Temperature 37 degrees C (99 degrees F) B. Urinary output 20 mL/hr C. Blood pressure 100/70 Hg D. Serous drainage on abdominal dressing. Preoperative orders have been written. Back pain b. Bradycardia tachy c. Hypertension Hypotension d. Chills. A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Postoperative care (7-20% of the global package) When a surgeon provides all three phases of the patient's care for a surgical procedure the surgeon will bill the . WINDOWPANE is the live-streaming social network, and multi-media app, for recording and sharing your amazing life. The partner should be told about the surgery before any sexual activity. 1 Answer to Which of the following statements should indicate to the nurse that a client has understood the discharge instructions provided after her nasal surgery? B. -A seriously ill patient may receive as many as 20 medications in a perioperative setting at one time. A. elbow flexion and extension B. shoulder abduction and external rotation C. pendulum arm swing D. hand wall climbing 83. a nurse is caring for a client with a left sided chest tube attached to a wet suction chest tube system. (Select all that apply.) bubbling in the suction chamber. catheter could be up against a valve or against a nerve A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is receiving opioid medications to manage discomfort. "I should avoid deep breathing after surgery." c. "I should take shallow breaths after surgery to prevent pain." d. . Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. 12 answers. Which of the following information should the nurse include in the teaching? The nurse obtained informed consent. Medical-Surgical Nursing Exam 5 (EM) Choose the letter of the correct answer. Remove the catheter and insert another into a different site. A nurse in a pediatric clinic is discussing the pathophysiology of Reye syndrome with a newly . answer. Pulse oximeter reading of 98%. Find more similar flip PDFs like Training for Nurses. which obseration by the nurse would require immediate intervention. and redirecting the flow of secretions from the stomach, gallbladder, and pancreas into the jejunum. The client is anxious and asks the nurse what to expect. A. NURS 406 Capstone Med Surg Assessment 1. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Which of the following findings should the nurse report to the provider? Which of the following statements by the client indicates understanding of the teaching? The following determinations have been made based on the individual indicators. b) b. A. muscle relaxants. Global surgery refers to all the necessary services performed by a surgeon before, during, and after a surgical procedure. "I will take stool softeners and modify my diet to prevent constipation." 3. A surgeon writes an order for lung expansion therapy for a 28-year-old 110-lb woman who has undergone lower abdominal surgery. During the first 24 hours the colostomy does not drain. if your unit is the first to arrive at an incident, you should keep yourself safe, scene size up the scene and then: 15 answers. A nurse working in a health department is conducting a health exam for a group of agricultural workers. [ ] 1. -Review of the patient's current medication regimen is essential to promote a safe surgical outcome. Which of the following indicates an overdose of lactulose? 58 80, 81, 82, AS It may be necessary to indicate the performance of a procedure or service during the postoperative period was (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. Which of the following indicates a surgical procedure? Tony returns form surgery with permanent colostomy. The nurse answered all surgical procedure questions. During the night, the client is unable to sleep and is restless. Which of the following actons should the nurse take? The nurse should expect to find an elevation of which of following values? The nurse should be aware that: a. following exercises during the first 24 hours following surgery? It is too early to detect ecchymosis. Take temperature once a day. Start administration of oxygen through a nasal cannula. 4. QUESTION 2: Which of the following nursing assessment findings would indicate the complication of bleeding following hip replacement surgery? Which of the following findings in the client's history should the nurse recognize as consistent with a . When the stomach is empty [ ] 3. B. Morphine is a central nervous system depressant used to relieve the pain associated . NURS 406 -Assessment Quiz 1. NURSING 102 Med Surge Final Exam 1…. After periods of activity . "I will leverage my weight against my wife and shift it as I move her." A nurse is caring for a postoperative adult client who refuses to use an incentive spirometer following major abdominal surgery. 1. Who among the following does not appear to indicate a need for long-term medical care? A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome. When the patient's signature is witnessed by the nurse on the surgical consent, which of the following does the nurse's signature indicate? Term. The client has history of night sweats, anorexia, and weight loss. This surgical procedure is a rerouting of the pancreatic and biliary drainage systems, which may be done to relieve obstructive jaundice . nitrous oxide. A nurse is caring for a client immediately following surgery under general anesthesia. Medical Surgery 3Estelle Hatcher Room 303 . Which of the following nursing actions should the nurse take to promote the client's comfort? a nurse is caring for 4 clients who are scheduled for surgery today, which a following indicates that a client needs further intervention b4 surgery . Consequently, the nurse must observe for objective signs. The hazards of surgery for the aged increase as the number and severity of coexisting health problems increase. nitrous oxide. The nurse instructing a postsurgical patient in the use of thrombolytic deterrent stockings would include which of the following instructions? nitrous oxide. Text Mode - Text version of the exam 1. What is the most appropriate nursing action? As the nurse prepares the materials needed, which of the following item indicates that the nurse needs further instruction? C. An Asian patient is likely to hide his pain. Which of the following manifestations indicates a hemolytic transfusion reaction? . a. Temperature of 98.6oF (37oC) A nurse is monitoring a client who has receiving 2 units packed RBCs. Answers and Rationale Medical Surgical Nursing Practice Test Part 1. A. has a T-tube. Explanation: The following information should be reported to the physician following a cardiac catheterization because they are indicative of possible complications: Negative changes to the child's peripheral vascular circulatory status (cool foot with poor pulse), a fever over 100.4° F (37.8° C), and nausea or vomiting. what was the first muscle relaxant used in surgery. Which of the following are structural or functional changes in the elderly that impact the surgical experience? a) c. Decreased ability to compensate for hypoxia increases the risk of an embolism. "I will have less risk of developing pneumonia after surgery." The client is to have a surgical procedure under (moderate) conscious sedation. 1. clean the surgical site 2. examine the incision 3. remove every other staple 4. reexamine the incision 5. remove remaining staples. a. Rub the client's feet briskly for several minutes. This surgical procedure is a rerouting of the pancreatic and biliary drainage systems, which may be done to relieve obstructive jaundice . curare. which one of the following inhalation agents is a gas not a vapor. A nurse is providing discharge teaching to a client following a heart . which group of drugs is given to facilitate intubation as well as provide better surgical exposure during abdominal procedures. For example, the NCCI Policy Manual for Medicare Services, Chapter 1 - General Correct Coding Policies, explains: If a diagnostic endoscopy is the basis for and precedes an open procedure, the diagnostic endoscopy is separately reported with modifier 58. Obtain a pair of slipper socks for the client. 2. client is most likely to indicate that the pain worsens at. o Weight gain of 9 kg (20 lb.) "Other clients who have had this surgery have done just fine." C. Which of the following statements by the family member should indicate to the nurse that he understands the teaching? Definition. "I will take stool softeners and modify my diet to prevent constipation." 3. which time? 1. The global surgical package is made up of three parts: 1. 2- A nurse is assessing a preschooler who has recurrent and persistent otitis media. A client had 240 ml cup of ice chips; 120 ml of coffee; and a 4 ounce cup of juice. 400 m L of blood in 8 hours in the . Bill, who just turned 48, is diagnosed with Parkinson's disease. Intra-operative procedure (70-80% of the global package) 3. A nurse is providing teaching to a client who is postoperative following a partial glossectomy. For therapy following a diagnostic surgical procedure. 2…. The client voided 250 ml at noon and had 120 ml of emesis. Check Pages 151-200 of Training for Nurses in the flip PDF version. 15 answers. QUESTION. a) Pneumothorax b) Pleurocentesis c) Pneumotomy Which of the following instructions should the nurse include in the teaching? 5. -A seriously ill patient may receive as many as 20 medications in a perioperative setting at one time. Identify the sequence the nurse should follow. Last Edit: Aug 18, 2010 at 12:01pm by Nursing Board 101. which one of the following inhalation agents is a gas not a vapor. Your Response : Correct Response : Correct ! The client calls the clinic nurse and says that the skin has become very red and is beginning to pee. "I should not use my affected hand for 4 to 6 weeks." A nurse is using an IV pump for a newly admitted client. curare. In evaluating this patient at the bedside, you obtain a VC of 800 ml and an IC of 44% predicted. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. nitrous oxide. (Select all that apply.) Which of the following statements by the nurse is appropriate? "Coughing. A new global period begins, and most payers will reimburse the second surgery based on 100 percent of the fee schedule. answer. Which of the following statements should indicate to the nurse that a client has understood the discharge instructions provided after nasal surgery? A. T-tube, the nurse should: 1. A nurse is caring for a client who is scheduled for surgery the following day. 23) The nurse plans to teach Michiel about colostomy irrigation. a) T&A b) PPD c) PND d) MDI a) T&A All of the following terms refer to abnormal breathing sounds except: a) Crackles b) Stridor c) Orthopnea d) Wheeze c) Orthopnea Which of the following terms indicates a surgical removal of a lung? A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings, if identified in a patient who is being treated for hypovolemic shock, should indicate to the nurse that the treatment is having the desired effect? a. Exam Mode. 15. Which of the following instructions should the nurse include in the teaching? A nurse is assessing a client following abdominal surgery. The client will be able to resume normal sexual relationships. Which of the following indicates an overdose of lactulose? C. Reposition the head and determine patency of the airway. A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Fluid eventually enters alveolar spaces and causes crackling sounds at the end of inspiration. a. Two CPT modifiers are used to simplify billing for visits and other procedures that are furnished during the post-operative period of a surgical procedure, but not included in the payment for surgical procedure. A nurse in a long-term care facility is admitting a client who has dementia. A nurse is preparing to remove staples from a client's surgical incision. Only $35.99/year. ATI Comprehensive Final 1- A nurse is providing teaching to a client who has come to the family planning clinic requesting an intrauterine device (IUD). Which of the following findings indicates that the client is receiving adequate TPN supplementation? Assessing airway obstruction is a priority Assessing for pain is important, but it is not as a high priority as assessment of the airways. A nurse is teaching a client about using a continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea. The physician may need to indicate that the performance of a procedure or service during the postoperative period was: a) planned prospectively at the time of the original procedure (staged); b) more extensive than the original procedure; or c) for the therapy following a diagnostic surgical procedure. B. Which of the following actions should the nurse take? a) T & A b) PPD c) PND d) MDI: a) T & A: All of the following refer to abnormal breathing sounds except: a) crackles b) stridor c) orthopnea d) wheexe: c) orthopnea: Which of the following terms indicates the surgical removal of a portion of a lung? What is the second choice for a vein. QUESTION. A client is scheduled for surgery in the morning. Your Response: Correct Response: Explanation: Excessive drainage (>250 mL in first 8 hours after surgery) and br… more. "I should not shower until my packing is removed." 2. Jenny is reading the progress notes of her patient and reads that the physician had documented "insensible fluid loss of approximately 800 ml daily.". Download Training for Nurses PDF for free. Which of the following statements by the client indicated an understanding of the teaching? 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