Deck 17: Perioperative Care

Question 1

The nurse is discussing the various people whom the client will see when in the operating room suite.Which individuals should the nurse emphasize when discussing this aspect of the surgical process with the client? Select all that apply.

A) Surgeon
B) Postoperative nurse
C) Circulating nurse
D) Anesthesiologist
E) Social worker

Answer 1

Surgeon
Circulating nurse
Anesthesiologist

Question 2

A client is informed that a surgical procedure is to be scheduled in 2 weeks.Which teaching points should the nurse focus to prepare the client for the surgery? Select all that apply.

A) Maintaining a patent airway
B) Deep breathing and coughing
C) Caring for the surgical incision
D) Managing constipation
E) Managing pain

Answer 2

Deep breathing and coughing
Caring for the surgical incision
Managing constipation
Managing pain

Question 3

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

A) Level of hearing
B) Including the family in the perioperative care plan
C) Teaching on deep breathing and coughing
D) Plans for discharge care
E) Actions to prevent pressure ulcers

Answer 3

Level of hearing
Teaching on deep breathing and coughing
Plans for discharge care
Actions to prevent pressure ulcers

Question 4

The postoperative care nurse reviews the documentation from the intraoperative phase and determines that several areas are missing.Which areas did the nurse identify as being missing from the intraoperative documentation? Select all that apply.

A) Pain assessment
B) Start and stop times of anesthesia
C) Medication review
D) Antibiotic infusion times
E) Start and stop times of the procedure

Question 5

The postoperative recovery room nurse determines that a client in the postoperative phase of care can be transitioned to Phase II 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 mmHg preop
1 = BP+ 20-50 mmHg preop
0 = BP+ 50 mmHg preop

Activity
2 = Able to move 4 extremities
1 = Able to move 2 extremities
0 = Able to move 0 extremities

Question 6

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.

A) Risk for Impaired Gas Exchange
B) Risk for Decreased Cardiac Output
C) Risk for Ineffective Airway Clearance
D) Risk for Imbalanced Nutrition: Less than Body Requirements
E) Risk for Imbalanced Fluid Volume

Question 7

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

A) The alimentary tract was not entered.
B) The wound is necrotic and infected.
C) Gallbladder contents spilled into the surgical site.
D) A break in sterility occurred during the surgery.
E) The alimentary, respiratory, genital, or urinary tract was entered.

Question 8

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) An organ is going to be removed.
B) This is an emergency surgery.
C) The client will be hospitalized longer.
D) The client is at risk for blood loss.
E) The client is at risk for hypothermia.