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College-Level Nursing Block 3 (2nd Half) Quiz on Movement/ Pre-Op & Post-Op, created by cpeters on 03/03/2015.

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Movement/ Pre-Op & Post-Op

Question 1 of 10

1

A nurse is caring for a client who has been sitting in a chair for 3 hr. Which of the following problems is the client at risk for developing?

Select one of the following:

  • Stasis of secretions

  • Muscle atrophy

  • Pressure ulcer

  • Fecal impaction

Explanation

Question 2 of 10

1

A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client’s airway?

Select one of the following:

  • Encourage isometric exercises.

  • Suction every 8 hr.

  • Give low-dose heparin.

  • Promote incentive spirometer use.

Explanation

Question 3 of 10

1

A nurse is caring for a client who is postoperative. Which of the following nursing interventions reduce the risk of thrombus development? (Select all that apply.)

Select one or more of the following:

  • Instruct the client not to use the Valsalva maneuver.

  • Apply elastic stockings.

  • Review laboratory values for total protein level.

  • Place pillows under the client’s knees and lower extremities.

  • Assist the client to change position often.

Explanation

Question 4 of 10

1

A nurse is instructing a client who is postoperative about the sequential compression device the provider has prescribed. Which of the following client statements should indicate to the nurse that the client understands the teaching?

Select one of the following:

  • “This device will keep me from getting sores on my skin.”

  • “This thing will keep the blood pumping through my leg.”

  • “With this thing on, my leg muscles won’t get weak.”

  • “This device is going to keep my joints in good shape.”

Explanation

Question 5 of 10

1

To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of the left lower extremity, which of the following instructions should the nurse provide? (Select all that apply.)

Select one or more of the following:

  • Hold the cane on the right side.

  • Keep two points of support on the floor.

  • Place the cane 15 inches in front of the feet before advancing.

  • After advancing the cane, move the weaker leg forward.

  • Advance the stronger leg so that it aligns evenly with the cane.

Explanation

Question 6 of 10

1

Which of the following is NOT an area of focus when prepping a patient for surgery?

Select one of the following:

  • Assessing the client; establishing a baseline of normal function for the client.

  • Easing the patient's anxiety.

  • Educating the patient.

  • Physically preparing the patient for surgery.

  • Explain the procedure to the patient's family.

Explanation

Question 7 of 10

1

The nurses's role/ responsibility in regards to a patient's informed consent before surgery is

Select one of the following:

  • to witness the signature of the client on informed consent form.

  • explain the risks and benefits of the surgery.

  • explain the consequences for not having the surgery.

  • provide alternative treatment options to the patient.

Explanation

Question 8 of 10

1

Which of the following things does the nurse need to ensure are completed prior to surgery? (Select all that apply.)

Select one or more of the following:

  • Pre-labs, x-ray, etc. are present

  • Verify consent forms are signed.

  • IV started

  • Pt undressed and in a gown

  • Pt valuables taken care of (sent home with family or locked in a safe)

  • Surgical site marked

  • Patient is bathed and clean

Explanation

Question 9 of 10

1

What action has studies shown to have as negative an outcome (or possibly more negative) than smoking?

Select one of the following:

  • Poor diet

  • Sitting

  • Driving

  • Bridge jumping

Explanation

Question 10 of 10

1

Which of the following is a NOT possible side effect of an immobile patient?

Select one of the following:

  • Negative nitrogen balance

  • Pressure ulcer

  • Risk for pressure ulcer

  • Stress incontinence

Explanation

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