In the recovery room, the postoperative client suddenly becomes cyanotic. what is the most appropriate nursing action?

Bởi JoAnn Zerwekh, MSN, EdD, RN

Giới thiệu về cuốn sách này

Bởi JoAnn Zerwekh

Giới thiệu về cuốn sách này

Page 2

Bởi JoAnn Zerwekh

Giới thiệu về cuốn sách này

D. To prevent intestinal obstruction

7. Which of the following drugs is administered to minimize respiratory secretions preoperatively?

A. Valium (diazepam)

B. Phenergan (promethazine)

C. Atropine sulfate

D. Demerol (meperidine)

8. Which of the following is experienced by the patient who is under general anesthesia?

A. The patient is unconscious

B. The patient is awake

C. The patient experiences slight pain

D. The patient experiences loss of sensation in the lower half of the body

9. Which of the following is most dangerous complication during induction of spinal anesthesia?

A. Cardiac arrest

B. Hypotension

C. Hyperthermia

D. Respiratory paralysis

10. The best position for kidney, chest, or hip surgery is?

A. Supine

B. Trendelenburg

C. Lithotomy

D. Lateral

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1. Answer D. The hemoglobin level is low and the nurse needs to make sure that the surgeon has

the most recent laboratory values before surgery. This client may need transfusion before

surgery.

2. Answer C. It is important to determine if the airway is patent and whether the client is

breathing. If there is a lot of mucus and gurgling in the upper airway, the client should be

suctioned. The airway must be assessed before determining a course of action.

3. Answer D. Consent forms must be signed by the client, family, or guardian with medical power

of attorney before any procedure can be on the client.

4. Answer A,B,C,D. The clients status is NPO immediately after surgery. Desired diet progression

advances to clear liquid, full liquid, soft and finally a regular diet as tolerated by the client.

5. Answer C. A full liquid diet includes liquids and foods that are liquid at room temperature.

6. Answer C. NPO for 6 to 8 hours before surgery prevents vomiting, regurgitation of gastric

content. Therefore, this prevents aspiration pneumonia. The primary purpose for maintaining

NPO before surgery is to prevent aspiration pneumonia.

7. Answer C. Atropine sulfate, an anticholinergic, minimize respiratory secretions

preoperatively. It helps prevent aspiration of secretions.

8. Answer A. During general anesthesia, the patient is unconscious, with complete analgesia

(relief of pain)

9. Answer B. Hypotension is the most dangerous complication of induction of spinal anesthesia.

This is due to paralysis of vasomotor nerves.

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