#1
Which of the following vital signs should be closely monitored in the immediate postoperative period to assess for shock?
Blood pressure
Temperature
Respiratory rate
Heart rate
#2
Which nursing intervention is essential to prevent respiratory complications in the postoperative period?
Administering sedatives to promote rest
Encouraging coughing and deep breathing exercises
Limiting fluid intake to prevent pulmonary edema
Administering high-flow oxygen continuously
#3
Which nursing assessment is most important during the immediate postoperative period for a patient who underwent general anesthesia?
Level of consciousness
Pain level
Skin integrity
Gastrointestinal function
#4
What is the priority nursing action for a postoperative patient experiencing acute pain?
Administering pain medication as ordered
Encouraging relaxation techniques
Repositioning the patient
Providing distraction activities
#5
Which nursing intervention is most appropriate immediately after surgery to prevent complications related to immobility?
Encourage the patient to perform deep breathing exercises.
Administer pain medication as ordered by the physician.
Instruct the patient to remain in bed for the next 24 hours.
Apply sequential compression devices (SCDs) to the patient's lower extremities.
#6
A patient who had abdominal surgery is experiencing nausea and vomiting. What is the priority nursing action?
Administer an antiemetic medication as prescribed.
Encourage the patient to drink more fluids.
Notify the physician immediately.
Assess the patient's abdomen for signs of distention or tenderness.
#7
Which nursing action is appropriate for preventing surgical site infections (SSIs) in the postoperative period?
Administering prophylactic antibiotics after surgery
Applying heat packs to the surgical site
Changing the surgical dressing twice a day
Encouraging the patient to scratch around the incision site
#8
Which factor contributes most significantly to the development of atelectasis in the postoperative patient?
Increased activity levels
Frequent coughing
Shallow breathing
Maintaining a supine position
#9
Which nursing intervention is crucial to prevent venous thromboembolism (VTE) in postoperative patients?
Elevating the head of the bed
Applying warm compresses to the legs
Encouraging ambulation as soon as possible
Limiting fluid intake to decrease urinary output
#10
Which nursing intervention is essential to prevent hypothermia in the postoperative patient?
Encouraging increased fluid intake
Applying ice packs to the axilla and groin
Keeping the patient warm with blankets
Administering antipyretic medications
#11
What is the priority nursing action for a postoperative patient experiencing urinary retention?
Encouraging increased fluid intake
Administering diuretic medications
Assisting with bladder emptying using a straight catheter
Encouraging ambulation
#12
Which nursing assessment is essential for detecting potential complications of anesthesia in the postoperative patient?
Pulse oximetry readings
Skin turgor
Deep tendon reflexes
Capillary refill time
#13
What is the priority nursing intervention to prevent constipation in the postoperative patient?
Encouraging increased fluid intake
Administering stool softeners as ordered
Limiting dietary fiber intake
Encouraging prolonged bed rest
#14
Which nursing intervention is crucial for preventing pressure ulcers in postoperative patients?
Frequent repositioning
Applying tight dressings
Massaging bony prominences
Applying heat packs
#15
Which nursing intervention is essential for preventing postoperative complications related to wound healing?
Administering antihistamines to reduce itching
Applying antibiotic ointment to the wound
Encouraging the patient to pick at scabs
Maintaining wound cleanliness and proper dressing changes
#16
Which laboratory test is essential for monitoring postoperative fluid and electrolyte balance?
White blood cell count (WBC)
Hemoglobin (Hb)
Serum electrolytes (sodium, potassium, chloride)
Thyroid function tests
#17
Which nursing intervention is crucial for preventing postoperative delirium in older adult patients?
Encouraging solitary activities to promote rest
Administering benzodiazepines for sleep
Maintaining a well-lit and quiet environment
Encouraging caffeine intake to enhance alertness
#18
Which complication should the nurse monitor for in a postoperative patient receiving intravenous (IV) opioids for pain management?
Hypotension
Respiratory depression
Urinary retention
Hyperglycemia
#19
What is the priority nursing action for a postoperative patient with impaired wound healing?
Administering antibiotics prophylactically
Encouraging increased protein intake
Applying a heat pack to the wound
Assessing for signs of infection and consulting with the healthcare provider
#20
Which nursing intervention is crucial to prevent postoperative ileus?
Encouraging early ambulation
Limiting fluid intake
Administering opioid analgesics regularly
Encouraging deep breathing exercises
#21
Which nursing intervention is important to prevent postoperative urinary tract infections (UTIs)?
Encouraging adequate fluid intake
Administering prophylactic antibiotics
Limiting bathroom privileges
Encouraging frequent bladder emptying
#22
Which nursing assessment is crucial for detecting postoperative respiratory complications?
Monitoring urine output
Assessing for bowel sounds
Checking for subcutaneous emphysema
Assessing lung sounds and respiratory effort
#23
Which nursing intervention is important for preventing postoperative nausea and vomiting?
Administering opioids intravenously
Keeping the patient in a supine position
Encouraging the patient to eat a large meal
Administering antiemetic medications prophylactically
#24
What is the priority nursing action for a postoperative patient experiencing acute respiratory distress?
Administering supplemental oxygen
Providing reassurance to the patient
Administering analgesics
Encouraging the patient to sleep
#25
During the immediate postoperative period, which complication should the nurse prioritize to prevent in a patient who underwent orthopedic surgery?
Pneumonia
Deep vein thrombosis (DVT)
Urinary retention
Wound infection