Question

2 .A client will be undergoing palliative surgery. The clients daughter asks what this means. What is the nurse’s best response?

“The surgery will relieve the symptoms but will not cure your father.”

“There are fewer risks with this type of surgery.”

“There is no guarantee of the outcome of the surgery.”

“The surgery must be performed immediately to save your fathers life.”

3. An immobilized client is suspected of having atelectasis. This is assessed by the nurse upon auscultation as?

Harsh crackles

Wheezing on inspiration

Diminished breath sounds

Bronchovescicular whooshing

4. any patient having abdominal surgery is at risk to develop which of the following most serious complications?

Constipation

Ileus

Diarrhea

Crohnes disease

5. The health care facility is implementing a new evidence-based nursing protocol. What is necessary to endure successful implementation?

Tools to evaluate the protocol are valid and reliable

Support from nurses implementing the protocol is present

Recommendations for the protocol are obtained from senior administrators

The evidence-based protocol is cost-effective for the facility

6.During the pre-op admission the nurse gathers social history, which includes types of careers, hobbies, and personal hobbies of a patient. The nurse would suspect delayed healing, altered gas exchange in patients who regularly perform which hobbies or habits?(select all that apply)

Long distant runner

20-year history of smoking

Welder or miner

Triathlon participant

Consumes alcohol on a regular basis

7. A nurse is assessing a client who complains of sudden onset shortness of breath after a Thoracentesis, what is the most important assessment?

The clients ability to communicate

Pulse ox <92, strider and restlessness

Skin’s appearance, color and temp

Blood pressure of 120/68, respiratory rate 22, LOC-calm

8. The nurse is completing preoperative teaching for a client, and it becomes apparent that the client does not understand the surgery that will be performed what is the priority action for the nurse?

Obtain informed consent form the client

Continue teaching the client about the surgery

Revise the teaching plan for the client

Notify the surgeon and document the finding

Answer 1

ANSWER

2. Nurse can respond as " The surgery will relieve the symptoms but

   will not cure your father."

3.Atelectasis assessed by the nurse upon auscultation as Diminished

   breath sounds.

4.ileus is a gastrointestinal tract problem in which propulsive movement of

   the bowel is obstructed and it may occur as a complication after abdominal

   surgery.

5.For successful implementation of new evidence based nursing protocol

   support from the nurses for implementing the protocol is required.

6.Nurse should suspect delayed wound healing and altered gas exchange in

   in patient

                 * 20 year history of smoking.

                 * Welder or miner.

                 * Consumes alcohol on a regular basis.

7.Most important assessment include

                         * Pulse.

                         * Oxygen saturation <92.

                         * Strider.(due to airway obstruction).

                         * Restlessness (Due to dyspnea).

8.Priority action by the nurse is Notify the surgeon and document

   the finding.