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ATI LPN · Medical Surgical Nursing · Perioperative Care Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening. When documenting this finding, which term will the nurse use?

A. Wound infection
B. Wound dehiscence
C. Wound evisceration
D. Wound tunneling

Expert Explanatory Rationale

Correct Answer: Wound evisceration

Question 2 of 5

Which one of these structures firmly adheres to the brain and spinal cord?

A. Dura mater
B. Meninges
C. Pia mater
D. Arachnoid mater

Expert Explanatory Rationale

Correct Answer: Pia mater

Question 3 of 5

The day after a 60-year-old patient has an open reduction and internal fixation (ORIF) for an open, displaced tibial fracture, the priority nursing diagnosis is

A. activity intolerance related to deconditioning.
B. risk for constipation related to prolonged bed rest.
C. risk for impaired skin integrity related to immobility.
D. risk for infection related to disruption of skin integrity.

Expert Explanatory Rationale

Correct Answer: risk for infection related to disruption of skin integrity.

Question 4 of 5

What is the primary purpose of a PACU?

A. Follow-through on the surgeon's postoperative orders
B. Ongoing critical evaluation and stabilization of the patient
C. Prevention of lengthened hospital stay
D. Arousal of patient following the use of conscious sedation

Expert Explanatory Rationale

Correct Answer: Ongoing critical evaluation and stabilization of the patient

Question 5 of 5

The scrub nurse notices the sterile field has been brushed by a nonsterile sleeve. What should the nurse do?

A. Ignore it if no one else noticed.
B. Cover the area with a sterile drape.
C. Stop the procedure and replace the field.
D. Inform the circulating nurse and replace the field.

Expert Explanatory Rationale

Correct Answer: Inform the circulating nurse and replace the field.

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