A nurse preparing to get a patient out of bed for the first time since surgery will initially:

place a walker at the side of the bed.

allow the patient to sit with the head of bed raised to the high Fowler's position.

assist the patient to sit and dangle his or her legs on the side of the bed.

assist the patient from a supine position to a standing position.

Answer and Explanation

The Correct Answer is C

A. Place a walker at the side of the bed. A walker may not be necessary for all patients and should only be used if prescribed by the healthcare provider.

B. Allow the patient to sit with the head of bed raised to the high Fowler’s position. This helps with postural adjustment but is not the best first step before dangling the legs.

C. Assist the patient to sit and dangle his or her legs on the side of the bed. Gradual movement from lying to sitting to standing helps prevent orthostatic hypotension, which is common after surgery.

D. Assist the patient from a supine position to a standing position. Moving too quickly can cause dizziness, falls, and syncope due to orthostatic hypotension.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Change the surgical dressing immediately to prevent infection. Changing the dressing immediately is unnecessary unless there is a significant issue, such as excessive drainage or signs of infection. Minor drainage can be observed unless there's a need for further intervention.

B. Outline the area of drainage with a pen and mark it with the date and time. This is the correct action to monitor the drainage over time. By marking the area, the nurse can track whether the drainage increases, stays the same, or decreases, which helps in assessing the wound’s status and effectiveness of the surgical dressing.

C. Make a note of the drainage on the worksheet to report it at the end of shift. While documentation is important, it is essential to monitor the drainage immediately after the initial assessment rather than waiting until the end of the shift.

D. Reinforce the dressing with clean gauze sponges and tape. Reinforcing the dressing may be appropriate if drainage is increasing or if the dressing is inadequate, but marking the area first is necessary for accurate tracking.

A. preparing the sterile field. B. pointing out the observation of contamination immediately to the personnel involved. C. assisting with sterile draping of the patient. D. maintaining an accurate count of sponges.

Correct Answer is B

Explanation

A. Preparing the sterile field. This is the responsibility of the scrub person, not the circulating nurse. The circulating nurse is responsible for ensuring everything is in place and the environment is safe, but the sterile field is prepared by the scrub person.

B. Pointing out the observation of contamination immediately to the personnel involved. The circulating nurse is responsible for monitoring the sterile field and surgical environment and immediately pointing out any breaches in sterile technique or contamination to ensure patient safety.

C. Assisting with sterile draping of the patient. The scrub person usually assists with draping the patient in a sterile manner. The circulating nurse may provide the necessary sterile drapes but does not typically assist with the draping procedure directly.

D. Maintaining an accurate count of sponges. The responsibility for counting sponges, instruments, and other items used during the surgery belongs to the scrub person, not the circulating nurse.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse preparing to get a patient out of bed for the first time since surgery will initially:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the surgical dressing of a patient who arrived on the unit an hour ago. The surgical dressing has serosanguineous drainage on the dressing. The nurse should:

Correct Answer is B

Explanation

The circulating nurse is responsible for:

Correct Answer is B

Explanation

When a patient arrives in the PACU with a surgical dressing, an intravenous infusion, and a urinary catheter, the priority action of the nurse is assessment of:

A patient is ready for discharge following same day surgery. The education plan for this patient includes:

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

What is the meaning of the following term: perioperative care

In order for the anesthesiologist to accurately calculate the amount of anesthesia needed for an 82-year-old patient, the nurse should have data available on the medical record, such as:

To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

The illiterate patient signs the surgical consent form with an "X." The nurse is aware that this "X" is:

A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?