Deck 14: Perioperative Care

Question 1

Your client required reversal drugs after surgery. What nursing intervention is required when caring for a client who is treated with reversal drugs?

A) Instruct the client to lie flat.
B) Observe the client for an extended period.
C) Help the client slowly move to an upright or standing position.

Answer 1

Observe the client for an extended period.

Question 2

The nurse has just admitted a 12-year-old client who is going to have an above-the-knee amputation of their left leg due to osteosarcoma. The nurse knows that adequate preoperative teaching and learning is important for what reason?

A) Client will have a shorter recovery period.
B) Client will understand after surgery they will not have a left leg.
C) Client will understand they have cancer.
D) Client's family will understand their child will lose their leg in the surgery.

Answer 2

Client will have a shorter recovery period.

Question 3

The nurse is caring for a client undergoing conscious sedation. The nurse knows the client is at risk for ineffective breathing patterns. What nursing intervention will help the client demonstrate a normal breathing pattern?

A) Reinforce use of incentive spirometer.
B) Encourage progressive activity.
C) Encourage the client to drink plenty of fluids.
D) Encourage the client to take deep breaths and cough at least every hour.

Answer 3

Encourage the client to take deep breaths and cough at least every hour.

Question 4

As a nurse working in an ambulatory surgery center, you are admitting a client who is going to have a biopsy of a skin lesion. What is an important part of the preoperative process?

A) Review preoperative instructions.
B) Give postoperative instructions.
C) Teach dressing changes.
D) Give caregiver instructions.

Question 5

You are the nurse working in an ambulatory surgery center. A teenage son of your clients ask you why so many people have surgery. What would be your best reply?

A) "Many people have diagnostic or short therapeutic surgical procedures."
B) "Lots of people have cancer and need tumors removed."
C) "You know, we have a lot of sick people in the world."
D) "Not everyone has to go to the hospital to have surgery anymore."

Question 6

You are a PACU nurse caring for an older adult client who is recovering from surgery. The client tells you they are in pain. You know older adults react to medications differently than younger clients. What does this client's age put them at increased risk for?

A) Acute agitation
B) Overdose of pain medication
C) Anxiety
D) Longer recovery time

Question 7

As a nurse in a surgery clinic, you are doing preoperative teaching with an older adult client who is going to have an exploratory laparoscopy with a biopsy. What subjects do you know you have to cover with this client? Select all that apply.

A) Postoperative activity
B) Intraoperative activity
C) Postoperative pain control
D) Preoperative medication
E) Postoperative diet

Question 8

You are caring for a client who is an obese diabetic. The client is 48 hours post surgery. What is this client at increased risk for?

A) Hypotension
B) Contractures
C) Phlebitis
D) Wound dehiscence

Question 9

You are caring for a client postoperatively. What nursing interventions help prevent venous stasis and other circulatory complications in a client who has undergone surgery?

A) Place pillows under the client's knees or calves.
B) Encourage the client to move legs frequently and do leg exercises.
C) Place pressure on the client's lower extremities.
D) Place the client in a side-lying position.

Question 10

Your client has been back to the unit after surgery for about 8 hours. You know you need to prevent the development of postoperative paralytic ileus. The most appropriate nursing intervention to prevent development of postoperative paralytic ileus when caring for a postsurgical client is which of the following?

A) Encourage progressive activity.
B) Report large amounts of emesis.
C) Encourage ambulation.
D) Administer prescribed bulk-forming laxatives.

Question 11

You are physically preparing a client for surgery and instruct the person to remove any jewelry. The client refuses to remove a wedding band. What should you do in this situation?

A) Explain that the client cannot go into the operating room with jewelry on.
B) Medicate the client and then remove the ring.
C) Place gauze under and over the ring and apply adhesive tape over it.
D) Tell the physician and anesthesiologist.

Question 12

You are caring for a client 24 hours post surgery. You note that the client is having persistent hiccups. What action is most appropriate for you to take?

A) Position the client on his or her side.
B) Assist the client to intake ample amounts of water.
C) Notify the physician.
D) Instruct the client to take deep breathe.

Question 13

The nursing instructor is talking with her class about spinal anesthesia. What would be the nursing care intervention required when caring for a client recovering from spinal anesthesia?

A) Turn the client from side to side at least every 2 hours.
B) Assist the client to a sitting position at the side of the bed.
C) Instruct the client to remain flat for 6 to 12 hours.
D) Monitor vital signs every 2 hours.

Question 14

You are caring for a client who needs to ambulate. What considerations should be included when planning the postoperative ambulatory activities for the older adult?

A) Respiratory depressive effects
B) Tolerance
C) Convalescent period
D) Detailed medication history

Question 15

You are caring for a client during the immediate postoperative period. You know that you need to assess this client for shock. What signs and symptoms indicate that the client may be in shock?

A) Weak and rapid pulse rate
B) Warm, dry skin
C) Pooling of secretions in the lungs
D) Obstructed airway

Question 16

The nurse is caring for a client who develops an evisceration. What nursing intervention is most appropriate when an evisceration occurs in the surgical wound of a client who has undergone surgery?

A) Instruct the client to avoid any movement.
B) Administer prescribed analgesics.
C) Place the client in a position that puts the least strain on the operative area.
D) Place sterile dressings moistened with normal saline over the protruding organs and tissues.

Question 17

Which of the following are reasons people have surgery? Select all that apply.

A) Cosmetic
B) Diagnostic
C) Palliative
D) Normative
E) Causative

Question 18

A physically fit 86-year-old is scheduled for right knee replacement. What factor in this client makes them at increased risk for surgery?

A) Age
B) Type of surgery
C) Ability to metabolize medication
D) Nutritional status

Question 19

You are caring for a client 6 hours post surgery. You observe that the client voids urine frequently and in small amounts. You know that this most probably indicates what?

A) Requirement of intermittent catheterization
B) Calculus formation
C) Urine retention
D) Urinary infection

Question 20

The nurse is physically preparing a client for surgery. What area does the nurse know needs to be addressed before the client is taken to the operating room?

A) Medication
B) Elimination
C) Activity
D) Support system

Question 21

As a circulating nurse, what task are you solely responsible for?

A) Keeping records.
B) Estimating the client's blood loss.
C) Handing instruments to the surgeon.
D) Counting sponges and needles.

Question 22

You are caring for a client preoperatively who is very anxious and fearful about their surgery. You know that this client's anxiety can cause problems with the surgical experience. What type of problems can this client have because of their anxiety and fear?

A) Anxiety and fear increases the need for anesthesia and postoperative medications.
B) Anxious clients have a poor response to surgery and are prone to complications.
C) Anxious clients need psychological counseling after surgery.
D) Anxiety and fear can affect a client positively during and after surgery.

Question 23

The nurse in the preoperative area has just medicated her client according to the anesthesiologist's orders. What is the nurse's priority action at this time?

A) Place the side rails in the up position and make sure the call button is in reach.
B) Take the client to the bathroom.
C) Have the family go to the waiting room.
D) Take the client's vital signs.

Question 24

Surgical asepsis is a requirement in the restricted zone of the operating suite. What personal protective equipment should the nurse wear at all times in the restricted zone of the operating room?

A) Gown
B) Masks covering the nose and mouth
C) Goggles
D) Gloves

Question 25

You are working in the preoperative area with a client going to surgery for a cholecystectomy. The client has histamine -receptor2antagonists ordered preoperatively. The client asks you why these medications are needed. What would be your best answer?

A) "These medications slow motor activity."
B) "These medications decrease the amount of anesthesia you will need."
C) "These medications decrease anxiety before surgery."
D) "These medications decrease gastric acidity and volume."