Deck 40: Perioperative Nursing

Question 1

A client recovering from surgery is experiencing severe nausea and vomiting.Which action should the nurse take to assist this client?

A) Provide warm fluids
B) Encourage lying down after eating
C) Provide ice cubes for the client to suck
D) Provide low-carbohydrate,high-fat foods

Answer 1

Provide ice cubes for the client to suck

Question 2

The nurse is admitting a client from the post-anesthesia care unit (PACU).When should the nurse assess this client?

A) Every 4 hours
B) Every hour for 8 hours
C) On arrival to the care area
D) Every 30 minutes for the first 4 hours

Answer 2

On arrival to the care area

Question 3

What is the focus of nursing care during the intraoperative phase?

A) Prepare the patient for surgery
B) Maintain the sterile field
C) Ensure patient safety during the surgery
D) Obtain a signed informed consent

Answer 3

Ensure patient safety during the surgery

Question 4

A patient scheduled for surgery does not have a signed consent form on the chart.The healthcare provider directs the nurse to have the client sign the consent before reviewing the type of surgery.What should the nurse do?

A) Follow the surgeon's orders and ask the patient to sign the surgical consent form.
B) Inform the surgeon that the consent form will be provided after the surgery is discussed with the patient.
C) Ensure that the signed surgical consent is witnessed by two nurses,because the surgeon is not available.
D) Cancel the surgery.

Question 5

The preoperative phase encompasses which period of time?

A) Entry to the operating suite until admission to post-anesthesia care
B) Entry into the operating suite until discharge from the hospital
C) The decision to have surgery until admission to post-anesthesia care
D) The decision to have surgery until entry to the operating suite

Question 6

The intraoperative nurse prepares a client on the operative table.What will the nurse use to guide the position in which to place the client for the surgery?

A) Airway
B) Client handedness
C) Length of the procedure
D) Intravenous catheter site

Question 7

The nurse learns that a patient having surgery the next day takes an anticoagulant,a multivitamin,and vitamin E 1,500 IU.The anticoagulant was stopped 4 days ago as instructed; however,the patient continues to take the multivitamin and vitamin E.Why should the nurse contact the surgeon?

A) Needs an order to restart the anticoagulant
B) Concerned about continued use of the multivitamin
C) Concerned about the vitamin E dosage
D) Has canceled the surgery so more lab tests can be done

Question 8

The family of a patient recovering from surgery asks the nurse why the patient is in the post-anesthesia care unit (PACU).How should the nurse respond to the family?

A) Patients who have had surgical complications are observed in the PACU until they are stable enough to return to the floor.
B) Patients recover from the effects of anesthesia in the PACU and then return to the postsurgical unit for further care.
C) The PACU is a holding area for patients awaiting a surgical unit bed or awaiting adequate staff to provide care on the postsurgical unit.
D) The nurse will ask the surgeon to explain to them why the patient is not on the postsurgical unit,as is the usual procedure.

Question 9

What is the focus of nursing activities during the preoperative phase?

A) Admit the patient to the surgical suite.
B) Prepare the patient mentally and physically for surgery.
C) Set up the sterile field in the operating room.
D) Perform the primary surgical scrub to the surgical site.

Question 10

The nurse notes that a client had a 500-mL blood loss during a surgical procedure.Which nursing diagnosis should the nurse identify as appropriate for the client?

A) Risk for Infection
B) Risk for Deficient Fluid Volume
C) Risk for Ineffective Breathing Pattern
D) Risk for Ineffective Peripheral Tissue Perfusion

Question 11

A client is going to be in surgery for at least 6 hours.What should the nurse do to protect the client's skin during the surgery?

A) Pad bony prominences
B) Reposition the client every 2 hours
C) Massage the lower extremities
D) Apply sequential compression devices

Question 12

Which is the most appropriate nursing goal for a 2-year-old who is to have a tonsillectomy?

A) Separation anxiety will be minimal.
B) The child will verbalize understanding of expected pain.
C) The child will tolerate a normal diet 24 hours after surgery.
D) The parent will indicate readiness to assume the child's care.

Question 13

Which type of surgery will a patient have if the purpose is removal of tissue to relieve pain?

A) Procurement
B) Ablative
C) Palliative
D) Diagnostic

Question 14

A patient wearing knee-high antiembolism stockings is to have a sequential compression device (SCD)applied while on the postoperative unit.When applying the SCD,what should the nurse do?

A) Remove the antiembolism stockings and not replace them.
B) Replace the knee-high stockings with thigh-high stockings.
C) Notify the surgeon that the patient is wearing antiembolism stockings.
D) Apply the SCD over the knee-high antiembolism stockings.

Question 15

A 2-year-old child is scheduled for a tonsillectomy.What should the nurse do when planning this client's plan of care?

A) Include the parents or caregivers in the plan of care.
B) Explain to the child that she will have a sore throat after surgery.
C) Tell the child that she can have her favorite foods for the first 24 hours after surgery.
D) Prepare the child for discharge from the hospital as soon as she is alert.

Question 16

The nurse has a prescription to give a series of medications on an "on call" basis.When should the nurse expect to provide these medications?

A) In the post-anesthesia recovery unit
B) At the time specified in the order
C) On the patient's arrival in the surgery suite
D) When the OR staff notify the nurse to do so

Question 17

The patient tells the nurse,"I'm so nervous.I want to be knocked out for the surgery so that I don't know what is going on." When the nurse communicates with the surgeon and anesthetist,which type of surgery should the nurse report that the patient desires?

A) Conscious sedation
B) General anesthesia
C) Local anesthesia
D) Regional anesthesia

Question 18

A patient has chronic confusion secondary to dementia and is unable to sign an informed consent for surgery.What should be done in this situation?

A) An informed consent is not needed.
B) Two nurses may sign the informed consent for the patient.
C) The surgeon must sign the informed consent.
D) A family member will be asked to sign the informed consent.

Question 19

A patient scheduled for hip surgery takes an anticoagulant,a multivitamin,and vitamin E 1,500 IU every day.The patient stopped taking the anticoagulant 4 days ago as instructed by the surgeon,but has continued to take the multivitamin and vitamin E.Which is a potential problem for this patient?

A) Potential complication: anemia
B) Risk for infection related to inadequate anticoagulant dosage
C) Risk for noncompliance related to inability to follow instructions
D) Risk for bleeding

Question 20

The nurse notes that a client's surgical wound is healing slowly.What should the nurse suggest to improve this client's tissue integrity?

A) Encourage bedrest
B) Provide with high-fat foods
C) Remind to avoid taking a multivitamin
D) Instruct on increasing the intake of protein

Question 21

The nurse in the operating room is preparing a client for a surgical procedure.What action will the nurse take to prepare the client's skin? Select all that apply.

A) Remove the hair
B) Cleanse the surgical site
C) Apply a transparent dressing
D) Apply a water-based lubricant
E) Assess the skin for rashes or areas of breakdown

Question 22

A patient had a colon resection for removal of a cancerous tumor.Postoperatively,on the surgical floor,which activity would the nurse perform for the purpose of decreasing the risk of postoperative complications? Select all that apply.

A) Assist the patient to turn,breathe deeply,and cough every 2 hours.
B) Teach the patient about the type of tumor removed.
C) Assess the drainage from the surgical site.
D) Monitor vital signs on a regular basis.
E) Coach the patient in how to perform leg exercises in bed.

Question 23

A young adult woman is scheduled for a bilateral breast reduction under general anesthesia.She is normally healthy and takes no daily medications.Which preoperative screening test will be prescribed for this patient? Select all that apply.

A) Urinalysis
B) ECG
C) Creatinine clearance
D) CBC
E) Chest x-ray

Question 24

Which statement describes the Perioperative Nursing Data Set? Select all that apply.

A) A standardized tool for assessing high-risk surgical patients
B) A standardized vocabulary encompassing all surgical patient outcomes
C) The first specialized nursing language recognized by the ANA
D) A standardized language designed to describe the care of perioperative patients
E) A method to evaluate the outcomes of patient care

Question 25

How are surgeries commonly classified? Select all that apply.

A) Acuity
B) Level of urgency
C) Length of surgery
D) Organ involved
E) Body system

Question 26

What is a desired effect of general anesthesia? Select all that apply.

A) Reduction of risk
B) Analgesia
C) Amnesia
D) Muscle relaxation
E) Reduction of respiratory secretions

Question 27

The preoperative nurse is preparing a patient for surgery.What action will this nurse complete? Select all that apply.

A) Inform the family to wait in the surgical waiting room.
B) Prepare the surgical suite for the operation.
C) Remove the patient's dentures and contact lenses.
D) Assist the patient to complete a living will.
E) Escort the patient into the surgical suite.

Question 28

The nurse is caring for a patient who had abdominal surgery 3 days ago and will be discharged home later today.Which patient behavior indicates that discharge teaching has been effective? Select all that apply.

A) Describes clinical findings associated with infection
B) Performs the dressing change as prescribed
C) Demonstrates absence of surgical incision pain
D) Completes the regimen of prescribed antibiotics
E) Explains the activity permitted while recovering

Question 29

Which member of the operative team uses sterile technique during the surgical procedure? Select all that apply.

A) Surgeon
B) Anesthetist
C) Scrub nurse
D) Registered nurse first assistant
E) Circulating nurse

Question 30

A patient returns from surgery with a nasogastric (NG)tube and intermittent gastric suction to provide abdominal decompression.Which is a correct nursing activity for managing the equipment and drainage? Select all that apply.

A) Wear nonsterile procedure gloves when emptying the drainage container.
B) When irrigating the nasogastric tube,use sterile water.
C) Wear sterile gloves when irrigating the nasogastric tube.
D) Apply water-soluble lubricant if the patient's lips are dry.
E) Secure the NG tube to the patient's nose and gown.