Ten hours after surgery, a postoperative client reports that the antiembolism stockings and sequential compression devices itch and are too hot. The client asks the nurse to remove them. What response by the nurse is best?
a. Let me call the surgeon to see if you really need them.
b. No, you have to use those for 24 hours after surgery.
c. OK, we can remove them since you are stable now.
d. To prevent blood clots you need them a few more hours.
Question 2A postoperative nurse is caring for a client whose oxygen saturation dropped from 98 to 95. What action by the nurse is most appropriate?
a. Assess other indicators of oxygenation.
b. Call the Rapid Response Team.
c. Notify the anesthesia provider.
d. Prepare to intubate the client.
Question 3The postanesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client should the nurse assess first?
a. Client with a blood pressure of 100/50 mm Hg
b. Client with a pulse of 118 beats/min
c. Client with a respiratory rate of 6 breaths/min
d. Client with a temperature of 96 F (35.6 C)
Question 4A client has arrived in the postoperative unit. What action by the circulating nurse takes priority?
a. Assessing fluid and blood output
b. Checking the surgical dressings
c. Ensuring the client is warm
d. Participating in hand-off report
Question 5A client has developed malignant hyperthermia. The client weighs 136 pounds. What is the safe dose range for one dose of dantrolene sodium (Dantrium)?
(Enter your answer using whole numbers, separated by a hyphen with no spaces.) _____ mg
Question 6What actions by the circulating nurse are important to promote client comfort? (Select all that apply.)
a. Correct positioning
b. Introducing one's self
c. Providing warmth
d. Remaining present
e. Removing hearing aids
Question 7A client is having shoulder surgery with regional anesthesia. What actions by the nurse are most important to enhance client safety related to this anesthesia? (Select all that apply.)
a. Assessing distal circulation to the operative arm after positioning
b. Keeping the client warm during the operative procedure
c. Padding the client's shoulder and arm on the operating table
d. Preparing to suction the client's airway if the client vomits
e. Speaking in a low, quiet voice as anesthesia is administered
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