A postoperative patient reports dizziness when sitting up. The patient's blood pressure is 88/58 mmHg, heart rate is 112 bpm, and respiratory rate is 18 breaths per minute. What is the nurse's priority action?
Select one:

Connect the patient to a cardiac monitor

Administer IV fluids as ordered

Place the patient in a supine position and notify the provider

Document the findings and continue to monitor

Answer and Explanation

The Correct Answer is C

A. While monitoring is important, it is not the priority when the patient is symptomatic with hypotension and dizziness.
B. IV fluids may be necessary to treat hypotension, but positioning the patient safely and notifying the provider comes first to prevent falls or further deterioration.
C. The patient is showing signs of orthostatic hypotension and compensatory tachycardia. Placing the patient in a supine position helps restore cerebral perfusion and stabilize blood pressure. Immediate notification of the provider allows for prompt medical intervention.
D. Documentation and monitoring are important, but intervention is needed immediately due to symptomatic hypotension.

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Correct Answer is ["C","D"]

Explanation

A. Patients should never share medications due to risks of adverse effects and incorrect dosing.

B. Medications should be given as prescribed, not only when patients request them, to ensure proper treatment.

C. Regular evaluation helps ensure medications are working as intended and allows timely adjustments.

D. Monitoring is essential to identify adverse reactions early and maintain patient safety.

E. Medications should be stored securely, often in a centralized location, to prevent misuse or accidental ingestion.

A. The circulating nurse B. The surgeon C. The scrub nurse D. The anesthesiologist

Correct Answer is A

Explanation

A. The circulating nurse is responsible for ensuring that all preoperative documentation is complete, including verifying that the informed consent form is signed and that the surgical site is correctly marked according to safety protocols (e.g., surgical time-out).
B. The surgeon is responsible for obtaining informed consent and marking the site, but it is the circulating nurse’s duty to verify that this has been done before the procedure.
C. The scrub nurse maintains sterility and handles instruments, but is not responsible for verifying consent or site marking.
D. The anesthesiologist manages anesthesia and airway concerns, not documentation or site verification.

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A postoperative patient reports dizziness when sitting up. The patient's blood pressure is 88/58 mmHg, heart rate is 112 bpm, and respiratory rate is 18 breaths per minute. What is the nurse's priority action? Select one:

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Naxlex Comprehensive Predictor Exams

What should the nurse include in the care plan to promote medication safety in long-term care? (Select all that apply)

Correct Answer is ["C","D"]

Explanation

Which person is responsible for verifying that the consent form is signed and that the surgical site is clearly marked? Select one:

Correct Answer is A

Explanation

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A postoperative patient reports dizziness when sitting up. The patient's blood pressure is 88/58 mmHg, heart rate is 112 bpm, and respiratory rate is 18 breaths per minute. What is the nurse's priority action?
Select one: