Deck 56: Preoperative and Postoperative Care

Question 1

What type of surgery is a tubal ligation for sterilization?

A) Optional/Elective surgery
B) Required/Nonelective surgery
C) Urgent/Nonelective surgery
D) Emergency surgery

Answer 1

Optional/Elective surgery

Question 2

What is a possible complication associated with decreased activity as a result of obesity?

A) Hypostatic pneumonia
B) Dehydration
C) Confusion
D) Bleeding disorders

Answer 2

Hypostatic pneumonia

Question 3

What immediate post-surgical complication will the nurse be particularly attentive to when caring for an 88-year-old client who received moderate sedation for an elective surgery?

A) Delayed arousal.
B) Respiratory distress.
C) Depressed level of consciousness.
D) Delayed response to commands.

Answer 3

Depressed level of consciousness.

Question 4

What statement about general anesthesia is accurate?

A) It disrupts sensation to a specific body part.
B) The client does not have loss of consciousness.
C) The anesthetic agent is administered topically by injection.
D) It blocks all body sensations.

Question 5

The nurse educator is reviewing key concepts about anesthesia with a group of student nurses. What statement about local anesthesia is correct?

A) Disrupt sensation to specific body part.
B) The client has altered consciousness.
C) The anesthetic agent is administered intravenously, rectally, or by inhalation.
D) Client requires respiratory assistance.

Question 6

What observation will the nurse likely make about the client's pulse during stage I of general anesthesia?

A) Weak and thready pulse
B) Decreased pulse
C) Increased pulse
D) Normal pulse

Question 7

What observation will the nurse likely make concerning the client's blood pressure during stage II of general anesthesia?

A) Fluctuating blood pressure
B) Normal blood pressure
C) Increased blood pressure
D) Decreased blood pressure

Question 8

How many stages of observable changes will a client receiving a slow acting anesthetic experience?

A) One
B) Two
C) Three
D) Four

Question 9

Which level of Maslow's hierarchy of needs is the focus of immediate postoperative care?

A) Physiologic
B) Safety and security
C) Love and belonging
D) Self esteem

Question 10

What is the correct sequence of the steps for client teaching in the preoperative period?
1) Explain what the nurse is going to do
2) Organize the teaching
3) Demonstrate the procedure
4) Have the client return the demonstration

A) 1, 2, 3, 4
B) 2, 1, 3, 4
C) 3, 4, 1, 2
D) 4, 3, 2, 1

Question 11

A nurse is to prepare a 45-year-old client for surgery under general anesthesia. What must the nurse keep in mind when providing general preoperative care for the client?

A) Shave the skin over the operative area about 3 hours before surgery.
B) Avoid giving fluids or food at least 8 hours before the surgery.
C) Ensure aspirin and ibuprofen are stopped at least 2 days in advance.
D) Ensure that the client signs the consent to surgery in the operating room.

Question 12

What side effect of the atropine should the nurse report immediately to the healthcare provider?

A) Urinary retention
B) Difficulty swallowing
C) Dryness of the mouth
D) Constipation

Question 13

What is the minimal number of staff members that have to check the ID band before any client enters the OR?

A) One
B) Two
C) Three
D) Four

Question 14

The nurse is using a defibrillator on a client in the PACU. This piece of equipment supports which basic client need?

A) Airway aid
B) Breathing aid
C) Circulatory aid
D) Drug aid

Question 15

What signs could indicate the immediate postoperative complication of shock? Select all that apply.

A) Hypotension
B) Widen pulse pressure
C) Tachycardia
D) Cold, clammy skin
E) Thready pulse

Question 16

What instructions should the nurse provide the client to effectively use the incentive spirometer? Select all that apply.

A) Sit in an upright position while using the spirometer.
B) Avoid coughing during the procedure.
C) Inhale slowly with 8 to 10 repetitions.
D) Coughing after the procedure is encouraged.
E) Breath in and out forcefully when using the spirometer.

Question 17

The risk for which post-surgical complication is best minimized by ambulating the client as prescribed?

A) Postoperative infection
B) Pulmonary embolism
C) Hypovolemic shock
D) Atelectasis

Question 18

An older adult client recovering from surgery is at increased risk for which conditions? Select all that apply.

A) Enhanced perception of pain
B) Confusion
C) Increased potential for infection
D) Decreased response to medication
E) Develop unexpected medication side effects

Question 19

Then nurse is using a pulse oximeter for recording oxygen saturation. Which nursing consideration is most important for the nurse to keep in mind?

A) Avoid using alcohol to clean the site where the sensor is applied.
B) Ensure that the sensor is placed over the client's thumb or toe.
C) Ensure that the alarm is set when performing continuous analysis.
D) Avoid moving or changing the position of the sensor.

Question 20

A client who had surgery for shoulder dislocation is moved to the postoperative nursing care unit. Which nursing step must the nurse perform when providing immediate postoperative care to the client?

A) Avoid cleaning and changing the client's dressing.
B) Allow the client's family members to see the client before beginning assessment.
C) Position the client's feet in Trendelenburg's position.
D) Splint the area over the incision with a pillow or blanket.

Question 21

Which nursing intervention is implemented specifically to prevent the occurrence of atelectasis in the client?

A) Ambulate the client as soon as possible after the surgery.
B) Place a folded towel over the incision to apply pressure evenly.
C) Ensure that the incision area is supported and splinted with a pillow when taking a deep breath.
D) Avoid administering analgesics to the client to prevent complications.

Question 22

A client who had a hysterectomy 2 days ago begins to exhibit symptoms of elevated temperature, severe pain, redness and swelling around the incision, and an elevated white blood count. What potential complication is associated with these symptoms?

A) Postoperative infection
B) Pulmonary embolism
C) Hypovolemic shock
D) Atelectasis