The surgeon decided to convert to an open abdominal instead of the laparoscopic approach for the colectomy, because the patient was morbidly obese and he needed a larger incision. He asked the circulating nurse to bring the largest self-retaining retractor in the sterile storage room. Select the appropriate retractor.

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Perioperative Care Practice Questions Quizlet Questions

Question 1 of 5

The surgeon decided to convert to an open abdominal instead of the laparoscopic approach for the colectomy, because the patient was morbidly obese and he needed a larger incision. He asked the circulating nurse to bring the largest self-retaining retractor in the sterile storage room. Select the appropriate retractor.

Correct Answer: B

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

Question 2 of 5

A nurse is weaning a 68-kg male patient who has chronic obstructive pulmonary disease (COPD) from mechanical ventilation. Which patient assessment finding indicates that the weaning protocol should be stopped?

Correct Answer: C

Rationale: Choice C as tachypnea (32 breaths/min) signals excessive breathing effort, halting weaning. Normal heart rate (choice A), acceptable saturation (choice B), and tidal volume (choice D) support continuation. This aligns with NCLEX physiological integrity, prioritizing work-of-breathing assessment in COPD weaning.

Question 3 of 5

The nurse is caring for a patient with a subarachnoid hemorrhage who is intubated and placed on a mechanical ventilator with 10 cm Hâ‚‚O of peak end-expiratory pressure (PEEP). When monitoring the patient, the nurse will need to notify the health care provider immediately if the patient develops

Correct Answer: D

Rationale: Choice D as jugular distention suggests elevated intracranial pressure from PEEP, critical in subarachnoid hemorrhage. Normal saturation (choice A), respirations (choice B), and drainage (choice C) don't require immediate action. This reflects NCLEX physiological integrity, prioritizing neurological monitoring in critical care.

Question 4 of 5

A patient has a long-arm plaster cast applied for immobilization of a fractured left radius. Until the cast has completely dried, the nurse should

Correct Answer: B

Rationale: Choice B as using palms prevents indentations that could cause skin pressure during drying. Dependent positioning (choice A) increases swelling, gauze (choice C) distorts edges, and covering (choice D) traps heat. This aligns with NCLEX Physiological Integrity, ensuring proper cast care to avoid complications.

Question 5 of 5

The nurse is caring for a patient who is to be discharged from the hospital 5 days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction?

Correct Answer: D

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

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