The nurse preparing the surgical patient's room for the patient's return from the post anesthesia unit should: (Select all that apply.)

gather an emesis basin, tissues, and a small towel.

lower the bed for easy transfer of the patient.

place an IV pole at the head of the bed.

fan fold the sheets on the near side of the bed.

collect extra dressing supplies and place them on the bedside table.

Answer and Explanation

Correct Answer : A,B,C,D

A. Gather an emesis basin, tissues, and a small towel. Nausea and vomiting are common postoperative effects; having supplies ready helps with patient comfort.

B. Lower the bed for easy transfer of the patient. Lowering the bed facilitates a safe and smooth transfer from the stretcher to the bed.

C. Place an IV pole at the head of the bed. The IV should be positioned for easy access and monitoring.

D. Fan fold the sheets on the near side of the bed. Fan folding the sheets makes it easier to transfer the patient into bed without unnecessary movement.

E. Collect extra dressing supplies and place them on the bedside table. Dressing supplies should be kept sterile and only opened when needed to prevent contamination.

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Correct Answer is C

Explanation

A. Place a walker at the side of the bed. A walker may not be necessary for all patients and should only be used if prescribed by the healthcare provider.

B. Allow the patient to sit with the head of bed raised to the high Fowler’s position. This helps with postural adjustment but is not the best first step before dangling the legs.

C. Assist the patient to sit and dangle his or her legs on the side of the bed. Gradual movement from lying to sitting to standing helps prevent orthostatic hypotension, which is common after surgery.

D. Assist the patient from a supine position to a standing position. Moving too quickly can cause dizziness, falls, and syncope due to orthostatic hypotension.

A. IV line patency B. urine output C. airway patency D. wound drainage E. None F. None

Correct Answer is C

Explanation

A. IV line patency: IV access is important for fluid and medication administration, but it is not the highest priority immediately postoperatively.

B. Urine output: Monitoring urine output is important for assessing kidney function and fluid balance, but airway management takes precedence.

C. Airway patency: The priority in the immediate postoperative period is maintaining a patent airway, as patients are at risk for respiratory complications such as obstruction, hypoxia, and aspiration due to anesthesia effects.

D. Wound drainage: Assessing wound drainage is necessary to monitor for excessive bleeding or infection, but it is not the top priority compared to airway patency.

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The nurse preparing the surgical patient's room for the patient's return from the post anesthesia unit should: (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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