A client is experiencing confusion in the immediate postoperative period. Which of the following assessments is essential to determine the reason for the confusion?

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Perioperative Nursing Care NCLEX Questions Questions

Question 1 of 5

A client is experiencing confusion in the immediate postoperative period. Which of the following assessments is essential to determine the reason for the confusion?

Correct Answer: C

Rationale: Airway status,' as hypoxia is a common cause of postop confusion, and ABCs prioritize airway unlike 'consciousness' (A), an outcome, 'cardiac rhythm' (B), secondary, or 'anxiety' (D), less urgent. In nursing, oxygenation drives assessment; C aligns with NCLEX Perioperative, ensuring respiratory stability first.

Question 2 of 5

A nurse is assigned to assist in caring for a client who recently returned from the operating room. On data collection, the nurse notes that the client's vital signs are as follows: blood pressure (BP) 102/62 mm Hg, pulse 91 beats per minute, respirations 16 breaths per minute. Preoperative vital signs were BP 124/78 mm Hg, pulse 74 beats per minute, respirations 20 breaths per minute. Which of the following actions should the nurse plan to take first?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

You are providing preoperative teaching to a patient scheduled for hip replacement surgery in 1 month. During the preoperative teaching, the patient gives you a list of medications she takes, the dosage, and frequency. Which of the following interventions provides the patient with the most accurate information?

Correct Answer: A

Rationale: St. John's wort interacts with anesthetics, risking complications, and should stop 2 weeks prior, per herbal safety guidelines. Ephedrine causes hypertension, not benefit; Synthroid is vital for thyroid control, not stopped; continuing all herbs ignores risks. Accurate medication review is key in preoperative teaching.

Question 4 of 5

The nurse is doing a preoperative assessment of an 87-year-old man who is slated to have a right lung lobe resection to treat lung cancer. What underlying principle should guide the nurse's preoperative assessment of an elderly patient?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is preparing an elderly patient for a scheduled removal of orthopedic hardware, a procedure to be performed under general anesthetic. For which adverse effect should the nurse most closely monitor the patient?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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