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NursingFundamentals NursingFundamentals of NursingPractice Set 9
NursingFundamentals NursingFundamentals of NursingPractice Set 9Care Of Surgical Patients
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Question 1
Free
Multiple Choice
The nurse is caring for a surgical patient, when the family member asks what perioperative nursing means. How should the nurse respond?
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Perioperative nursing occurs in preadmission testing.
Perioperative nursing occurs primarily in the postanesthesia care unit.
Perioperative nursing includes activities before, during, and after surgery.
Perioperative nursing includes activities only during the surgical procedure.
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Question 2
Free
Multiple Choice
The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient's laboratory tests and allergies and prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
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Perioperative
Preoperative
Intraoperative
Postoperative
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Question 3
Free
Multiple Choice
The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. How will the nurse classify this procedure?
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Major
Urgent
Elective
Emergency
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Question 4
Free
Multiple Choice
The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of ASA III. Which assessment will support this classification?
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Normal, healthy patient
Denial of any major illnesses or conditions
Poorly controlled hypertension with implanted pacemaker
Moribund patient not expected to survive without the operation
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Question 5
Free
Multiple Choice
The patient has presented to the ambulatory surgery center to have a colonoscopy. The patient is scheduled to receive moderate sedation (conscious sedation) during the procedure. How will the nurse interpret this information?
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The procedure results in loss of sensation in an area of the body.
The procedure requires a depressed level of consciousness.
The procedure will be performed on an outpatient basis.
The procedure necessitates the patient to be immobile.
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Question 6
Multiple Choice
The nurse is caring for a patient in the postanesthesia care unit who has undergone a left total knee arthroplasty. The anesthesia provider has indicated that the patient received a left femoral peripheral nerve block. Which assessment will be an expected finding for this patient?
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Sensation decreased in the left leg
Patient report of pain in the left foot
Pulse decreased at the left posterior tibia
Left toes cool to touch and slightly cyanotic
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Question 7
Multiple Choice
The nurse is preparing a patient for surgery. Which goal is a priority for assessing the patient before surgery?
Choose correct answer/s
Plan for care after the procedure.
Establish a patient's baseline of normal function.
Educate the patient and family about the procedure.
Gather appropriate equipment for the patient's needs.
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Question 8
Multiple Choice
The nurse is completing a medication history for the surgical patient in preadmission testing. Which medication should the nurse instruct the patient to hold (discontinue) in preparation for surgery according to protocol?
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Warfarin
Vitamin C
Prednisone
Acetaminophen
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Question 9
Multiple Choice
The nurse is prescreening a surgical patient in the preadmission testing unit. The medication history indicates that the patient is currently taking an anticoagulant. Which action should the nurse take when consulting with the health care provider?
Choose correct answer/s
Ask for a radiological examination of the chest.
Ask for an international normalized ratio (INR).
Ask for a blood urea nitrogen (BUN).
Ask for a serum sodium (Na).
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Question 10
Multiple Choice
The nurse is encouraging the postoperative patient to utilize diaphragmatic breathing. Which priority goal is the nurse trying to achieve?
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Manage pain
Prevent atelectasis
Reduce healing time
Decrease thrombus formation
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Question 11
Multiple Choice
The nurse is caring for a postoperative patient on the medical-surgical floor. Which activity will the nurse encourage to prevent venous stasis and the formation of thrombus?
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Diaphragmatic breathing
Incentive spirometry
Leg exercises
Coughing
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Question 12
Multiple Choice
The nurse is caring for a preoperative patient. The nurse teaches the principles and demonstrates leg exercises for the patient. The patient is unable to perform leg exercises correctly. What is the nurse's best next step?
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Encourage the patient to practice at a later date.
Assess for the presence of anxiety, pain, or fatigue.
Ask the patient why exercises are not being done.
Evaluate the educational methods used to educate the patient.
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Question 13
Multiple Choice
Which nursing assessment will indicate the patient is performing diaphragmatic breathing correctly?
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Hands placed on the border of the rib cage with fingers extended will touch as the chest wall contracts.
Hands placed on the chest wall with fingers extended will separate as the chest wall contracts.
The patient will feel upward movement of the diaphragm during inspiration.
The patient will feel downward movement of the diaphragm during expiration.
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Question 14
Multiple Choice
The nurse is caring for a postoperative patient with an abdominal incision. The nurse provides a pillow to use during coughing. Which activity is the nurse promoting?
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Pain relief
Splinting
Distraction
Anxiety reduction
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Question 15
Multiple Choice
The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. Which explanation can the nurse provide that may encourage the patient to comply?
Choose correct answer/s
"If you don't deep breathe and cough, you will get pneumonia."
"You will need to cough only a few times during this shift."
"Let's try clearing the throat because that will work just as well."
"Deep breathing and coughing will clear out the anesthesia."
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Question 16
Multiple Choice
The nurse and the nursing assistive personnel are assisting a postoperative patient to turn in bed. To assist in minimizing discomfort, which instruction should the nurse provide to the patient?
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"Close your eyes and think about something pleasant."
"Hold your breath and count to three."
"Grab my shoulders with your hands."
"Place your hand over your incision."
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Question 17
Multiple Choice
The nurse is preparing to assist the patient in using the incentive spirometer. Which nursing intervention should the nurse provide first?
Choose correct answer/s
Perform hand hygiene.
Explain use of the mouthpiece.
Instruct the patient to inhale slowly.
Place in the reverse Trendelenburg position.
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Question 18
Multiple Choice
The nurse and the nursing assistive personnel (NAP) are caring for a group of postoperative patients who need turning, coughing, deep breathing, incentive spirometer, and leg exercises. Which task will the nurse assign to the NAP?
Choose correct answer/s
Teach postoperative exercises.
Do nothing associated with postoperative exercises.
Document in the medical record when exercises are completed.
Inform the nurse if the patient is unwilling to perform exercises.
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Question 19
Multiple Choice
The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which will be the best explanation for diet progression after surgery?
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"Start with clear liquids, soup, and crackers. Advance to a normal diet as tolerated."
"Stay with ice chips for several hours. After that, you can have whatever you want."
"Stay on clear liquids for 24 hours. Then you can progress to a normal diet."
"Start with clear liquids for 2 hours and then full liquids for 2 hours. Then progress to a normal diet."
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Question 20
Multiple Choice
The nurse explains the pain relief measures available after surgery during preoperative teaching for a surgical patient. Which comment from the patient indicates the need for additional education on this topic?
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"I will be asked to rate my pain on a pain scale."
"I will have minimal pain because of the anesthesia."
"I will take the pain medication as the provider prescribes it."
"I will take my pain medications before doing postoperative exercises."
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