Preoperative Nursing-NCLEX questions practice with complete solutions

Preoperative Nursing-NCLEX questions practice with complete solutions The nurse recognizes the value of leg exercises in the prevention of postoperative thrombophlebtitis. When should the nurse teach the correct techn ...

Preoperative Nursing-NCLEX questions practice with complete solutions The nurse recognizes the value of leg exercises in the prevention of postoperative thrombophlebtitis. When should the nurse teach the correct technique for leg exercises to a patient? a. upon transfer from post anesthetic care unit to the post surgical unit b. prior to surgery c. when early signs of venous stasis are evident d. in post anesthetic recovery ✔✔B The nurse is providing teaching to a patient regarding pain control after surgery. What time does the nurse inform the patient is the best time to request pain medication? a. before the pain becomes severe b. after the pain becomes severe and relaxation techniques have failed c. when the patient experiences pain rating of "10" on a 1-10 pain scale d. when there is no pain, but it is time for the medication to be administered ✔✔A Which of the following nursing interventions is most likely to prevent respiratory complications such as pneumonia and atelectasis in a post surgical patient? a. control of anxiety and agitation b. adequate nutrition and fluids c. adequate pain control d. use of incentive spirometry ✔✔D Which of the following patients most likely requires special preoperative assessment and treatment as a result of his or her existing medication regimen? a. a woman who take daily anticoagulants to treat atrial fib. b. a woman who takes a daily thyroid supplement to treat her longstanding hypothyroidism. c. a man who regularly treats his rehumatoid arthritis with OTC NSAIDs. d. a man who takes an angiotensin converting enzyme inhibitor because he has hypertension ✔✔A A pediatric nurse is preparing a child for cleft palate repair surgery. The nurse recognizes that this type of surgery is categorized as which of the following? a. constructive surgery b. transplantation surgery c. palliative surgery d. reconstructive surgery ✔✔A A PACU nurse has received a semiconscious patient form the operating room and reviews the chart for orders related to positioning of the patient. There are no specific orders on the chart related to specific orders for the patient's position. in this situation, in what position will the nurse place the patient? a. supine b. prone c. side-lying d. trendelenburg ✔✔C A patient is returning to the floor after orthopedic surgery is complaining of nausea. the nurse is aware that an appropriate intervention is to do which of the following? a. avoid strong smelling foods b. hold all meds c. provide clear liquids with a straw d. avoid oral hygiene until nausea subsides ✔✔A The operating room is aware that which of the following patients are at a greater risk related to a surgical procedure? a. an 8 year old boy b. a 48 year old man c. an 83 year old woman d. a 34 year old woman ✔✔C The nurse has entered the room of a patient who is postop day one and found the patient grimacing and guarding her incision. The patient refuses the nurse's offer of PRN anlgesia and on discussion, states that this refusal is motivated by his fear of becoming addicted to pain meds. How should the nurse respond to the patient's concerns? a. "Actually people who are not addicted to drugs before thier surgery never develop a tolerance or addiction during recovery." b. "The hospital has excellent resources for dealing with any addiction that might result from the pain med you take." c. "Research has shown that there is very little risk of patients becoming addicted to painkillers after they have surgery." d. "You should remind yourself that treating your pain is important now, and that dealing with any resulting dependency can come later." ✔✔C A 51 year old woman with a dx of breast cancer has been scheduled for a unilateral mastectomy. Which of the following categorizations of surgical procedures are represented in this case? a. diagnostic b. constructive c. reconstructive d. palliative e. ablative ✔✔A, E The telemetry unit nurse is reviewing lab results for an operative procedure later in the day. The nurse notes on the lab report that the pt has a serum potassium level of 6.5 mEq/L. The nurse informs the physician of this lab result because the nurse recognizes this increases the pts risk for which of the following? a. infection b. cardiac problems c. bleeding and anemia d. fluid imbalances ✔✔B The nurse is preparing a pt for a colonoscopy. The nurse is familiar with the colonoscopy procedures at the hospital and is are that w