NCLEX-RN
NCLEX RN Fundamental Questions Questions
Extract:
Health History
45-year-old female admitted for laparoscopic cholecystectomy. The client recently had a weight loss of ten kilograms through dieting, and cholelithiasis was subsequently discovered. The client is alert and oriented x 4. No known drug allergies. No surgical history. The client takes levothyroxine for hypothyroidism.
• Vital Signs
Oral temperature 97 F (36° C); Pulse 90 bpm; Respirations 18; BP 110/64 mm Hg; Oxygen saturation 96% on room air.
Question 1 of 5
A nurse is caring for a client in a surgery center scheduled for laparoscopic cholecystectomy.Click to specify if the nursing intervention is completed during the preoperative, intraoperative, or postoperative phase. Each intervention may be completed in more than one phase. Each row must have at least one but may have more than one response option selected.
| Intervention | Preoperative | Intraoperative Postoperative |
|---|---|---|
| Verify the client’s name and date of birth | ||
| Verify the client’s nothing-by-mouth (NPO) status | ||
| Administration of prophylactic antibiotic | ||
| Obtaining laboratory work such as complete blood count, clotting studies, and pregnancy test | ||
| Assessment of the surgical incision site for type and amount drainage | ||
| Verifying that the informed consent has been completed | ||
| Confirming the correct sponge and instrument count |
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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