The nurse is caring for the client who received conscious sedation during a surgical procedure. Which assessment is most important postoperatively?

The nurse is preparing to administer the postoperative client’s first dose of morphine sulfate through PCA. The nurse should also ensure that which antagonist medication is readily available?

The nurse is completing discharge teaching with the client who had an exploratory laparotomy. The client has a history of chronic back pain and limited ability to ambulate. The nurse plans for further discharge teaching when the client makes which statement?

The nurse is collecting information about the preoperative client’s recreational drug use. Which statement by the nurse is most effective?

The preoperative client verbalizes fear of postoperative pain. Which nursing action would be best?

The nurse is reviewing the plan of care for the client with sickle cell disease who is being taken to the surgical unit following surgery. Which identified client problem should the nurse address first?

Upon arrival to an OR holding area, the client who is scheduled for abdominal surgery is noted to have replaced a tongue ring that was removed when the operative checklist was completed. Which is the most appropriate initial action by the nurse?

The nurse is caring for the postoperative client who reports an inability to void. Which initial action by the nurse is most appropriate?

During a presurgical admission assessment, the client states, “I’ve told my surgeon that I am Jehovah’s Witness and I won’t accept a blood transfusion.” Which statement by the nurse would be most appropriate?

The nurse receives the written laboratory results of a positive pregnancy test for the client scheduled for an emergency appendectomy. Which intervention should the nurse implement first?

The progress notes of the postoperative client who has a wound infection state that the client has a shift to the left in the W BC differential count. Which finding by the nurse reviewing the client’s laboratory report would support the HCP’s documentation?

When the nurse hands the client a second dose of oxycodone/acetaminophen for incisional pain, the client says, “This medication makes me feel sick.” Which statement is the most appropriate initial response by the nurse?

Five days after an exploratory laparotomy, the nurse assesses that the client has a distended abdomen, abdominal pain, absence of flatus, and absent bowel sounds. The nurse notifies the HCP concerned that the client could be experiencing which typical complication?

The nurse is preparing to discharge the client who had a surgical procedure earlier in the day. The client lives alone. Which information would require the nurse to collaborate with the multidisciplinary team for skilled nursing care at home?

The postoperative client who received a spinal anesthetic is experiencing a headache, plrotophobia, and double vision. What should be the nurse’s initial intervention?

The nurse is performing presurgical assessment of multiple clients. The nurse determines that which client has the greatest risk for developing an infection postoperatively?

The HCP writes an order to hold all medications the morning of surgery for the client with a history of type 1 DM and hypertension. The nurse should clarify the hold order for which medication(s)?

The client is scheduled for a 3-hour surgery under general anesthesia. Which statement indicates that the client needs further teaching?

The client being admitted for same-day surgery has inspiratory crackles and bilateral wheezes, and reports shortness of breath for several days. Which intervention should the nurse implement first?

The nurse is teaching the client prior to discharge following abdominal surgery. Which statement should the nurse include?

The nurse is orienting the new nurse to a PACU. Which statement by the new nurse indicates further orientation is needed?

The nurse observes the preoperative client using a volume IS. The nurse evaluates that the client demonstrates proper use when which client action is observed?

The nurse evaluates that the cheat has achieved an expected outcome for the second postoperative day following abdominal surgery under general anesthesia. Which finding supports the nurse’s conclusion?

The client, who is to receive general anesthesia, reports having a dry mouth because food and fluids have been withheld for 8 hours. Which action by the nurse is most appropriate?

The nurse determines that all of the following must be completed for the client being prepared for surgery. Which intervention should the nurse complete first?

The nurse is performing a presurgical admission assessment of the client. Which client statement needs the most immediate follow-up?

The nurse is caring for the postsurgical client. Which outcome should indicate to the nurse that the client’s coughing and deep breathing (C&DB) are most effective?

Prior to emergency surgery for an appendectomy, the client has an NG tube inserted for gastric decompression. Which assessment finding from the NG returns should the nurse evaluate as normal?

The nurse is caring for the postoperative client. The nurse should determine that which HCP order is specifically written to prevent thrombophlebitis and pulmonary embolism?

The nurse assesses redness, swelling, and warmth at the client’s leg incision 48 hours after femoral popliteal bypass surgery. Which is the nurse’s best interpretation of the findings?

The nurse is analyzing serum laboratory results for a 73 ~year-old female scheduled for surgery in 2 hours. Which result should the nurse inform the surgeon about immediately?

The nurse is to witness the signature of a surgical consent for multiple clients scheduled for surgery the following day. After evaluating the health history of each client, for which client should the nurse plan to obtain a signature from the next of kin?

The client newly admitted to the PACU is showing signs of airway obstruction, and the nurse intervenes. Which assessment finding should initially indicate to the nurse that insertion of an oral airway has been effective?

The nurse collects the following information on the postoperative client: serum sodium level of 127 mEq/L; weight gain of3 lb in 24 hours; crackles in lung bases, BP 154/70 mm Hg; 1+ pitting edema at the ankles. If prescribed, which intervention should the nurse implement?

On the client’s second postoperative day, the nurse assesses that the client has diminished breath sounds in both lung bases, is taking shallow breaths, and achieves only 500 mL on an 18. The client smoked cigarettes for the past 30 years- Which is the nurse’s best interpretation of these findings?