The circulating nurse will be participating in a 78-year-old patient's total hip replacement. Which of the following considerations should the nurse prioritize during the preparation of the patient in the OR?

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Perioperative Nursing Care NCLEX Questions Questions

Question 1 of 5

The circulating nurse will be participating in a 78-year-old patient's total hip replacement. Which of the following considerations should the nurse prioritize during the preparation of the patient in the OR?

A. The patient should be placed in Trendelenburg position. B. The patient must be firmly restrained at all times. C. Pressure points should be assessed and well padded. D. The preoperative shave should be done by the circulating nurse.

Correct Answer: C

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

Question 2 of 5

A 68-year-old patient is scheduled for a bilateral mastectomy. The OR nurse has come out to the holding area to meet the patient and quickly realizes that the patient is profoundly anxious. What is the most appropriate intervention for the nurse to apply?

A. Reassure the patient that modern surgery is free of significant risks. B. Describe the surgery to the patient in as much detail as possible. C. Clearly explain any information that the patient seeks. D. Remind the patient that the anesthetic will render her unconscious.

Correct Answer: C

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

Question 3 of 5

The PACU nurse is caring for a male patient who had a hernia repair. The patient's blood pressure is now 164/92 mm Hg; he has no history of hypertension prior to surgery and his preoperative blood pressure was 112/68 mm Hg. The nurse should assess for what potential causes of hypertension following surgery?

A. Dysrhythmias, blood loss, and hyperthermia B. Electrolyte imbalances and neurologic changes C. A parasympathetic reaction and low blood volumes D. Pain, hypoxia, or bladder distention

Correct Answer: D

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

Question 4 of 5

The nursing instructor is discussing the difference between ambulatory surgical centers and hospital-based surgical units. A student asks why some patients have surgery in the hospital and others are sent to ambulatory surgery centers. What is the instructor's best response?

A. Patients who go to ambulatory surgery centers are more independent than patients admitted to the hospital. B. Patients admitted to the hospital for surgery usually have multiple health needs. C. In most cases, only emergency and trauma patients are admitted to the hospital. D. Patients who have surgery in the hospital are those who need to have anesthesia administered.

Correct Answer: B

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

Question 5 of 5

The perioperative nurse is planning the care of a patient who underwent a right total knee replacement 24 hours ago. What nursing intervention should the nurse prioritize in this patient's care?

A. Keeping the right leg in a dependent position B. Administering analgesics around the clock C. Monitoring the patient for signs of neurovascular compromise D. Encouraging the patient to delay ambulation for 48 hours

Correct Answer: C

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

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