A postoperative patient is hemorrhaging at the surgical site. The surgeon has determined the need to return to the operating room immediately. How will the nurse classify this procedure?

Urgent

Major

Emergency

Elective

Answer and Explanation

The Correct Answer is C

Choice A reason: Urgent procedures are needed soon (e.g., within hours), like appendicitis, but not immediately. Hemorrhaging requires instant action to prevent life-threatening blood loss, making this classification less appropriate than emergency.

Choice B reason: Major refers to procedure complexity, not timing. Hemorrhaging demands immediate intervention regardless of complexity, as bleeding threatens life, making major an incorrect classification for the procedure’s urgency.

Choice C reason: Emergency procedures are required immediately to save life, as with active hemorrhaging. Rapid blood loss risks hypovolemic shock, necessitating urgent surgical return, correctly classifying this as an emergency procedure.

Choice D reason: Elective procedures are planned and non-urgent, like cosmetic surgery. Hemorrhaging is life-threatening, requiring immediate intervention, not a scheduled event, making elective an incorrect classification.

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Correct Answer is C

Explanation

Choice A reason: Severe pain and nausea with impending vomiting are urgent, but respiratory depression from morphine (respirations 10 breaths/min) is life-threatening due to hypoxia risk. Vomiting can be managed with antiemetics after addressing opioid-induced respiratory compromise, making this patient less immediate.

Choice B reason: Post-surgical abdominal pain with writhing and moaning requires pain management, but it is not immediately life-threatening compared to morphine-induced respiratory depression. Addressing airway and breathing takes precedence, as pain can be treated after stabilizing vital signs, making this less urgent.

Choice C reason: The patient with respirations of 10 breaths/min after morphine is the priority, as opioid overdose can lead to respiratory arrest. Pulse (62 beats/min) and blood pressure (102/60 mmHg) suggest compromise, requiring immediate intervention (e.g., naloxone) to reverse hypoxia, making this the most critical patient.

Choice D reason: A pale, still patient with warm, dry skin but no pain may indicate shock, but no vital sign abnormalities are specified. Morphine-induced respiratory depression presents a more immediate, clear danger, as low respirations risk hypoxia, making this patient less urgent.

A. Close all of the doors and windows B. Activate the fire alarm C. Extinguish the fire using the proper fire extinguisher D. Move the client from the room

Correct Answer is B,D,A,C

Explanation

Choice A reason: Closing doors first (1, 2, 3, 4) delays activating the alarm and evacuating the client, risking patient safety and delayed response. Activating the alarm and ensuring patient safety are higher priorities, making this incorrect.

Choice B reason: The RACE protocol (Rescue, Alarm, Contain, Contain Extinguish) prioritizes: activating the alarm (2) to notify others, moving the client (4) to safety, closing doors (1) to contain the fire, and extinguishing (3) if safe, making this correct.

Choice C reason: Moving the client first (4, 2, 3, 1) delays notifying others via the alarm, risking broader safety. The alarm ensures a coordinated response, followed by evacuation, making this order incorrect.

Choice D reason: Activating the alarm first (2, 1, 3, 4) is correct, but extinguishing before moving the client (4) risks patient exposure. Evacuation precedes extinguishing, as per RACE, making this order incorrect.

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A postoperative patient is hemorrhaging at the surgical site. The surgeon has determined the need to return to the operating room immediately. How will the nurse classify this procedure?

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Naxlex Comprehensive Predictor Exams

Which patient will the nurse see first?

Correct Answer is C

Explanation

Correct Answer is B,D,A,C

Explanation

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