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ATI LPN · Medical Surgical Nursing · Perioperative Care Fundamentals Practice Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

All of the following instructions about postoperative activity are correct for an obese patient except.

A. To be as active as possible, walking up to one mile per day by the postoperative office visit.
B. To wear an abdominal binder.
C. Increase activity gradually; however, should avoid heavy lifting for 4 to 6 weeks.
D. Be able to return to work after 1 week after undergoing a laparoscopic procedure.

Expert Explanatory Rationale

Correct Answer: To be as active as possible, walking up to one mile per day by the postoperative office visit.

Question 2 of 5

Which action will the nurse need to do when preparing to assist with the insertion of a pulmonary artery catheter?

A. Determine if the cardiac troponin level is elevated.
B. Auscultate heart and breath sounds during insertion.
C. Place the patient on NPO status before the procedure.
D. Attach cardiac monitoring leads before the procedure.

Expert Explanatory Rationale

Correct Answer: Attach cardiac monitoring leads before the procedure.

Question 3 of 5

The patient in the OR holding area tells the nurse that his surgery is for the right foot. The patient's chart states that the surgery is for his left foot. What is the nurse's best action?

A. Do nothing because the patient is confused after receiving premedications.
B. Make a note about this in the nursing notes of the patient's chart.
C. Call the nurse anesthetist to check whether the chart or patient is correct.
D. Notify the surgeon immediately before the patient goes into the OR about this discrepancy.

Expert Explanatory Rationale

Correct Answer: Notify the surgeon immediately before the patient goes into the OR about this discrepancy.

Question 4 of 5

Which action included in the perioperative patient plan of care can the charge nurse delegate to a surgical technologist?

A. Pass sterile instruments and supplies to the surgeon.
B. Teach the patient about what to expect in the operating room (OR).
C. Continuously monitor and interpret the patient's echocardiogram (ECG) during surgery.
D. Give the postoperative report to the postanesthesia care unit (PACU) nurse.

Expert Explanatory Rationale

Correct Answer: Pass sterile instruments and supplies to the surgeon.

Question 5 of 5

The nurse is caring for a patient who is receiving oxygen therapy for pneumonia. How should the nurse best assess whether the patient is hypoxemic?

A. Assess the patients level of consciousness (LOC)
B. Assess the patients extremities for signs of cyanosis
C. Assess the patients oxygen saturation level
D. Review the patients hemoglobin, hematocrit, and red blood cell levels

Expert Explanatory Rationale

Correct Answer: Assess the patients oxygen saturation level

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