Select the nursing activity that would reduce the

Question 1 of 5

Select the nursing activity that would reduce the impact of an extrinsic factor that could cause a pressure injury to the patient.

A. Assisting the anesthesia provider with checking and hanging albumin before anesthesia induction B. Washing the patient's back, heels, scapulae, and elbows with chlorhexidine gluconate (CHG) wipes before transfer to the OR bed C. Fluffing the surface of the OR bed with warm bath blankets and eggcrate foam before patient transfer to the OR bed D. Removing all but one layer of linen from the dry polymer elastomer gel mattress surface of the OR bed before patient transfer

Correct Answer: D

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

Question 2 of 5

A veteran perioperative nurse remembers a time when all suture needles had eyes, and she even had her own needle rack. She hand-threaded all sutures according to the surgeon's preference. The newer sutures were originally called 'atraumatic' sutures because they did not double back through a needle eye and cause tissue trauma during pulling or suturing through the tissue. Today, we call this manufacturing process of connecting the suture thread to the needle:

A. engineered crimp. B. controlled release. C. reverse cutting. D. swaged.

Correct Answer: D

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

Question 3 of 5

When caring for a patient with pulmonary hypertension, which parameter is most appropriate for the nurse to monitor to evaluate the effectiveness of the treatment?

A. Central venous pressure (CVP) B. Systemic vascular resistance (SVR) C. Pulmonary vascular resistance (PVR) D. Pulmonary artery wedge pressure (PAWP)

Correct Answer: C

Rationale: Choice C as PVR directly assesses resistance in pulmonary circulation, the primary issue in pulmonary hypertension. A decrease indicates treatment success. CVP (choice A) reflects right heart preload, SVR (choice B) systemic resistance, and PAWP (choice D) left heart preload none target pulmonary hypertension specifically. Monitoring PVR aligns with physiological integrity in NCLEX, providing a precise measure of therapeutic impact. This focus ensures nurses track the condition's core pathology, optimizing care for improved lung perfusion and oxygenation.

Question 4 of 5

To maintain proper cuff pressure of an endotracheal tube (ET) when the patient is on mechanical ventilation, the nurse should

A. inflate the cuff with a minimum of 10 mL of air. B. inflate the cuff until the pilot balloon is firm on palpation. C. inject air into the cuff until a manometer shows 15 mm Hg pressure. D. inject air into the cuff until a slight leak is heard only at peak inflation.

Correct Answer: D

Rationale: Choice D as the minimal occluding volume technique ensures safe cuff pressure (20-25 mm Hg) by allowing a slight leak at peak inflation. Fixed volumes (choice A), palpation (choice B), or low pressure (choice C) risk over- or under-inflation. This reflects NCLEX physiological integrity, balancing airway protection and tracheal safety.

Question 5 of 5

When caring for a patient who has an arterial catheter in the left radial artery for arterial pressure-based cardiac output (APCO) monitoring, which information obtained by the nurse is most important to report to the health care provider?

A. The patient has a positive Allen test. B. There is redness at the catheter insertion site. C. The mean arterial pressure (MAP) is 86 mm Hg. D. The dicrotic notch is visible in the arterial waveform.

Correct Answer: B

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

Select the nursing activity that would reduce the impact of an extrinsic factor that could cause a pressure injury to the patient.

Nurselytic

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