Deck 30: Neonatal and Pediatric Care

Question 1

Which of the following is an example of a surgical client?

A)the client in the surgical intensive care unit
B)the client who has returned home after discharge
C)the client who is contemplating elective surgery
D)all of the above

Answer 1

A

Question 2

Which of the following is a normal goal of preoperative care?

A)to discharge the client
B)to ask questions about the client's health status
C)check on the client's surgical wound
D)to send all urine for lab tests

Answer 2

B

Question 3

Which of the following is a common concern or worry for the client having surgery?

A)fear of the roommate
B)fear of the known
C)unconcern for being off work
D)possibility of death

Answer 3

D

Question 4

Regarding preoperative care:

A)The psychosocial needs of a client are not a concern prior to surgery.
B)Preoperative care involves the preparation and management of a client.
C)You will always prepare the skin the night before surgery.
D)Encourage the client to cough,turn,and breathe deeply to prevent respiratory problems from developing.

Question 5

The suffix "ectomy" refers to:

A)creating a hole in an organ or tissue
B)cutting into an organ or tissue without removing it
C)restoring,reconstructing,or reconfiguring body parts
D)removing an organ (partially or completely)

Question 6

When a client has had surgery and is unable to move about in bed of their own accord, turning them from side-to-side every two hours will help to prevent

A)bleeding and swelling
B)pain and discomfort
C)shock and nausea
D)lung congestion and pneumonia

Question 7

Which of the following is important when preparing a surgical bed?

A)tissues available in the washroom
B)emesis bowl at bedside
C)IV pole in the hallway
D)head of the bed upright

Question 8

The following statement is true regarding the various types of surgeries:

A)urgent surgery is immediately life threatening
B)elective surgery is surgery that is chosen and not vital for physical health
C)scheduled surgeries and the only types of surgeries scheduled ahead of time
D)exploratory surgeries and surgeries required for a problem that impairs function or health but is not life threatening

Question 9

Which of the following activities are a routine part of postoperative care?

A)making sure side rails are lowered after the client is in bed
B)placing the client on their back
C)deep-breathing and coughing exercises
D)all of the above

Question 10

Giving an abdominal prep means you clean shave which of the following areas?

A)abdomen from the nipples down and including the pubic area
B)legs
C)abdomen from the nipple line down to and including the pubic area
D)none of the above

Question 11

It is important for the personal care provider to remember that the morning before surgery,the client:

A)will not be allowed any medications
B)will be able to have one final drink of water
C)will need support with respect to their safety
D)will be transferred by you to the operating-room suite

Question 12

When helping a client with his/her breathing exercises,you can encourage deeper breathing by:

A)pushing down on the rib cage.
B)asking the client to feel his/her abdomen rise
C)pushing up his/her rib cage
D)all of the above

Question 13

Which of these complications would you report to your immediate supervisor?

A)complaints of chest pain
B)normal temperature
C)absence of sneezing/coughing
D)all of the above

Question 14

A postoperative client will likely:

A)experience no pain
B)to be able to hear you
C)be nauseated from the anesthesia
D)all of the above

Question 15

When the client comes back from the surgery what should you do without checking with the nurse?

A)take the client's vital signs
B)lower the side rails
C)help move the client off the bed into the stretcher
D)give the client some water

Question 16

The client's first voiding after surgery should be

A)discard immediately.
B)measured for I & O.
C)sent to the lab immediately.
D)none of the above

Question 17

Before surgery:

A)the personal care provider will administer an anaesthetic to prevent the patient feeling pain during the procedure
B)will always receive a general anaesthetic
C)may receive a general anaesthetic which results in loss of feeling over a large area of the body,usually from the umbilicus down,including the legs and feet
D)may receive a local anaesthetics cause a numbness or loss of feeling in only a part of the body

Question 18

Deep-breathing exercises

A)help prevent abdominal complications
B)expand the lungs and bring up secretions
C)increase the risk of pneumonia.
D)all of the above

Question 19

During the evening before surgery,it is extremely important that the client:

A)drink well to avoid dehydration
B)receives a skin prep that is ordered in the morning of the surgery
C)remains NPO
D)has access to their the water pitcher

Question 20

Clients are admitted to the hospital for surgery:

A)always on the day of surgery
B)sometimes on the evening before their scheduled procedures
C)always on the evening before their scheduled procedures
D)never on the day of surgery

Question 21

Shaving the area of the body where an operation is going to be performed is called a
skin prep.

Question 22

You must remove all drinking water from the bedside of the client returning from
surgery.

Question 23

An anesthetic may be given only by inhalation.

Question 24

Deep-breathing exercises expand the lungs and assist the patient in bringing up lung secretions.

Question 25

A complication is an expected condition and quite normal.

Question 26

General anesthesia is the partial loss of sensation in the most sensitive areas of the body.

Question 27

Children going to surgery are often frightened of the equipment and noises.

Question 28

Preoperative client education prepares the client for surgery.

Question 29

Good physical and emotional preoperative care can help reduce anxiety and fears.

Question 30

If the unconscious client vomits,turn the head to one side to prevent vomitus from being drawn back into the lungs.

Question 31

When you are shaving a client before an operation,watch for scratches,pimples,cuts,
sores,or rashes on the skin and report any unusual findings to your immediate supervisor.

Question 32

A nurse anaesthetist is a:

A)a registered nurse who is specially trained to administer anaesthetics to patients
B)a registered nurse who is receiving specially trained to administer anaesthetics to patients
C)a registered nurse who is specially trained not to administer anaesthetics to patients
D)medical doctor who administers the anaesthetic to the patient in the operating room

Question 33

Frequent turning of a post-operative client helps prevent pneumonia.

Question 34

Hair on the body is not a breeding place for microorganisms.

Question 35

Accurately preparing the client for surgery promotes a safer recovery.

Question 36

A client's first voiding after surgery should be thrown away.

Question 37

Preoperative client education includes teaching deep breathing exercises to help
prevent abdominal complications.

Question 38

Preoperative clients should be turned every four hours unless instructed not to.

Question 39

Local anesthesia is the loss of sensation in only a part of the body.

Question 40

If an indwelling catheter is present,you do not need to observe the amount and color in the drainage bag.

Question 41

Clients are typically NPO within two hours of their surgery.

Question 42

Surgeries are only classified based on the degree of urgency.

Question 43

Clients are never admitted to the hospital for surgery the evening before their scheduled procedures due to space issues.

Question 44

After the client has been transferred to the operating room,your next task is to prepare the unit to receive the patient postoperatively.

Question 45

Invasiveness refers to the amount of tissue damage that is caused by a particular surgery.