Question 1

Which of the following are desired outcomes of general anesthesia? Select all that apply.&#10;A) loss of consciousness&#10;B) analgesia&#10;C) relaxed skeletal muscles&#10;D) loss of sensation in specific area&#10;E) depressed reflexes&#10;F) altered mood with some degree of amnesia

Accepted Answer

A, B, C, E

Question 2

Which of the following is a factor influencing the increased incidence of outpatient/same day surgery?&#10;A) lower healthcare costs&#10;B) increase in length of hospital stays&#10;C) increase in minor surgeries&#10;D) decrease in number of surgeons

Accepted Answer

Outpatient/same day surgeries are often less expensive than inpatient procedures, contributing to lower healthcare costs.

Question 3

A nurse is giving a patient scheduled for outpatient surgery preoperative information. Which of the following are recommended teaching guidelines? Select all that apply.&#10;A) Continue with all medications routinely taken.&#10;B) Notify the surgeon's office if a cold or infection develops before surgery.&#10;C) List allergies and be sure the operating staff is aware of these.&#10;D) Wear clothing without buttons or zippers.&#10;E) Have someone available for transportation home after recovery from anesthesia.&#10;F) Continue with regular consumption of food and beverages until the morning of surgery.

Accepted Answer

Patients should notify the surgeon if they develop a cold or infection, list allergies for staff awareness, wear simple clothing for ease, and arrange transportation post-anesthesia.

Question 4

A nurse preparing an elderly patient for hip replacement surgery is aware of the surgical risks related to the patient's age. Which of the following accurately describe these risks? Select all that apply.

A) increased cardiac output
B) decreased peripheral circulation
C) increased vascular rigidity
D) increased oxygenation of blood
E) decreased thermoregulation ability
F) increased skin moisture and elasticity

Accepted Answer

As people age, peripheral circulation decreases due to loss of elasticity of blood vessels, increasing the risk of complications such as blood clots. Vascular rigidity also increases, making it more difficult to manipulate and suture vessels during surgery. Additionally, older adults have decreased ability to regulate body temperature, increasing the risk of perioperative hypothermia. Increased cardiac output, oxygenation of blood, and skin moisture and elasticity are not necessarily risks related to the patient's age.

Question 5

A nurse caring for an elderly postsurgical patient helps the patient perform leg exercises. Which age-related change makes these exercises even more important?&#10;A) reduced vital capacity&#10;B) decreased peripheral circulation&#10;C) decreased oxygenation of blood&#10;D) decreased reaction time and coordination

Accepted Answer

Decreased peripheral circulation is common in older adults due to atherosclerosis and other factors. Leg exercises can help improve circulation and prevent blood clots, which are a common complication after surgery.

Question 6

Which of the following would be an appropriate expected outcome for a patient during surgery?&#10;A) remains asleep during the surgical procedure&#10;B) remains free of neuromuscular injury&#10;C) verbalizes freedom from anxiety and restlessness&#10;D) expresses understanding of preoperative teaching

Accepted Answer

Remaining free of neuromuscular injury is a specific and measurable outcome that is directly related to the success of the surgery. The other options are important, but not necessarily the primary expected outcome for the surgical intervention.

Question 7

A nurse is assisting a postsurgical patient with effective coughing. How often should this exercise be performed?&#10;A) every hour&#10;B) every 2 hours&#10;C) every 4 hours&#10;D) every shift

Accepted Answer

Coughing exercises should be performed every 2 hours to help clear the lungs and prevent complications such as pneumonia.

Deck 21: Perioperative Nursing