Pre, Intra, Postoperative Nursing Flashcards
A nurse is caring for a client prescribed the IV morphine via PCA with a demand of 1 M every 15 minutes and a 4 mg for our lock out. The client reports unbearable pain after attempting 6 demand doses within the last hour. After assessing the clients pain, which of the following actions should the nurse take?
Check the IV site and PCA pump for proper functioning.
A nurse is caring for two clients who are two hour post-operative following the same procedure. Which of the following factors should the nurse expect to be similar for both client?
Prescriptions containing guidelines for pain medication administration
A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. The client reports taking an opioid prescription for chronic pain. Which of the following provider prescriptions for initial pain relief should the nurse question?
Naloxone
Opioid antagonist agent, NOT an analgesic
A nurse is planning to administer a dose of morphine sulfate IV for a client who is post-operative. Which of the following pain management controls should the nurse use when caring for this client?
Have an opioid antagonist available during their ministration
Medications that primarily used to treat something other than pain, but that improve pain relief when used in combination with a pain medicatio
Check the IV site and PCA pump for proper functioning.
Pain relieving medications that do not contain what has traditionally been called a narcotic component
Non-opioid
Examples: aspirin, acetaminophen, and NSAIDs
A nurse is completing the preoperative teaching for a client who is to undergo a gastrectomy. Which of the following information should the nurse include in prevention of postoperative complications?
apply a sequential compression device
A nurse is assisting a client who is postoperative following abdominal surgery with morning care and identifies a loop of bowel through an opening in the surgical incision. After calling for help, which of the following actions should the nurse take first?
apply moistened sterile gauze to the site
A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding prevention of postoperative complications should the nurse include in the teaching?
A. Teach the client how to use the PCA pump
B. Instruct the client about the use of a sequential compression device
C. Discuss the visitation policy
D. Review the pain scale
B. Instruct the client about the use of a sequential compression device
A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4mg IV bolus every 6 hours as needed. Before administering this medication, the nurse should complete which priority assessment? A. Blood pressure B. Apical heart rate C. Respiratory rate D. Temperature
C. Respiratory rate
A nurse is administering morphine 2mg IV every 2 to 4 hr to a client who has an abdominal incision. The nurse should monitor the client for which of the following adverse effects? A. Diarrhea B. Heartburn C. Hiccups D. Orthostatic hypotension
D. Orthostatic hypotension
A nurse is providing preoperative teaching for a client who will undergo surgery. The nurse explains that the client will wear antiembolism stockings during and after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
A. “They protect your legs and heels from skin breakdown.”
B. “They help keep you warm after you’re surgery.”
C. “They improve your circulation to keep blood from pooling in your legs.”
D. “They make it easier for you to do leg exercises after your surgery.”
C. “They improve your circulation to keep blood from pooling in your legs.”
A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep-vein thrombosis? A. Myringotomy B. Laparoscopic appendectomy C. Hip arthroplasty D. Cataract extraction
C. Hip arthroplasty
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions? A. Elevating the feet B. Massaging her legs C. Flexing her ankles D. Ambulating soon after surgery
B. Massaging her legs
A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make?
A. “Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.”
B. “I will call the provider to get a prescription for discontinuing the IV heparin today.”
C. “Both heparin and warfarin work together to dissolve the clots.”
D. “The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay.”
A. “Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level.”
