06. A patient tells the nurse, “I’m having surgery onmy right wrist.” The surgical consent states, “left wrist’” whatshould be the first actions of the nurse?
a. Make the correction on the consent form
b. Clarify the correct extremity with the client. Ask the patientabout the circumstances surrounding the injury
c. Notify the OR team about the discrepancy
d. Ask another nurse to confirm the correct wrist
07. What nursing diagnosis is most appropriate for a patient duringthe pre-operative phase of nursing?
a. Knowledge deficit regarding post-operative ambulation
b. Anxiety related to fear of pain
c. Risk for pain related to the surgical incision
d. Hypertension related to blood loss
08. While performing deep breathing and coughing exercises 3 daysafter abdominal surgery, a patient suddenly grabs their abdomen andstates that something “gave away”. On assessment the nurse notes alarge portion of the wound has eviscerated. The most appropriatenursing response is:
a. Place the patient in a high fowler’s position and provideinstructions not to touch the wound
b. Pull the wound edges together, tape and cover with steriledressing
c. Cover the wound immediately with a moist sterile dressing
d. Increase the intravenous fluid rate and prepare to treat forshock
09. The nurse should place the post-operative patient just admittedto the post anesthesia Care Unit who is difficult to arouse and hasmucous dripping from his mouth in which of the followingpositions?
a. Trendelenburg
b. Fowler’s
c. Prone
d. Side-lying
10. thrombus formation is a risk for all postoperative clients. Anindependent nursing actin to prevent this complication is by:
a. reminding the client to perform leg exercises
b. providing pain management
c. massaging the extremities gently with lotion
d. applying elastic stockings
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