Question 1

The nurse enters a room in preparation for a sterile dressing change.Which must the nurse do before preparing the sterile field?

Accepted Answer

Turning off the room fan is essential before preparing a sterile field to prevent air currents from carrying microorganisms into the sterile area, which could contaminate it.

Question 2

The nurse is conducting preoperative teaching for a 78-year-old client who will be having outpatient cataract surgery.Which statement by the nurse indicates the best approach to safely teaching this client?

Accepted Answer

B

Question 3

Immediately prior to placing the client on a gurney for surgery,the nurse asks the client to remove the partial plate dentures.The client becomes upset and states,"No one can see me without my teeth.I am so embarrassed by the way I look without them." What is the nurse's best response to the client?

Accepted Answer

Option C is the best response because it addresses the client's concern about embarrassment, explains the rationale for removing the dentures (to prevent injury), and provides a solution that respects the client's feelings by allowing them to remove the dentures just before surgery and replace them as soon as possible afterward.

Question 4

The nurse is preparing to do preoperative teaching for a client who will have abdominal surgery.Which preoperative teaching will the nurse emphasize for this client to assist the client with early ambulation? Select all that apply.

Accepted Answer

The answer of The nurse is preparing to do preoperative...

Question 5

The nurse is preparing to change the dressing of a surgical client and will be alert for which signs or symptoms of a wound infection? Select all that apply.

Accepted Answer

Redness around the wound and an elevated temperature (101 degrees F) are common signs of infection. Redness indicates inflammation, which is part of the body's response to infection. An elevated temperature is a systemic sign that the body is fighting an infection.

Question 6

The nurse is researching the literature to determine the best method to perform hand hygiene to prevent a postsurgical wound infection and has determined that which method has been determined to be the best?

Accepted Answer

The answer of The nurse is researching the literature to...

Question 7

The nurse has just completed teaching a client about postoperative leg exercises to prevent which postoperative complication?

Accepted Answer

Leg exercises post-surgery are primarily recommended to prevent the formation of blood clots in the legs, which can lead to a pulmonary embolism if a clot travels to the lungs.

Question 8

The nurse is preparing the room for a client who is having surgery to repair a tibial fracture.In an effort to promote early ambulation,the nurse will have which safest assistive device available for the client?

Accepted Answer

A walker provides the most stability and support for a client who is beginning to ambulate after surgery for a tibial fracture, making it the safest option among the choices provided.

Question 9

The nurse is preparing to complete hand hygiene using an alcohol-based rub and knows that how much hand rub product will be required for adequate hand cleansing?

Accepted Answer

The answer of The nurse is preparing to complete hand...

Question 10

The nurse has been asked to assist a healthcare provider with a sterile procedure at the client's bedside.The nurse enters the client's room to find a non-covered sterile field set out on the client's bedside table but the healthcare provider has left the room.What should the nurse do at this time?

Accepted Answer

The nurse should ensure that a sterile field is maintained to prevent infection. If the sterile field is left uncovered and unattended, it could be contaminated. Therefore, the nurse should request that the healthcare provider set up a new sterile field to maintain sterility and patient safety.

Question 11

The circulating nurse calls for a "time out" prior to the onset of a surgical procedure and knows that which client will not have a visible mark at the site of surgery?

Accepted Answer

The client having a splenectomy will not have a visible mark at the site of surgery because the surgery is performed internally, and marking the skin surface is not applicable as it is for external or specific site surgeries like bunionectomies, knee replacements, or melanoma removals.

Question 12

The nurse is preparing four older adult patients for surgery and knows that which client is at highest risk for postoperative pressure wound development?

Accepted Answer

The client taking prednisone daily for allergies (C) is at the highest risk for postoperative pressure wound development. Prednisone is a corticosteroid that can impair wound healing and increase the risk of infection, making this client more susceptible to pressure wounds post-surgery.

Question 13

The nurse is caring for a client who had a knee replacement completed 2 days ago.When changing the knee dressing,the nurse notes that the incision appears red and feels warm to the touch.The client's temperature is now 100.6 degrees F and the client states that the knee hurts worse now than it did the day after surgery.After calling the surgeon,the nurse anticipates which to be ordered for this client?

Accepted Answer

The symptoms described (redness, warmth at the incision site, increased pain, and fever) suggest an infection. Culturing any drainage present to identify the causative organism and administering antibiotics is a standard approach to treat an infection post-surgery. Fluids help maintain hydration and support the body's response to infection.

Question 14

The nurse is caring for a client who is being prepared for surgery.Due to a motorcycle crash 10 years ago,the client has a prosthetic right arm,prosthetic left leg,prosthetic left eye,and wears hearing aids.The client also wears a wedding ring that cannot easily be removed from the client's finger.Which statement by the nurse indicates the proper way of preparing the client for surgery?

Accepted Answer

The nurse should remove all prosthetics and hearing aids, but the ring should be taped in place.

Question 15

The nurse is performing a surgical hand scrub prior to entering the operating room.The circulating nurse will stop the nurse and reinstruct on proper hand scrubbing if the nurse does which action?

Accepted Answer

The correct hand scrubbing technique involves scrubbing for a longer duration than 25 to 30 seconds to ensure proper disinfection. Typically, a surgical hand scrub should last for about 2 to 6 minutes, depending on the specific protocol and type of scrub used.

Question 16

The nurse is preparing a sterile field prior to a wet to dry dressing change and notices that the corner of the sterile drape is damp.What is the nurse's best action at this time?

Accepted Answer

When preparing a sterile field, any compromise, such as dampness, requires starting over from the beginning, including pouring fresh liquids, to maintain sterility and prevent infection.

Question 17

The nurse is preparing a client for inguinal hernia surgery,which will require hair to be removed from the inguinal region.The nurse informs the client that this hair removal is completed at what time in relation to the surgery?

Accepted Answer

Current best practices recommend removing hair in the preoperative area as close to the time of surgery as possible using electric clippers rather than razors, to minimize the risk of skin abrasions and infections. Therefore, the correct procedure involves completing the hair removal after the client arrives at the hospital on the morning of the surgery.

Question 18

The nurse is caring for a client who had abdominal surgery three days ago.The client is able to drink fluids but is reluctant to eat anything for fear of nausea and vomiting.The nurse encourages the client to try and eat to prevent which postoperative complication?

Accepted Answer

Adequate nutrition is crucial for wound healing, especially after surgery. Without proper nutrition, the body lacks the necessary proteins, vitamins, and minerals needed for the repair and regeneration of surgical wounds, leading to delayed wound healing.

Question 19

The nurse is caring for an older adult client who is being prepared for abdominal surgery.During the preoperative assessment,the nurse notes that the client has a nonproductive cough but all lung sounds appear normal.With regard to this finding,which preoperative teaching will take priority with this client?

Accepted Answer

The use of an incentive spirometer is the priority teaching for a client with a nonproductive cough undergoing abdominal surgery. It helps prevent postoperative pulmonary complications by encouraging deep breathing, which can improve lung expansion and secretion clearance, even when preoperative lung sounds appear normal.

Question 20

The nurse is preparing a client for surgery and asks the client to remove his dentures and place them in the specified cup at the bedside.The client states,"Why are you asking me to do this? The last time I had surgery I got to keep my dentures in my mouth." Which is the nurse's best response to this client statement?

Accepted Answer

The correct response is B because it acknowledges that practices can vary depending on the anesthesiologist and the type of anesthesia being used, which is a more accurate and respectful way to address the client's concern.

Quiz 13: Perioperative Care