The nurse is caring for a postoperative patient who has a history of COPD. What is the priority Nursing diagnosis for this patient?

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Perioperative Care Fundamentals Practice Questions Quizlet Questions

Question 1 of 5

The nurse is caring for a postoperative patient who has a history of COPD. What is the priority Nursing diagnosis for this patient?

Correct Answer: A

Rationale: Ineffective airway clearance,' as COPD heightens postoperative risk for mucus buildup and poor cough worsened by anesthesia making airway maintenance the priority. 'Enhanced knowledge' (B) is educational, not urgent. 'Delayed recovery' (C) and 'activity intolerance' (D) are secondary to respiratory status. In nursing, COPD patients need aggressive airway support (e.g., spirometry); A aligns with NCLEX Management of Care and Gas Exchange, addressing the most pressing physiological threat.

Question 2 of 5

Which action included in the perioperative patient plan of care can the charge nurse delegate to a surgical technologist?

Correct Answer: A

Rationale: Pass sterile instruments and supplies to the surgeon,' as it's within the surgical technologist's scrub role supporting the sterile field. 'Teaching' (B), 'ECG monitoring' (C), and 'postop report' (D) require RN-level judgment. In nursing, delegation optimizes team roles; A aligns with NCLEX Safe and Effective Care Environment and Delegation, matching task to training.

Question 3 of 5

The medical-surgical nurse is providing care to a postoperative patient who is experiencing an elevated temperature. Which laboratory value should the nurse monitor to gather more information?

Correct Answer: D

Rationale: White blood cell (WBC) count,' as an elevated temperature post-surgery suggests infection, and WBCs (elevated or shifted) provide insight. 'Platelets' (A) relate to clotting, not fever. 'Glucose' (B) and 'RBCs' (C) don't indicate infection. In nursing, WBC monitoring guides antibiotic decisions; D aligns with NCLEX Perioperative, prioritizing infection detection.

Question 4 of 5

Which personal protective equipment should the scrub nurse don to decrease the likelihood of a splash injury during a surgical procedure?

Correct Answer: D

Rationale: Eyewear,' as it specifically protects against splash injuries to the eyes critical for the scrub nurse in the sterile field. 'Gloves' (A) and 'gown' (B) shield hands and body, not eyes. 'Mask' (C) covers the face but not fully the eyes. In nursing, eyewear reduces exposure to bloodborne pathogens; D aligns with NCLEX Perioperative, prioritizing targeted protection during high-risk procedures.

Question 5 of 5

Which drug should the nurse prepare for the anesthesiologist to reverse the effects of cisatracurium during a surgical procedure?

Correct Answer: C

Rationale: Neostigmine,' as it reverses nondepolarizing muscle relaxants like cisatracurium by inhibiting cholinesterase. 'Fentanyl' (A) is an opioid. 'Atropine' (B) and 'glycopyrrolate' (D) manage secretions, not reversal. In nursing, preparing neostigmine ensures timely recovery; C aligns with NCLEX Perioperative, targeting specific antidote use.

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