ATI LPN
Perioperative Nursing Care NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a patient on postoperative day 1 following a gastrectomy. The patient reports severe pain at the incision site despite analgesics. What should the nurse do first?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems are being met?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A circulating nurse answers a call light in the postoperative unit and finds a client with sudden bleeding from the incision. What action should the nurse take first?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
What instruction is most appropriate for a client preparing for surgery?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
The nurse is providing discharge teaching for a patient who developed a pulmonary embolism after total knee surgery. The patient has been converted from heparin to sodium warfarin (Coumadin) anticoagulant therapy. What should the nurse teach the client?
Correct Answer: C
Rationale: For a patient transitioning to warfarin after a pulmonary embolism (PE), the nurse must clarify that anticoagulant therapy prevents new clot formation rather than dissolving existing clots, which thrombolytics might address. The typical duration for PE treatment is 3 to 6 months, depending on risk factors like provoked events (e.g., surgery), balancing prevention of recurrence against bleeding risk. Warfarin does not require aspirin (ASA) for efficacy; combining them increases bleeding risk without enhancing anticoagulation for PE. Vitamin K antagonizes warfarin's effect by promoting clotting factor synthesis, so it's contraindicated unless reversing overdose. Teaching the 3-6 month duration empowers the patient to adhere to therapy, monitor for bleeding, and follow up for INR checks, ensuring safe management of this potentially recurrent condition post-surgery.