ACUTE CARE Nurse Practitioner Exam 3 Questions Answered 100% Correct +Rationale 2023 Verified

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ACUTE CARE Nurse Practitioner Exam 3 Questions Answered 100% Correct +Rationale 2023 Verified A diabetic client who is scheduled for vascular surgery is admitted on the day of surgery with several or... ders. Which order does the nurse accomplish first? A. Use electric clippers to cut hair at the surgical site. B. Start an infusion of lactated Ringer's solution at 75 mL/hr. C. Administer one-half of the client's usual lispro insulin dose. D. Draw blood for glucose, electrolyte, and complete blood count values. {{Correct Ans:- D. Draw blood for glucose, electrolyte, and complete blood count values. The blood sample needs to be drawn and sent to the laboratory first to confirm that results are within normal limits. If blood work is abnormal, the surgery may be rescheduled.Removal of hair can be accomplished in the operating room directly before the start of surgery. The IV infusion can be accomplished after the laboratory orders have been completed. The nurse should check blood glucose with the laboratory orders before administration of lispro. As the unit nurse is about to give a preoperative medication to a client going into surgery, it is discovered that the surgical consent form is not signed. What does the nurse do after verifying the procedure with the client? A. Calls the surgeon B. Calls the anesthesiologist C. Gives the medication as ordered D. Asks the client to sign the consent form {{Correct Ans:- D. Asks the client to sign the consent form The unit nurse will ask the client to sign the consent form, after which the medication can be administered.Calling the surgeon or the anesthesiologist is not necessary. It is illegal for the client to sign the permit after being sedated. A client has undergone an 8-hour surgical procedure under general anesthesia. In assessing the client for complications related to positioning, the nurse is most concerned with which finding? A. Decreased sensation in the lower extremities B. Diminished peripheral pulses in the lower extremities C. Pale, cool extremities D. Reddened areas over bony prominences {{Correct Ans:- B. Diminished peripheral pulses in the lower extremities The nurse is most concerned with diminished peripheral pulses in the lower extremities. This could indicate diminished blood flow.Decreased sensation; pale, cool extremities; and reddened areas over bony prominences can be normal occurrences in clients who have undergone a long surgical procedure. A client is having an arthroscopy of the left knee and has just been moved to the surgical holding area. Which statement by the nurse properly identifies the client while the nurse checks the identification label? A. "Are you Mr. Smith?" B. "Good morning, Mr. Smith." C. "What is your name, and when were you born?" D. "What surgery are you having today?" {{Correct Ans:- C. "What is your name, and when were you born?" The nurse must verify the client's identity with two types of identifiers, such as name and birthdate. This practice prevents errors by drowsy or confused clients.When asked to verify his or her name, or respond to a greeting, the client may respond inappropriately if he or she is anxious or sedated. Asking the client about his or her surgery does help with identification. However, it is really done to ascertain that the client's perception of the procedure, the operative permit, and the operative schedule are the same. [Show More]

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