Following the Losses

Froggy Jumps

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Assess postop suction risks.

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RNPRPEPBESTIE

United States

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Following the Losses


Froggy Jumps Following the LossesOnline version Assess postop suction risks. by RNPRPEPBESTIE 1 A post-op patient with ongoing gastric suction reports dizziness when standing. The nurse notes dry mucous membranes, HR 110, potassium 3.1, chloride 91, and a drop in blood pressure with position change. What action should the nurse take first? a Coach slow deep breathing to reduce symptoms b Implement fall precautions and communicate findings to the provider c Encourage frequent ambulation to improve tolerance 2 A provider writes new orders for a postoperative patient with ongoing nasogastric suction and electrolyte abnormalities. Which order should the nurse question before implementation? a Administer intravenous diuretic medication for mild dependent edema b Administer antiemetic medication as prescribed c Initiate continuous cardiac monitoring 3 While speaking with a postoperative patient receiving continuous gastric suction, the nurse evaluates the patient’s understanding of current risks. Which statement indicates a need for further teaching? a Changes in electrolytes can affect how the heart beats. b Electrolyte levels can change when stomach fluids are removed. c As long as my blood pressure is stable, heart rhythm problems are unlikely. 4 A postoperative patient with a nasogastric tube to suction has low potassium, low chloride, and elevated bicarbonate levels. Which additional assessment finding would be most important for the nurse to recognize? a Intermittent muscle cramps and tingling in the extremities b Abdominal bloating with hypoactive bowel sounds c Mild incisional discomfort with movement 5 The nurse notes shallow respirations in a postoperative patient with prolonged gastric suction. Potassium is 3.0, chloride is 89, and bicarbonate is elevated. Which nursing assessment is most important to complete next? a Evaluate bowel sounds for return of peristalsis b Assess respiratory pattern and depth for compensatory changes c Monitor pain level and response to medication 6 A post-op patient with prolonged nasogastric suction suddenly becomes diaphoretic and restless. Telemetry shows sustained ventricular tachycardia, heart rate 130, blood pressure 86/52, oxygen saturation 89%. What action should the nurse take first? a Begin oxygen therapy and prepare for immediate defibrillation b Obtain a stat electrolyte panel and document rhythm changes c Clamp the nasogastric tube and reassess gastric output 7 The nurse reviews orders for a postoperative patient with ongoing nasogastric suction and metabolic imbalance. Which order should the nurse question based on the current laboratory pattern? a Monitor electrolytes every six hours b Increase nasogastric suction to continuous high pressure c Continue intravenous isotonic fluids 8 A patient with prolonged gastric suction reports nausea, weakness, and lightheadedness. The nurse notes dry mucous membranes, low potassium, low chloride, and elevated bicarbonate. Which nursing action directly helps prevent worsening imbalance? a Assist the patient with position changes to reduce dizziness b Administer antiemetic medication as prescribed c Verify suction settings and reassess need for continued gastric decompression 9 A postoperative patient with high nasogastric output reports new confusion and difficulty concentrating. Electrolytes show low chloride and elevated bicarbonate. Which nursing intervention best supports physiologic stability? a Encourage early ambulation to improve circulation b Maintain accurate intake and output and reassess mental status trends c Provide reassurance and a calm environment to reduce anxiety 10 A post-op patient with prolonged nasogastric suction becomes difficult to arouse. Respirations slow to 8/min, end-tidal CO₂ rises, oxygen saturation is 94%, potassium is 2.8, chloride is 87, bicarbonate is 40. What action should the nurse take first? a Reposition the patient and encourage deep breathing b Support ventilation and prepare airway equipment c Obtain repeat laboratory studies and arterial blood gas

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Following the Losses

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Following the LossesOnline version

by RNPRPEPBESTIE

A post-op patient with ongoing gastric suction reports dizziness when standing. The nurse notes dry mucous membranes, HR 110, potassium 3.1, chloride 91, and a drop in blood pressure with position change. What action should the nurse take first?

A provider writes new orders for a postoperative patient with ongoing nasogastric suction and electrolyte abnormalities. Which order should the nurse question before implementation?

While speaking with a postoperative patient receiving continuous gastric suction, the nurse evaluates the patient’s understanding of current risks. Which statement indicates a need for further teaching?

A postoperative patient with a nasogastric tube to suction has low potassium, low chloride, and elevated bicarbonate levels. Which additional assessment finding would be most important for the nurse to recognize?

The nurse notes shallow respirations in a postoperative patient with prolonged gastric suction. Potassium is 3.0, chloride is 89, and bicarbonate is elevated. Which nursing assessment is most important to complete next?

A post-op patient with prolonged nasogastric suction suddenly becomes diaphoretic and restless. Telemetry shows sustained ventricular tachycardia, heart rate 130, blood pressure 86/52, oxygen saturation 89%. What action should the nurse take first?

The nurse reviews orders for a postoperative patient with ongoing nasogastric suction and metabolic imbalance. Which order should the nurse question based on the current laboratory pattern?

A patient with prolonged gastric suction reports nausea, weakness, and lightheadedness. The nurse notes dry mucous membranes, low potassium, low chloride, and elevated bicarbonate. Which nursing action directly helps prevent worsening imbalance?

A postoperative patient with high nasogastric output reports new confusion and difficulty concentrating. Electrolytes show low chloride and elevated bicarbonate. Which nursing intervention best supports physiologic stability?

A post-op patient with prolonged nasogastric suction becomes difficult to arouse. Respirations slow to 8/min, end-tidal CO₂ rises, oxygen saturation is 94%, potassium is 2.8, chloride is 87, bicarbonate is 40. What action should the nurse take first?