ATI Adult Nursing (NUR 105) Med Surg Test questions and Answers Chapter 19 Postoperative Nursing Management

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ATI Adult Nursing (NUR 105) Med Surg Test questions and Answers Chapter 19: Postoperative Nursing Management 1. The recovery room nurse is admitting a patient from the OR following the patients suc... cessful 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 Ans: D Feedback: The primary objective in the immediate postoperative period is to maintain ventilation and, thus, prevent hypoxemia and hypercapnia. Both can occur if the airway is obstructed and ventilation is reduced. This assessment is followed by cardiovascular status and the condition of the surgical site. The core temperature would be assessed after the airway, cardiovascular status, and wound (skin integrity). 2. 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. Ans: D Feedback: Turning the patient completely to one side allows collected fluid to escape from the side of the mouth if the patient vomits. After turning the patient to the side, the nurse can offer a cool cloth to the patients forehead. Ice chips can increase feelings of nausea. An analgesic is not administered for nausea and vomiting [Show More]

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