Question 1

What is the ideal time for preoperative teaching?

Accepted Answer

A)  Immediately before surgery to eliminate fear 
B)  2 months in advance so the patient can prepare 
C)  1 to 2 days before the surgery when anxiety is not as high 
D)  In the surgical holding area 
A)  Immediately before surgery to eliminate fear 
B)  2 months in advance so the patient can prepare 
C)  1 to 2 days before the surgery when anxiety is not as high 
D)  In the surgical holding area C

Question 2

What should the nurse do to minimize the potential for venous stasis?

Accepted Answer

A)  Place pillows under the knee in a position of comfort. 
B)  Assist patient to sit with feet flat on the floor. 
C)  Assist with early ambulation. 
D)  Perform gentle leg massage. 
A)  Place pillows under the knee in a position of comfort. 
B)  Assist patient to sit with feet flat on the floor. 
C)  Assist with early ambulation. 
D)  Perform gentle leg massage. C

Question 3

The nurse clarifies that serum potassium levels are determined before surgery to:

Accepted Answer

A)  assess kidney function. 
B)  determine respiratory insufficiency. 
C)  prevent arrhythmias related to anesthesia. 
D)  measure functional liver capability. 
A)  assess kidney function. 
B)  determine respiratory insufficiency. 
C)  prevent arrhythmias related to anesthesia. 
D)  measure functional liver capability. C

Question 4

The patient is brought into PACU still unconscious.What should the nurse do when the nurse assesses an oral temperature of 94°F?

Accepted Answer

A)  Notify the charge nurse immediately. 
B)  Offer warm fluids through a straw. 
C)  Do nothing,this is a normal reaction to anesthesia. 
D)  Cover with a warm blanket. 
A)  Notify the charge nurse immediately. 
B)  Offer warm fluids through a straw. 
C)  Do nothing,this is a normal reaction to anesthesia. 
D)  Cover with a warm blanket.

Question 5

On the patient's return to the medical-surgical unit,the nurse performing an abdominal assessment can affirm an absence of bowel sounds after listening in each quadrant for at least:

Accepted Answer

A)  30 seconds. 
B)  1 minute. 
C)  2 minutes. 
D)  3 minutes. 
A)  30 seconds. 
B)  1 minute. 
C)  2 minutes. 
D)  3 minutes.

Question 6

The type of anesthesia that uses a combination of drugs to reduce the level of consciousness and provides amnesia is conscious (or moderate)____________________.

Accepted Answer

The answer of The type of anesthesia that uses a...

Question 7

The nurse is aware that there is a loss of _________ during catabolism after severe tissue injury.

Accepted Answer

The answer of The nurse is aware that there is...

Question 8

A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF)of his left ankle.Which is the first assessment to make?

Accepted Answer

A)  Check ankle dressings for hemorrhage. 
B)  Check airway for patency. 
C)  Check intravenous site. 
D)  Check pedal pulse. 
A)  Check ankle dressings for hemorrhage. 
B)  Check airway for patency. 
C)  Check intravenous site. 
D)  Check pedal pulse.

Question 9

The removal of a nondiseased appendix during a hysterectomy is classified as:

Accepted Answer

A)  major,emergency,diagnostic. 
B)  major,urgent,palliative. 
C)  minor,elective,ablative. 
D)  minor,urgent,reconstructive. 
A)  major,emergency,diagnostic. 
B)  major,urgent,palliative. 
C)  minor,elective,ablative. 
D)  minor,urgent,reconstructive.

Question 10

In which situation might surgery be delayed?

Accepted Answer

A)  The patient has taken Dilantin today. 
B)  An illegible signature is on the consent form. 
C)  The patient is still taking anticoagulants. 
D)  The admission office is unable to confirm insurance coverage. 
A)  The patient has taken Dilantin today. 
B)  An illegible signature is on the consent form. 
C)  The patient is still taking anticoagulants. 
D)  The admission office is unable to confirm insurance coverage.

Question 11

Which medication would cause surgery to be delayed if it had not been discontinued several days before surgery?

Accepted Answer

A)  Analgesic agent 
B)  Antihypertensive agent 
C)  Anticoagulant agent 
D)  Antibiotic agent 
A)  Analgesic agent 
B)  Antihypertensive agent 
C)  Anticoagulant agent 
D)  Antibiotic agent

Question 12

While turning a patient who had a bowel resection yesterday,the wound eviscerated.What is the initial nursing intervention?

Accepted Answer

A)  Place the patient in the high Fowler's position. 
B)  Give the patient fluids to prevent shock. 
C)  Replace the dressing with sterile fluffy pads. 
D)  Apply a warm,moist normal saline sterile dressing. 
A)  Place the patient in the high Fowler's position. 
B)  Give the patient fluids to prevent shock. 
C)  Replace the dressing with sterile fluffy pads. 
D)  Apply a warm,moist normal saline sterile dressing.

Question 13

Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon?

Accepted Answer

A)  "I have been taking an herbal product of feverfew for my migraines." 
B)  "I exercise for 3 hours a day." 
C)  "I drink 2 glasses of wine a day." 
D)  "I use atropine eye drops every day." 
A)  "I have been taking an herbal product of feverfew for my migraines." 
B)  "I exercise for 3 hours a day." 
C)  "I drink 2 glasses of wine a day." 
D)  "I use atropine eye drops every day."

Question 14

The patient who had a nephrectomy yesterday has not used the patient-controlled analgesia (PCA)delivery system but admits to being in pain but fearful of addiction.What is the nurse's best response?

Accepted Answer

A)  "Modern analgesic drugs do not cause addiction." 
B)  "Pain relief is worth a short period of addiction." 
C)  "Addiction rarely occurs in the brief time postsurgical analgesia is required." 
D)  "Addiction could be a real concern." 
A)  "Modern analgesic drugs do not cause addiction." 
B)  "Pain relief is worth a short period of addiction." 
C)  "Addiction rarely occurs in the brief time postsurgical analgesia is required." 
D)  "Addiction could be a real concern."

Question 15

The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:

Accepted Answer

A)  support the surgical site with a pillow. 
B)  position patient in a side-lying position. 
C)  medicate with prescribed narcotic before coughing. 
D)  ask the patient to cross arms over the chest to increase force of cough. 
A)  support the surgical site with a pillow. 
B)  position patient in a side-lying position. 
C)  medicate with prescribed narcotic before coughing. 
D)  ask the patient to cross arms over the chest to increase force of cough.

Question 16

Why might the older adult patient not respond to surgical treatment as well as a younger adult patient?

Accepted Answer

A)  Poor skin turgor 
B)  Fear of the unknown 
C)  Response to physiologic changes 
D)  Decreased peristalsis related to anesthesia 
A)  Poor skin turgor 
B)  Fear of the unknown 
C)  Response to physiologic changes 
D)  Decreased peristalsis related to anesthesia

Question 17

The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy.

Accepted Answer

A)  general 
B)  regional 
C)  specific 
D)  preoperative 
A)  general 
B)  regional 
C)  specific 
D)  preoperative

Question 18

The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for:

Accepted Answer

A)  a flushing of the face and torso. 
B)  numbness of the perineum. 
C)  complaint of thirst. 
D)  a sudden drop in blood pressure. 
A)  a flushing of the face and torso. 
B)  numbness of the perineum. 
C)  complaint of thirst. 
D)  a sudden drop in blood pressure.

Question 19

What instruction should a nurse give when teaching the patient to cough effectively after surgery?

Accepted Answer

A)  Breathe through the nose,hold breath,and exhale slowly. 
B)  Take three deep breaths and cough from the chest. 
C)  Inhale while contracting the abdominal muscles and exhale while contracting the diaphragm. 
D)  Take short,frequent panting breaths and cough from the throat to clear accumulated mucus. 
A)  Breathe through the nose,hold breath,and exhale slowly. 
B)  Take three deep breaths and cough from the chest. 
C)  Inhale while contracting the abdominal muscles and exhale while contracting the diaphragm. 
D)  Take short,frequent panting breaths and cough from the throat to clear accumulated mucus.

Question 20

When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?

Accepted Answer

A)  Only when the patient asks. 
B)  When the onset of pain is assessed. 
C)  Sparingly to avoid drug dependence. 
D)  Only when severe pain is assessed. 
A)  Only when the patient asks. 
B)  When the onset of pain is assessed. 
C)  Sparingly to avoid drug dependence. 
D)  Only when severe pain is assessed.

Exam 42: Care of the Surgical Patient

What is the ideal time for preoperative teaching?

What should the nurse do to minimize the potential for venous stasis?

The nurse clarifies that serum potassium levels are determined before surgery to:

The patient is brought into PACU still unconscious.What should the nurse do when the nurse assesses an oral temperature of 94°F?

On the patient's return to the medical-surgical unit,the nurse performing an abdominal assessment can affirm an absence of bowel sounds after listening in each quadrant for at least:

The type of anesthesia that uses a combination of drugs to reduce the level of consciousness and provides amnesia is conscious (or moderate)____________________.

The nurse is aware that there is a loss of _________ during catabolism after severe tissue injury.

A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF)of his left ankle.Which is the first assessment to make?

The removal of a nondiseased appendix during a hysterectomy is classified as:

In which situation might surgery be delayed?

Which medication would cause surgery to be delayed if it had not been discontinued several days before surgery?

While turning a patient who had a bowel resection yesterday,the wound eviscerated.What is the initial nursing intervention?

Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon?

The patient who had a nephrectomy yesterday has not used the patient-controlled analgesia (PCA)delivery system but admits to being in pain but fearful of addiction.What is the nurse's best response?

The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:

Why might the older adult patient not respond to surgical treatment as well as a younger adult patient?

The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy.

The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for:

What instruction should a nurse give when teaching the patient to cough effectively after surgery?

When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Patient With an Integumentary Disorder

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

Professional Roles and Leadership

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