominal muscles
Reducing the risk of blood clots
Enhancing lung function and preventing atelectasis
A patient is receiving general anesthesia for surgery. The nurse knows that general anesthesia affects which body system the most?
Cardiovascular system
Respiratory system
Gastrointestinal system
Central nervous system
A patient is scheduled for surgery later in the day. The nurse performs a preoperative assessment and finds that the patient has not followed the fasting guidelines. What is the nurse's most appropriate action?
Cancel the surgery immediately
Notify the surgeon and anesthesiologist
Administer antacid medications to neutralize stomach acid
Proceed with surgery as scheduled
The nurse receives a telephone call from the post-anesthesia care unit stating that a client is being transferred to the surgical unit. The nurse plans to take which action first on arrival of the client?
Assess the patency of the airway
Check tubes or drains for patency
Check the dressing to assess for bleeding
Assess the vital signs to compare with preoperative measurements
The nurse assesses a client's surgical incision for signs of infection. Which finding by the nurse would be interpreted as a normal finding at the surgical site?
Red, hard skin
Serous drainage
Purulent drainage
Warm tender skin
A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?
If it's any help, everyone is nervous before surgery
I will be happy to explain the entire surgical procedure with you
Can you share with me what you've been told about your surgery?
Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate
The nurse is developing a plan of care for a client scheduled for surgery. The nurse should include which activity in the nursing care plan for the client on the day of surgery?
Avoid oral hygiene and rinsing with mouthwash
Verify that the client has not eaten for the last 24 hours
Have the client void immediately before going into surgery
Report immediately any slight increase in BP or pulse
A postoperative client asks the nurse why it is so important to deep-breathe and cough after surgery. When formulating a response, the nurse incorporates the understanding that retained pulmonary secretions in a postoperative client can lead to which condition?
Pneumonia
Hypoxemia
Fluid imbalance
Pulmonary embolism
The nurse is caring for a patient who suddenly becomes confused and tries to remove an IV fusion. Which priority action will the nurse take?
Assess the patient
Gather restraint supplies
Try alternatives to restraints
Call the health care provider for a restraint order
The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the need for a restraint?
the patient refuses to call for help to go to the bathroom
The patient continues to remove the nasogastric tube
The patient gets confused regarding the time at night
The patient does not sleep and continues to ask for items
The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
The client with methicillin resistant-staphylococcus aureus (MRSA)
The client with diabetes
The client with pancreatitis
The client with Addison’s disease
The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:
Call the Board of Nursing
File a formal reprimand
Terminate the nurse
Charge the nurse with a tort
The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?
A. A client having auditory hallucinations and the client with ulcerative colitis
B. The client who is pregnant and the client with a broken arm
C. A child who is cyanotic with severe dyspnea and a client with a frontal head injury
D. The client who arrives with a large puncture wound to the abdomen and the client with chest pain
