Clients Having Surgery

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Question 1
Free
Multiple Choice

The nurse explains to a client that because of alterations in liver function caused by cirrhosis, the client is predisposed to postoperative fluid shifts and wound infection related to

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A

elevated creatinine phosphokinase levels.

B

elevated lactic dehydrogenase levels.

C

low albumin levels.

D

low blood urea nitrogen levels.

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Question 2
Free
Multiple Choice

A client who is extremely overweight has been advised to lose weight before surgery. To encourage the client, the nurse knows that the most appropriate statement is

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A

"It will decrease the operating room time by half if you lose weight."

B

"Surgery requires more anesthesia if you are overweight."

C

"With the weight loss, you decrease the chance of complications after surgery."

D

"You'll feel better after surgery if you lose the weight before."

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Question 3
Free
Multiple Choice

Preoperative assessment data that should be reported to the surgeon include

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A

complaining of mild anxiety.

B

having a sore throat.

C

potassium level within normal range.

D

using acetaminophen for headaches.

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Question 4
Free
Multiple Choice

The preoperative assessment finding that the nurse would report to the surgeon for preoperative treatment is

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A

hemoglobin concentration of 13.5 mg/dl.

B

partial thromboplastin time of 25 seconds.

C

potassium level of 3.0 mEq/L.

D

sodium level of 140 mEq/L.

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Question 5
Free
Multiple Choice

During the preoperative interview, the client's statement that would alert the nurse to an increased risk during surgery is "I

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A

am a reformed smoker; I haven't had a cigarette in 10 years."

B

rarely eat red meat; it usually makes me feel bloated."

C

take a couple of aspirin every day for my headaches."

D

take a large assortment of vitamins daily."

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Question 6
Multiple Choice

A client scheduled for a dilation and evacuation following a miscarriage is visibly upset and states that she is frightened and does not know what to expect. The perioperative nurse best demonstrates understanding of the situation by saying

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A
"I'll give you something to help you relax."
B
"Let me explain what is going to happen."
C
"This is a simple procedure; it will be over in no time."
D
"You're still young, and you can have more children."
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Question 7
Multiple Choice

The methodology likely to be most effective in meeting a client's teaching/learning needs preoperatively is

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A
teaching only the client.
B
teaching the client and family.
C
using brief verbal instructions.
D
using only written instructions.
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Question 8
Multiple Choice

The nurse explains to a preoperative class of six clients awaiting surgery that studies indicate the primary benefit of the class is to

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A
distribute information to the most individuals in a short time.
B
explain legal responsibilities.
C
promote a less complicated postoperative course.
D
provide uniform information.
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Question 9
Multiple Choice

The nurse will plan preoperative teaching about how to cough and deep-breathe for

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A
1 week before the procedure.
B
immediately postoperatively.
C
the afternoon before surgery.
D
the nurse's first discussion about the surgery.
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Question 10
Multiple Choice

When teaching the proper method of coughing, the nurse should instruct the client to

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A
breathe in and out through the nose.
B
deep-breathe after coughing.
C
relax the abdominal muscles.
D
splint the incision.
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Question 11
Multiple Choice

To lessen the postoperative complication of thrombophlebitis, the nurse would

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A
assist the client to sit up in bed after surgery.
B
maintain the legs in an elevated position.
C
massage the client's legs.
D
remind the client to exercise the legs and feet.
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Question 12
Multiple Choice

The most appropriate explanation by the nurse to explain why a client cannot eat before surgery is

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A
"Anesthesia works best on an empty stomach."
B
"The stomach should be empty to prevent complications."
C
"There is not enough time before surgery to digest the food."
D
"You will not have to go to the bathroom frequently before surgery."
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Question 13
Multiple Choice

The item most likely to be left in place when the client is sent to the operating room (OR) is

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A
an engagement ring.
B
a hearing aid.
C
a wig.
D
well-fitting dentures.
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Question 14
Multiple Choice

Before administering the preoperative medication, the nurse should

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A
ensure that the permit has been properly signed.
B
have the unlicensed assistive personnel call for transportation.
C
make sure there is nothing else left to do.
D
take and record a set of vital signs.
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Question 15
Multiple Choice

After administration of preoperative medications, the nurse takes the precaution of

Choose correct answer/s
A
confirming that the client has voided.
B
monitoring vital signs every 15 minutes.
C
placing the client in bed with the rails up.
D
transporting the client immediately to the OR.
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Question 16
Multiple Choice

The client who has received odansetron (Zofran) asks, "What will the drug do?" The nurse should base a reply on the knowledge that odansetron

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A
controls intraoperative secretions.
B
produces an antiemetic effect.
C
promotes rapid sedation.
D
relieves postoperative pain.
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Question 17
Multiple Choice

A client is receiving anesthesia and is being inducted just before an operation. The most appropriate action by the nurse at this time is to

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A
apply wrist and leg restraints to ensure client safety.
B
begin counting supplies with the surgical technician or scrub nurse.
C
ensure all conversation in the operating room is appropriate.
D
monitor the client for agitation and struggling.
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Question 18
Multiple Choice

Which action should receive high priority in an elderly client being placed on the operating room table?

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A
Attach the client to a cardiac monitor.
B
Ensure that the correct operative site is exposed.
C
Provide extra padding for joints and bony prominences.
D
Understand which anesthetic agents are being used.
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Question 19
Multiple Choice

The nurse caring for a client who had spinal anesthesia will ensure that the plan of care includes

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A
administering oxygen to reduce the hypoxia produced by spinal anesthesia.
B
elevating the client's feet to increase the blood pressure.
C
elevating the head of the bed to decrease nausea.
D
instructing the client to remain flat in bed for 6 hours.
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Question 20
Multiple Choice

During the operative period, a client under general anesthesia experiences masseter muscle rigidity. The nurse-anesthetist recognizes this to be a manifestation of

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A
excessive heat loss.
B
malignant hyperthermia.
C
need for increased muscle relaxant.
D
onset of anesthesia.
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