Postoperative Nursing Management

Question 1 of 5

The recovery room nurse is admitting a patient from the OR following the patients successful splenectomy. What is the first assessment that the nurse should perform on this newly admitted patient?

A. Heart rate and rhythm

B. Skin integrity

C. Core body temperature

D. Airway patency

Correct Answer:

Rationale:

Question 2 of 5

An adult patient is in the recovery room following a nephrectomy performed for the treatment of renal cell carcinoma. The patients vital signs and level of consciousness stabilized, but the patient then complains of severe nausea and begins to retch. What should the nurse do next?

A. Administer a dose of IV analgesic

B. Apply a cool cloth to the patients forehead

C. Offer the patient a small amount of ice chips

D. Turn the patient completely to one side

Correct Answer:

Rationale:

Question 3 of 5

The perioperative nurse is preparing to discharge a female patient home from day surgery performed under general anesthetic. What instruction should the nurse give the patient prior to the patient leaving the hospital?

A. The patient should not drive herself home

B. The patient should take an OTC sleeping pill for 2 nights

C. The patient should attempt to eat a large meal at home to aid wound healing

D. The patient should remain in bed for the first 48 hours postoperative

Correct Answer:

Rationale:

Question 4 of 5

The nurse is caring for a 78-year-old man who has had an outpatient cholecystectomy. The nurse is getting him up for his first walk postoperatively. To decrease the potential for orthostatic hypotension and consequent falls, what should the nurse have the patient do?

A. Sit in a chair for 10 minutes prior to ambulating

B. Drink plenty of fluids to increase circulating blood volume

C. Stand upright for 2 to 3 minutes prior to ambulating

D. Perform range-of-motion exercises for each joint

Correct Answer:

Rationale:

Question 5 of 5

The perioperative nurse is providing care for a patient who is recovering on the postsurgical unit following a transurethral prostate resection (TUPR). The patient is reluctant to ambulate, citing the need to recover in bed. For what complication is the patient most at risk?

A. Atelectasis

B. Anemia

C. Dehydration

D. Peripheral edema

Correct Answer:

Rationale:

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