The nurse is caring for a client postoperatively who develops sinus tachycardia. Which of the following interventions should the nurse perform?

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Perioperative Nursing Care Test Questions Questions

Question 1 of 5

The nurse is caring for a client postoperatively who develops sinus tachycardia. Which of the following interventions should the nurse perform?

Correct Answer: D

Rationale: Manage the client's anxiety,' as sinus tachycardia postop is often due to anxiety, pain, or hypovolemia, and addressing anxiety (e.g., reassurance, assessing pain) is a primary nursing action unlike 'warmed blankets' (A), for hypothermia, 'left lateral' (B), unrelated, or 'atropine' (C), a medical order for bradycardia. In nursing, tachycardia management starts with non-invasive causes; D aligns with NCLEX Perioperative, prioritizing anxiety as a common reversible trigger.

Question 2 of 5

A client with a perforated gastric ulcer is scheduled for emergency surgery. The client cannot sign the operative consent form because he has been sedated with opioid analgesics. The nurse should take which of the following actions in the care of this client?

Correct Answer: A

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

Question 3 of 5

During the care of a preoperative patient, the nurse has given the patient a preoperative benzodiazepine. The patient is now requesting to void. What action should the nurse take?

Correct Answer: B

Rationale: After a benzodiazepine, the patient should use a bedpan or urinal due to sedation-induced lightheadedness or drowsiness, requiring bed rest with side rails up. Ambulating to the bathroom (choices A, D) risks falls; waiting for OR catheterization ignores immediate need. Safety is paramount in preoperative medication management.

Question 4 of 5

The nurse is caring for a patient who is experiencing pain and anxiety following his prostatectomy. Which intervention will likely best assist in decreasing the patient's pain and anxiety?

Correct Answer: C

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

Question 5 of 5

You are caring for an 88-year-old woman who is scheduled for a right mastectomy. You know that elderly patients are frequently more anxious prior to surgery than younger patients. What would you increase with this patient to decrease her anxiety?

Correct Answer: B

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

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