Warning the patient about possible complications if

Warning the patient about possible complications if
the activities are not performed

+
Bronchial obstruction by retained secretions
has contributed to a postoperative patient's
recent pulse oximetry reading of 87%. Which
health problem is the patient probably
experiencing?
A.
Atelectasis
B.
Bronchospasm
C.
Hypoventilation
D.
Pulmonary embolism

+
The patient donated a kidney, and early
ambulation is included in her plan of care. But
the patient refuses to get up and walk. What
rationale should the nurse explain to the
patient for early ambulation?
A.
“Early walking keeps your legs limber and strong”
B.
“Early ambulation will help you be ready to go home”
C.
“Early ambulation will help you get rid of your
syncope and pain”
D.
“Early walking is the best way to prevent post-op
complications”

+
An older patient who had surgery is displaying
manifestations of delirium. What should the
nurse do first to provide the best care for this
new patient?
A.
Check his chart for intra-op complications
B.
Check which medications were used for anesthesia
C.
Check the effectiveness of the analgesics received
D.
Check his pre-op assessment for previous delirium or
dementia

+
The patient had surgery at an ambulatory
surgery center. Which criteria support that this
patient is ready for discharge (select all that
apply)?
A.
Vital signs baseline or stable
B.
Minimal n/v
C.
Wants to go to the bathroom at home
D.
Responsible adult taking patient home
E.
Comfortable after IV opioid 15 minutes ago

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Pain Questions

+
Before administering celecoxib (Celebrex), the
nurse will assess the patient's medical record
for which medication that would increase the
risk of adverse effects?
A.
Aspirin
B.
Scopolamine
C.
Theyophylline
D.
Acetaminophen

+
After administering acetaminophen and
oxycodone (Percocet) for pain, which
intervention would be of highest priority for the
nurse to complete before leaving the patient's
room?
A.
Leave the over-bed light on a low setting
B.
Ensure that the upper two side rails are raised
C.
Offer to turn on the television to provide distraction
D.
Ensure that documentation of intake and output is
accurate

+
Which assessment is of highest priority for the
nurse to complete before administration of
morphine?
A.
Pain rating
B.
Blood pressure
C.
Respiratory rate
D.
Level of consciousness

+
Which effect should the nurse instruct a patient
receiving NSAIDs to report?
A.
Blurred vision
B.
Nasal stuffiness
C.
Urinary retention
D.
Black or tarry stools

+
Which clinical manifestation should the nurse
attribute to adverse effects of morphine sulfate
administered via PCA?
A.
Diarrhea
B.
Urinary incontinence
C.
Nausea and vomiting
D.
Increased BP

+
The patient's neuropathic pain is not well
controlled with the opioid analgesic prescribed.
What medications may be added for a
multimodal approach to treat the patient's pain
(select all that apply)?