Deck 33: Performing Perioperative Care

Question 1

Which tasks can the nurse assign to the assistive personnel (AP) who is assisting with providing care on a medical-surgical unit? Select all that apply.

A) Documenting the assessment completed by the nurse
B) Reinforcing teaching previously provided by the nurse
C) Assisting with client exercises
D) Reporting when a client cannot complete exercises
E) Conducting discharge teaching

Answer 1

B, C, D
Explanation:1. The nurse performs and documents the client assessment.
2. The AP can reinforce any teaching previously provided by the nurse.
3. The AP can assist the client with exercises.
4. The AP can report any problems the client has when performing exercises.
5. The AP cannot conduct discharge teaching but can reinforce any teaching that has already occurred.

Question 2

A client is in the intraoperative phase of the perioperative period. Which action should the nurse expect to be completed during this phase?

A) Teaching
B) Intervening to facilitate healing
C) Identifying potential health problems
D) Transferring to the operating room table

Answer 2

D
Explanation:1. Teaching occurs during the preoperative phase.
2. Intervening to facilitate healing occurs during the postoperative phase.
3. Identifying potential health problems occurs during the preoperative phase.
4. Transferring to the operating room table occurs during the intraoperative phase.

Question 3

A client is scheduled for surgery at 1400. At which time should the client have a last light meal?

A) 0600
B) 0800
C) 1000
D) 1200

Answer 3

B
Explanation:1. The client can have a heavier meal up to 8 hours before surgery.
2. The client can have a light meal up to 6 hours before surgery.
3. If the client is a baby, breast milk can be provided up to 4 hours before surgery.
4. The client can have clear liquids up to 2 hours before surgery.

Question 4

The nurse is preparing a client for surgery. Which teaching should the nurse provide when focusing on the skills training dimension of teaching?

A) Expectations of the client
B) Provide accurate information
C) Use of an incentive spirometer
D) Process of receiving pain medication

Question 5

The nurse is performing a surgical hand antisepsis scrub with a sponge. Which area should the nurse cleanse first?

A) Palm
B) Wrist
C) Fingers
D) Elbows

Question 6

A client is returning to the care area from the postanesthesia recovery room. At which time should the nurse assess the client's pain level?

A) During the assessment of vital signs
B) When evaluating skin color and temperature
C) At the time of assessing level of consciousness
D) When monitoring intravenous fluids and flow rate

Question 7

A client recovering from surgery has dull breath sounds and decreased oxygen saturation. Which action should the nurse take to improve this client's oxygenation?

A) Assist to take oral fluids
B) Apply antiembolism stockings
C) Encourage to perform leg exercises
D) Coach to perform deep-breathing exercises

Question 8

A client recovering from surgery has severe nausea and retching. Which action should the nurse take?

A) Provide chewing gum
B) Assist out of bed to a chair
C) Provide antiemetic medication
D) Encourage oral clear liquid intake

Question 9

The nurse is caring for a client recovering from surgery. Which task should the nurse assign to assistive personnel (AP)?

A) Irrigate a nasogastric tube
B) Evaluate the postoperative wound dressing
C) Empty the gastrointestinal suction container
D) Regulate the rate of the intravenous infusion

Question 10

A client has an episode of emesis upon arrival from the postanesthesia care unit after surgery. In which way should the nurse document this occurrence?

A) Patient vomited.
B) Patient sipped water and then vomited.
C) Patient complained of nausea before vomiting.
D) Patient had a 250 mL emesis of clear green fluid.