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9. In some hip surgeries, an epidural catheter for Morphine epidural analgesia is given.

What is your nursing priority care in


such a case?
a. Instruct client to observe strict bed rest
b. Check for epidural catheter drainage
c. Administer analgesia through epidural catheter as prescribed
d. Assess respiratory rate carefully

10. As a nurse you know you can improve on accuracy of patient’s identification by 2 patient identifiers, EXCEPT:
a. identify the client by his/her wrist tag and verify with family members
b. identify client by his/her wrist tag and call his/her by name
c. call the client by his/her case and bed number
d. call the patient by his/her name and bed number

11. As a nurse, you can help improve the effectiveness of communication among healthcare givers through
a. Use of reminders of what to do
b. Using standardized list of abbreviations, acronyms, and symbols
c. One-on-one oral endorsement
d. Text messaging and e-mail

Situation – Tony, 11 years old, has ‘kissing tonsils’ and is scheduled for tonsillectomy and adenoidectomy or T and A.

12. You are the nurse of Tony who will undergo T and A in the morning. His mother asked you if Tony will be put to sleep.
Your teaching will focus on:
a. spinal anesthesia
b. anesthesiologist’s preference
c. local anesthesia
d. general anesthesia

13. Mothers of children undergoing tonsillectomy and adenoidectomy usually ask what food prepared and give their
children after surgery. You as the nurse will say:
a. balanced diet when fully awake
b. hot soup when awake
c. ice cream when fully awake
d. soft diet when fully awake

14. The RR nurse should monitor for the most common postoperative complication of:
a. hemorrhage
b. endotracheal tube perforation
c. esopharyngeal edema
d. epiglottis

15. The PACU nurse will maintain postoperative T and A client in what position?
a. Supine with neck hyperextended and supported with pillow
b. Prone with the head on pillow and tuned to the side
c. Semi-Fowler’s with neck flexed
d. Reverse trendelenburg with extended neck

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