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Exhibits

A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?

Continue monitoring the vitals

inform the surgeon about the increase in temperature

increase intravenous fluid rates

inform the surgeon about the decrease in blood pressure

Answer and Explanation

The Correct Answer is A

A. The changes in vital signs are within expected ranges post-procedure, so continued monitoring is appropriate.

B. A temperature increase to 99°F is not significant and does not require immediate reporting.

C. No signs of hypovolemia or dehydration warrant increasing IV fluids.

D. A blood pressure decrease to 112/72 mm Hg is minimal and not concerning.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Herbs and supplements can interact with anesthesia or affect coagulation, increasing perioperative risks.

B. Lactose intolerance is unlikely to impact surgery unless dietary considerations postoperatively involve lactose-containing foods.

C. A lack of prior surgical experience is relevant but not critical compared to medication or supplement interactions.

D. Bee/wasp allergies are important but less urgent unless directly related to medications or procedures used.

A. "Tell me about your fear of receiving a blood transfusion." B. "Your request to not receive a transfusion will be honored. Your consent is needed to administer blood or blood products." C. "Are you sure? Please consider the risk you are taking if you refuse a blood transfusion." D. "You don't need to worry about getting a blood transfusion. Blood loss is minimal with this procedure."

Correct Answer is B

Explanation

A. Assuming the client’s decision is based on fear may feel dismissive of their beliefs.

B. Acknowledging and respecting the client’s decision while confirming their right to consent honors their autonomy and builds trust.

C. Questioning the client’s decision undermines their beliefs and autonomy.

D. Reassuring the client about blood loss dismisses their valid concerns about transfusion refusal.

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Exhibits A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?

Correct Answer is A

Explanation

During a pre-surgical admission assessment, a client states. "I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion." Which statement by the nurse would be most appropriate?

Correct Answer is B

Explanation

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A nurse is caring for a client receiving Propofol for sedation during a medical procedure. Which assessment finding should the nurse prioritize when monitoring the client's response to Propofol?

Exhibits A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Exhibits

A client is brought to post anesthesia care unit (PACU) after an invasive procedure. Based on the two sets of vital signs in the chart tab, which action is most appropriate by the nurse?