#1
Which of the following vital signs should be closely monitored in the immediate postoperative period to assess for shock?
Blood pressure
ExplanationDecreases in blood pressure can indicate shock.
#2
Which nursing intervention is essential to prevent respiratory complications in the postoperative period?
Encouraging coughing and deep breathing exercises
ExplanationPromotes lung expansion and prevents atelectasis.
#3
Which nursing assessment is most important during the immediate postoperative period for a patient who underwent general anesthesia?
Level of consciousness
ExplanationIndicates the patient's neurological status and recovery.
#4
What is the priority nursing action for a postoperative patient experiencing acute pain?
Administering pain medication as ordered
ExplanationRelieves discomfort and promotes recovery.
#5
Which nursing intervention is most appropriate immediately after surgery to prevent complications related to immobility?
Apply sequential compression devices (SCDs) to the patient's lower extremities.
ExplanationSCDs promote circulation and prevent blood clots.
#6
A patient who had abdominal surgery is experiencing nausea and vomiting. What is the priority nursing action?
Assess the patient's abdomen for signs of distention or tenderness.
ExplanationAbdominal assessment can reveal underlying complications.
#7
Which nursing action is appropriate for preventing surgical site infections (SSIs) in the postoperative period?
Administering prophylactic antibiotics after surgery
ExplanationReduces bacterial colonization and infection risk.
#8
Which factor contributes most significantly to the development of atelectasis in the postoperative patient?
Shallow breathing
ExplanationReduces lung expansion, leading to alveolar collapse.
#9
Which nursing intervention is crucial to prevent venous thromboembolism (VTE) in postoperative patients?
Encouraging ambulation as soon as possible
ExplanationPrevents stasis and promotes circulation.
#10
Which nursing intervention is essential to prevent hypothermia in the postoperative patient?
Keeping the patient warm with blankets
ExplanationPrevents heat loss and maintains body temperature.
#11
During the immediate postoperative period, which complication should the nurse prioritize to prevent in a patient who underwent orthopedic surgery?
Deep vein thrombosis (DVT)
ExplanationOrthopedic surgeries increase the risk of DVT due to immobility.