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A nurse is assisting a physician when performing a laparoscopic surgery on a client in an ambulatory surgical unit. which of the following surgeries can now be performed in an ambulatory surgical center (dont have to stay long-clinic not attatched to hospital) instead of a major healthcare center? select all that apply:Rhinoplastycholecystectomyhernia repairsendoscopyappendectomy
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Cholecystectomy, hernia repairs, appendectomy
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A nurse finds that a patient's temperature is increasing more than 1 degree celsius per hour, when using a forced-air warming device to treat his postsurgery hypothermia. wha condition might occur if this patient's temperature increases too rapidly?
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Hypotension -because you vasodilate
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The nurse monitors the urine output of a postoperative patient. what condition does urine output indicate?
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Tissue perfusion
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Which of the following would be an appropriate expected outcome for a patient during surgery?-expresses understanding of preoperative teaching-verbalizes freedom from anxiety and restlessness-remains asleep during the surgical procedure-remains free of neuromuscular injury
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Remains free of neuromuscular injury (usually always the answer)-not always asleep (ex: brain surgery)
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A nurse is preparing an obese male client for gastric banding surgery. which of the folloing would the nurse be LEAST likely to include in the client's preoperative teaching plan?-techniques for effective deep breathing and turning-appropriate procedure to care for the surgical site-information about bowel preparation and skin preparation-information about medications that will control nausea and pain
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-appropriate procedure to care for the surgical site
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A client is being discharged following surgery for cancer care. the client will require extensive dressing changes two times per day. the client is on a fixed income and cannot afford to purchase dressing supplies. the nurse contacts the local peregrine society to assist in the provision of dressings. this contribution in care will assist in the provision of dressings. this contribution in care will assist in improving the clients' ?
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Self concept
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The PACU (prevents aspiration) nurse has received a semiconscious client from the operating room and reviews the chart for orders relating to positioning- if no specific orders...what position should you put patient in?
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Side-lying position
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A nurse is preparing to receive a client in post-anesthesia care unit PACU the client is diabetic and has undergone knee surgery. which info would be most importatnt for the receiving nurse to obtain to develope an appropriate plan of care for this client?
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Amount of blood loss
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What intervention is recommended for meeting client postoperative eliminition needs?
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Assess for the return of peristalsis by auscultating bowel sounds every four hours when the client is awake
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A nurse is preparing a client for endotracheal intubation. the anesthesiologist has ordered an anticholinergic medication for this client. what is an action of this medication?
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It decreases respiratory secretions
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A client returning to the floor after orthopedic surgery is complaining of nausea. the nurse is aware that an appropriate intervention would be...
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Avoid strong smelling foods-use peppermint aromatherapy
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A nurse teaches deep breathing exercises to a preoperative patient- what accurately describes a step in this exercise?
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Instruct the patient to exhale gently and completely before breathing in.
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A wound dressing was clean before but now has a large amount of fresh blood what intervention along with notifying the primary care provider should the nurse do?
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Reinforce dressing
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A physician has ordered a nurse to administer conscious sedation to a client-which is possible after that?
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Client is relaxed, emotionally comfortable, and conscious
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a nurse is caring for an older adult client who has been prescribed fluid restriction before surgery. which of the following should the nurse check to assess the risks of fluid restriction in elderly clients? anxiety levelself-therapyvital signscardiac status
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Vital signs
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