The nurse is caring for a patient on postoperative day 3 following a cholecystectomy. The patient reports nausea and abdominal distension, and the nurse notes absent bowel sounds. What should the nurse do first?

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Perioperative Care Fundamentals Practice Questions Quizlet Questions

Question 1 of 5

The nurse is caring for a patient on postoperative day 3 following a cholecystectomy. The patient reports nausea and abdominal distension, and the nurse notes absent bowel sounds. What should the nurse do first?

Correct Answer: B

Rationale: Notifying the physician addresses possible ileus with nausea, distension, and absent sounds, per protocol. Antiemetics treat symptoms; ambulation or NG tube needs orders. Postoperative care escalates abnormal findings.

Question 2 of 5

The OR nurse is assisting with a patient receiving a brachial plexus block. What surgery might this be used for?

Correct Answer: B

Rationale: Brachial plexus block anesthetizes the arm, fitting shoulder surgery, per block types. Appendectomy , hysterectomy , or cholecystectomy use different blocks. Intraoperative care matches anesthesia to site.

Question 3 of 5

The nurse is caring for a patient who underwent a hip replacement 36 hours ago. The patient reports shortness of breath and chest pain. What should the nurse do first?

Correct Answer: C

Rationale: Checking oxygen saturation assesses for pulmonary embolism, per priority data collection. Oxygen or notification follows; coughing is secondary. Postoperative care evaluates respiratory distress.

Question 4 of 5

The nurse is providing discharge teaching to a patient who underwent a hernia repair. What should the patient avoid?

Correct Answer: B

Rationale: Avoiding heavy lifting prevents recurrence, per discharge data. Walking , fiber , or medication are safe. Teaching protects repair.

Question 5 of 5

A client in the operating room has developed malignant hyperthermia. The clients potassium is 6.5 mEq/L. What action by the nurse takes priority?

Correct Answer: A

Rationale: Insulin rapidly shifts potassium into cells treating the hyperkalemia associated with malignant hyperthermia.

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