Question 1

Prior to an exploratory laparotomy,60-year-old Mrs.Lily has screening tests performed.Which of the following tests provides information about red and white blood cells and the oxygen carrying capacity of the blood?

Accepted Answer

A complete blood count (CBC) provides information about red and white blood cells as well as the oxygen carrying capacity of the blood through the measurement of hemoglobin and hematocrit levels.

Question 2

Sixty-year-old Mrs.Lily develops sudden chest pain on her third post-operative day.She is diagnosed with a pulmonary embolism.Which of the following nursing interventions would help prevent a pulmonary embolism?

Accepted Answer

Early ambulation is a key nursing intervention to prevent pulmonary embolism as it promotes circulation and prevents blood clots from forming in the legs, which can travel to the lungs.

Question 3

Mrs.Reddy,78 years old,had an abdominal hysterectomy 2 days ago.She has a history of COPD.Which of the following assessment findings would prompt further action by the nurse?

Accepted Answer

A urine output less than 30 mL per hour could indicate decreased renal perfusion, which can be a complication of surgery and anesthesia in elderly patients with comorbidities such as COPD. This finding requires further assessment and intervention. The oxygen saturation of 92% may be acceptable in patients with COPD but should be monitored closely. Pain medication every 4 hours and redness/swelling at the wound edges are common postoperative findings that can be managed with appropriate interventions.

Question 4

Mrs.Monaghan has terminal cancer.She has decided not to pursue any further curative treatments.She does agree to the removal of a small tumour that is compressing her small bowel.What type of surgery is this considered?

Accepted Answer

This surgery is considered palliative, which means it is aimed at relieving symptoms or improving quality of life rather than curing the cancer. The removal of the small tumor that is compressing her small bowel is done to relieve her symptoms and improve her comfort, rather than as a curative measure.

Question 5

List three responsibilities of the nurse planning the perioperative nursing care for Mr.Kent,who is having an endoscopic gastroscopy.

Accepted Answer

The answer of List three responsibilities of the nurse planning...

Question 6

The nurse is applying antiembolism stockings to Mr.Clifton,a 75-year-old man with circulatory problems.What is the purpose of antiembolism stockings?

Accepted Answer

The purpose of antiembolism stockings is to facilitate venous return to the heart and prevent the formation of blood clots (embolisms) in the legs. Circulatory problems can increase the risk of blood clots, so the stockings are often used as a preventative measure. They do not necessarily ensure mobility or prevent contractures, prevent varicose veins, or prevent atrophy of the leg muscles.

Question 7

Mr.Chester returns from post-anaesthesia recovery room following an abdominal aneurism repair.He has a midline incision with a hemovac drain in place.What should the nurse do first after emptying the drain for 80 mL of sanguineous drainage?

Accepted Answer

The answer of Mr.Chester returns from post-anaesthesia recovery room following...

Question 8

The nurse is assessing Mr.Clarence's abdominal wound.Which of the following signs would alert the nurse to an infection?

Accepted Answer

If the edges of the wound are warm to the touch, it could indicate an infection as warmth can be a sign of inflammation. The absence of bleeding and sutures in place are not necessarily signs of infection, and the edges being well approximated may indicate proper healing, but not necessarily the absence of infection.

Quiz 36: Caring for Perioperative Clients