A postoperative surgical patient asks how the sequential compression boots applied in the operating room will help lower the risk of blood clots forming in the legs. The nurse's most appropriate response would be that the boots:

alternately compress and release to help blood flow through vessels.

measure pressure in the leg blood vessels and sound an alarm if pressure rises.

provide gentle continuous compression at low pressure.

provide firm continuous compression at high pressure.

Answer and Explanation

The Correct Answer is A

A. Alternately compress and release to help blood flow through vessels. Sequential compression devices (SCDs) work by alternating compression and release to promote venous return, prevent stasis, and reduce the risk of deep vein thrombosis (DVT). This is the correct mechanism of action for these devices.

B. Measure pressure in the leg blood vessels and sound an alarm if pressure rises. SCDs do not measure pressure; they are designed to apply intermittent pressure to the legs to encourage circulation and prevent clot formation.

C. Provide gentle continuous compression at low pressure. SCDs apply intermittent pressure, not continuous pressure. Continuous compression would not be effective in preventing DVT as it does not allow for the periodic relaxation of veins.

D. Provide firm continuous compression at high pressure. SCDs should apply intermittent, not continuous, pressure. High pressure could potentially harm the patient’s circulation and tissues, which is why the compression is designed to be gentle and alternating.

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

Explanation

A. To achieve fast-acting pain relief, administer analgesics PO. Oral (PO) medications may not provide rapid pain relief, particularly postoperatively. IV or other forms of analgesia are preferred for fast-acting relief.

B. Consider the client's individual expression of pain. Pain is subjective, and the nurse should consider each patient’s unique expression of pain to provide appropriate pain management.

C. Expect the client to express his pain both verbally and nonverbally. Patients may express pain verbally or nonverbally, such as through facial expressions or body movements. The nurse must be attentive to both forms of expression.

D. Use a scale from 0 to 10 to monitor the severity of the client's pain. The 0 to 10 pain scale is a common and effective tool for assessing the severity of a patient's pain, allowing for appropriate intervention.

E. Administer opioids with caution because they will eventually lead to addiction. While opioids should be used cautiously, the focus should be on appropriate and safe pain management. Addiction is not an immediate concern for postoperative patients who require short-term use.

A. the opinion of a second surgeon is sought regarding the necessity of the surgery. B. the surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent. C. the hospital social worker can sign the permit. D. the hospital attorney must authorize the surgery and sign the consent form.

Correct Answer is A

Explanation

A. The opinion of a second surgeon is sought regarding the necessity of the surgery. This is an appropriate course of action when consent cannot be obtained from the patient or family, especially in emergency situations to ensure the necessity of surgery.

B. The surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent. RNs do not have the legal authority to sign surgical consent forms, which should be signed by a legal guardian or the healthcare provider in emergencies when appropriate.

C. The hospital social worker can sign the permit. Social workers do not have the authority to sign consent forms. Consent must typically come from a legally authorized individual.

D. The hospital attorney must authorize the surgery and sign the consent form. The hospital attorney is not typically involved in emergency decision-making about surgery unless there are significant legal concerns, which is not the case in this scenario.

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A postoperative surgical patient asks how the sequential compression boots applied in the operating room will help lower the risk of blood clots forming in the legs. The nurse's most appropriate response would be that the boots:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative. When helping to manage the client's pain, which of the following principles should the nurse apply? (Select all that apply.)

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

Explanation

A 16-year-old boy injured in a motorcycle accident is unconscious and cannot sign the emergency surgical consent form; no family members can be located. The nurse anticipates that:

Correct Answer is A

Explanation

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The nurse explains that the informed surgical consent form should include information relative to: (Select all that apply.)

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