Which are interventions for the medical-surgical nurse to use in preventing hypoxemia for the postoperative patient? (Select all that apply.)

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Perioperative Nursing Care Test Questions Questions

Question 1 of 5

Which are interventions for the medical-surgical nurse to use in preventing hypoxemia for the postoperative patient? (Select all that apply.)

Correct Answer: C

Rationale: Preventing hypoxemia includes coughing and deep breathing , monitoring SpO2 , and ambulation . Supine position risks atelectasis. The rationale promotes oxygenation: breathing exercises expand lungs, monitoring detects drops, walking enhances circulation. Nursing avoids flat positioning, reducing collapse, ensuring respiratory health, distinct from counterproductive measures.

Question 2 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 3 of 5

What is the Nursing Practice Act?

Correct Answer: B

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

Question 4 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 5 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.

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