A patient's postoperative wound has sanguineous drainage with a thick, reddish appearance. The nurse realizes this patient's wound is in which phase of healing?
1. Inflammatory
2. Proliferative
3. Stationary
4. Remodeling
Question 2The nurse is assisting a postoperative patient in using an incentive spirometer. Which postoperative complications is this nurse attempting to avoid?
1. atelectasis
2. deep vein thrombosis
3. hemorrhage
4. pulmonary embolism
Question 3A patient who is recovering from abdominal surgery has a Penrose drain. What should the nurse include in the care of this patient?
1. Make sure there is a safety pin on the end of the drain.
2. Empty the drain every 30 minutes.
3. Clean the wound with normal saline every two hours.
4. Remove the drain four hours postoperatively.
Question 4An older patient is completing preoperative diagnostic testing. The nurse notes that the patient's carbon dioxide level is elevated. What should the nurse be monitoring for this patient?
1. Respiratory status and arterial blood gases
2. Serum potassium level
3. Serum sodium level
4. Intake and output
Question 5An older patient is being prepared for orthopedic surgery. For what potential risk should the nurse plan care?
1. decreased tolerance of general anesthesia
2. prolonged effects of anesthesia because of herbal supplements
3. wound dehiscence
4. decreased cognitive acuity
Question 6An older postoperative patient is given an antiemetic for nausea. Which manifestation indicates to the nurse that this patient is experiencing a possible reaction to the medication?
1. involuntary muscle movements
2. confusion
3. dry mouth
4. breakthrough vomiting