ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
Which nursing interventions will prevent the potential intraoperative complication of radial joint stiffness, pain, and inflammation?
Correct Answer: A
Rationale: Preventing radial joint issues requires supporting the wrist with padding and avoiding tight straps . General padding and elbow care are broader; knee padding is unrelated. The rationale targets positioning: tight straps or unsupported wrists cause pressure and stiffness; padding distributes weight, reducing inflammation. Nursing ensures ergonomic support intraoperatively, preventing nerve/joint damage, specific to radial concerns, distinct from overall alignment.
Question 2 of 5
A patient arrives at the PACU and the nurse notes a respiratory rate of 10 with sternal retractions. The report from anesthesia personnel indicates that the patient had received fentanyl during surgery. What is the nurse's best priority first action?
Correct Answer: D
Rationale: The priority is maintaining an open airway due to fentanyl's respiratory depression (rate 10, retractions). Monitoring (choice B, C) and waiting delay intervention. The rationale follows ABCs: opioids suppress breathing, risking hypoxia; positioning or suction clears obstruction. Nursing acts immediately, then oxygenates , reversing compromise, critical for survival, distinct from passive observation.
Question 3 of 5
The PACU nurse is assessing an older adult postoperative patient for pain. Which nonverbal manifestations by the patient suggest pain to the nurse? (Select all that apply.)
Correct Answer: A
Rationale: Pain manifestations in older adults include restlessness , sweating , and increased BP (choice E, not listed). Arousal difficulty and confusion may reflect sedation. The rationale addresses nonverbal cues: pain causes agitation, diaphoresis, and hypertension, common in less communicative patients. Nursing interprets these, adjusting analgesia, distinct from anesthesia effects, ensuring comfort.
Question 4 of 5
The nurse is preparing to discharge a patient from the ambulatory surgery center following an inguinal hernia repair. The nurse delays the release of the patient upon discovering that the patient:
Correct Answer: C
Rationale: Has not voided since before surgery,' as inability to void may indicate retention, requiring monitoring unlike 'morphine' (A), manageable, '92% saturation' (B), borderline, or 'vomiting' (D), resolving. In nursing, voiding ensures recovery; C aligns with NCLEX Perioperative, prioritizing physiologic stability for discharge.
Question 5 of 5
Healthy patients are allowed clear liquids up to...
Correct Answer: D
Rationale: Healthy patients can have clear liquids up to 2 hours before an elective procedure , per ASA guidelines. Longer 8 hours , 4 hours , 3 hours reflects outdated rules. The rationale addresses safety: 2 hours allows hydration without aspiration risk, as clear liquids (e.g., water) empty quickly. Nursing ensures NPO compliance, contrasting with older, stricter fasts, optimizing patient comfort and perioperative stability.