Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing care for a patient who is postoperative day 2 following gastric surgery.
The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.
A. Chronic gastritis
Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.
B. Atelectasis
Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.
C. Pneumonia
Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.
D. Malignant hyperthermia
Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery.
E. Metabolic imbalances
Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Proctored Exam 6. Take the full exam now
Full Explanation
Choice A reason:
Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.
Choice B reason:
Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.
Choice C reason:
Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.
Choice D reason:
Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery
Choice E reason:
Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.
Similar Questions
The nurse's comprehensive assessment of a patient includes inspection for signs of oral cancer. What assessment finding is most characteristic of oral cancer in its early stages?
A. Presence of a painless sore with raised edges
A painless sore with raised edges is a characteristic early sign of oral cancer. It may appear as a small, painless lump or sore in the mouth, often with raised edges. This finding should raise suspicion and prompt further evaluation.
B. Diffuse inflammation of the buccal mucosa
Diffuse inflammation of the buccal mucosa is a non-specific finding and can be caused by various factors, including infection or irritation. While it's important to assess the oral mucosa for any abnormalities, it is not specific to oral cancer.
C. Dull pain radiating to the ears and teeth
Dull pain radiating to the ears and teeth is not a characteristic early sign of oral cancer. Pain associated with oral cancer may occur in later stages or if there is local invasion of nerves.
D. Areas of tenderness that make chewing difficult
Areas of tenderness that make chewing difficult may occur for various reasons, including dental issues or other oral health problems. While this can be distressing for the patient, it is not specific to oral cancer.
Full Explanation
Choice A reason:
A painless sore with raised edges is a characteristic early sign of oral cancer. It may appear as a small, painless lump or sore in the mouth, often with raised edges. This finding should raise suspicion and prompt further evaluation.
Choice B reason:
Diffuse inflammation of the buccal mucosa is a non-specific finding and can be caused by various factors, including infection or irritation. While it's important to assess the oral mucosa for any abnormalities, it is not specific to oral cancer.
Choice C reason:
Dull pain radiating to the ears and teeth is not a characteristic early sign of oral cancer. Pain associated with oral cancer may occur in later stages or if there is local invasion of nerves.
Choice D reason:
Areas of tenderness that make chewing difficult may occur for various reasons, including dental issues or other oral health problems. While this can be distressing for the patient, it is not specific to oral cancer.
Give Ceclor 45mg/kg/day p.o. in 3 divided doses for a patient who weighs 66 pounds. A 75mL stock medication is labeled Ceclor 125mg/mL. How many mLs would the nurse administer per dose?
Units in mL. (Please record your exact answer)
Full Explanation
- To calculate the dose of Ceclor in mg, multiply the weight in kg by the dosage in mg/kg/day and divide by the number of doses per day.
- To convert pounds to kg, divide by 2.2.
- To calculate the volume of Ceclor in mL, divide the dose in mg by the concentration in mg/mL.
- Convert 66 pounds to kg: 66 / 2.2 = 30 kg
- Calculate the dose of Ceclor in mg: 30 x 45 / 3 = 450 mg
- Calculate the volume of Ceclor in mL: 450 / 125 = 3.6 mL
- The nurse would administer 3.6 mL per dose.
A nurse is providing care for a patient who is postoperative day 2 following gastric surgery.
The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.
A. Chronic gastritis
Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.
B. Atelectasis
Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.
C. Pneumonia
Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.
D. Malignant hyperthermia
Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery.
E. Metabolic imbalances
Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.
Full Explanation
Choice A reason:
Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.
Choice B reason:
Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.
Choice C reason:
Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.
Choice D reason:
Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery.
Choice E reason:
Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.