The nurse is caring for a patient after a popliteal bypass graft surgery. Which assessments will the nurse perform during the first postoperative day?

Perform doppler evaluation once daily

Assess for compartment syndrome every 2 hours

Assess pulse of affected extremity every 15 minutes until stable

Palpate the affected leg for pa every shift

Answer and Explanation

The Correct Answer is C

A. Perform doppler evaluation once daily: While Doppler evaluation is valuable for assessing blood flow and detecting vascular abnormalities, performing it only once daily may not provide adequate monitoring, especially during the critical early postoperative period. More frequent assessments are necessary to ensure optimal graft function and to promptly identify any complications.

B. Assess for compartment syndrome every 2 hours: While assessing for compartment syndrome is important, performing assessments every 2 hours may not be necessary unless specific risk factors or clinical indications are present. Continuous monitoring for signs and symptoms of compartment syndrome is essential, but the frequency of assessment should be based on the patient's condition and the surgeon's orders.

C. Assess pulse of affected extremity every 15 minutes until stable: After popliteal bypass graft surgery, assessing the pulse of the affected extremity every 15 minutes until stable is crucial. Frequent pulse checks help monitor graft patency and perfusion to detect early signs of graft failure or ischemia. This high-frequency assessment allows for prompt identification of vascular compromise and timely intervention to prevent graft thrombosis or occlusion. Once the pulse is stable and adequate perfusion is confirmed, the frequency of pulse checks can be adjusted according to the patient's condition and clinical guidelines.

D. Palpate the affected leg for pain every shift: Palpating the affected leg for pain every shift is an important component of postoperative assessment. However, relying solely on pain assessment once per shift may not provide timely detection of complications or changes in the patient's condition, especially during the immediate postoperative period when close monitoring is necessary. Frequent and ongoing assessment of pain, along with other vital signs and clinical indicators, is essential for comprehensive postoperative care.

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 ["200"]

Explanation

Infusion rate (mL/hr) = 100/30 × 60

Infusion rate (mL/hr) = 100/30 × 60 = 200

Therefore, the nurse should set the IV pump to deliver 200 mL/hr.

A. Systolic BP between 120 and 160 mmHg B. Diastolic BP between 70- and 99-mm Hg C. Diastolic BP between 60- and 79-mm Hg D. Systolic blood pressure between 90 to 120 mm Hg

Correct Answer is D

Explanation

A. Systolic BP between 120 and 160 mmHg:
While this range represents a moderate level of blood pressure control, it may not be optimal for preventing organ damage in individuals with primary hypertension. Systolic blood pressure (SBP) between 120 and 160 mmHg is considered elevated and may still increase the risk of cardiovascular complications over time. While it's not dangerously high, it's not within the recommended range for preventing organ damage associated with hypertension.

B. Diastolic BP between 70- and 99-mm Hg:
This range for diastolic blood pressure (DBP) is relatively broad and encompasses normal to elevated levels. While DBP between 70 and 99 mmHg is generally considered within the normal to prehypertensive range, it may not fully reflect the target range recommended for preventing organ damage in individuals with hypertension. The upper limit of 99 mmHg is higher than the optimal target range for preventing hypertension-related complications.

C. Diastolic BP between 60- and 79-mm Hg:
This range represents the optimal target for diastolic blood pressure (DBP) in individuals with hypertension. Keeping DBP between 60 and 79 mmHg is associated with reduced risk of cardiovascular events and end-organ damage. It aligns with current guidelines for blood pressure management and reflects successful teaching regarding the recommended range needed to prevent organ damage in patients with primary hypertension.

D. Systolic blood pressure between 90 to 120 mm Hg:
This range represents the optimal target for systolic blood pressure (SBP) in individuals with hypertension. Maintaining SBP between 90 and 120 mmHg is associated with the lowest risk of cardiovascular events and complications. It aligns with current guidelines for blood pressure management and reflects successful teaching regarding the recommended range needed to prevent organ damage in patients with primary hypertension.

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

The nurse is caring for a patient after a popliteal bypass graft surgery. Which assessments will the nurse perform during the first postoperative day?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["200"]

Explanation

The nurse is teaching a patient, newly diagnosed with primary hypertension, about the recommended blood pressure range needed to prevent organ damage. Which range, chosen by patient, indicates that the teaching was successful?

Correct Answer is D

Explanation

A nurse is caring for a patient who is returning for a repeat blood pressure to determine if white coat syndrome occurred during the first clinical visit. Which diagnostic test will be used to confirm a diagnosis of hypertension?

The nurse is caring for a patient who was recently placed on lisinopril to control hypertension. What teaching will the nurse provide?

During a health education session, a participant asked the nurse about the hepatitis B virus. What measure will the nurse recommend for preventing infection with this virus?

A nurse is providing education of enoxaparin to a patient diagnosed with deep venous thrombosis. Which statement by the patient indicates understanding of the teaching?

The nurse is caring for a patient after a popliteal bypass graft surgery. Which assessments will the nurse perform during the first postoperative day?

The nurse is caring for a patient diagnosed with acquired immunodeficiency syndrome (AIDS) whose most recent laboratory values reveal a CD4 level less than 200. Which assessment findings require immediate intervention?

A patient taking an angiotensin receptor blocker (AR) to control blood pressure is now complaining of muscle cramps which action will the nurse implement?