Exam 17: Perioperative Care

A nurse was involved in the perioperative care of a preterm infant requiring cardiothoracic surgery. The infant has now been moved to the NICU. How should the nurse change the focus of her assessment in the postoperative phase?

The postoperative recovery room nurse determines that a client in the postoperative phase of care can be transitioned to phase 2 of recovery. The client is able to take deep breaths and cough, is using oxygen to maintain a saturation of greater than 90%, is fully awake, has a systolic blood pressure that is 130 mmHg now but the preoperative systolic blood pressure was 100 mmHg, and is able to move all four extremities independently. Using the following scale, this client's Aldrete score is ________. The Aldrete score: Respiration 2 = Able to take deep breath and cough 1 = Dyspnea/shallow breathing 0 = Apnea O₂ Saturation 2 = Maintains >92% on room air 1 = Needs O₂ inhalation to maintain O₂ saturation >90% 0 = Saturation <90% even with supplemental oxygen Consciousness 2 = Fully awake 1 = Arousable on calling 0 = Not responding Circulation 2 = BP 20% preop 1 = BP 20-49% preop 0 = BP 50% preop Activity 2 = Able to move 4 extremities 1 = Able to move 2 extremities 0 = Able to move 0 extremities

What drug may be used to treat nausea and vomiting associated with operative procedures?

The postoperative nurse is planning care for a client recovering from major thoracic surgery. Which nursing diagnoses should the nurse select to plan for this client's immediate care needs? Select all that apply.

The nurse is preparing an older adult client for surgery. On which topics should the nurse focus when preparing this client's preoperative teaching? Select all that apply.

What is characteristic of assessment in perioperative care?

Which of the following statements best describes the vital signs the nurse collects during the preoperative phase?

A client presents with decreased blood volume, hypotension, tachycardia, and tachypnea during surgery. Which of the following intraoperative complications is most likely?

While receiving report from the operating room, the nurse learns that a client's surgical wound after gallbladder removal is classified as III. What does this classification tell the nurse? Select all that apply.

The postoperative care nurse is reviewing the documentation from the intraoperative phase of a client's surgical procedure. Which information should the nurse anticipate finding on the intraoperative documentation? Select all that apply.

How often should a client be monitored during the intraoperative phase?

The nurse is providing teaching to a client who is scheduled to undergo surgery in 2 weeks. Which topics should the nurse include that will prepare the client to help reduce complications during the postoperative phase? Select all that apply.

A prothrombin time (PT)test measures which of the following?

Which of the following situations demands that all perioperative staff cover their bodies with lead shields?

The nurse is providing teaching to a client who is about to undergo surgery. When discussing whom the client can expect to see in the operating room suite, which individuals should the nurse include? Select all that apply.

The nurse is preparing a client for emergency surgery to repair liver and colon lacerations caused by a motor vehicle crash. Which information about this type of surgery will the nurse use to guide the client's care? Select all that apply.

A client with terminal cancer is undergoing surgery to partially remove a tumor that is pressing on a nerve and causing pain. This is classified as what type of surgery?