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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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
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

Choose correct answer/s
A
excessive heat loss.
B
malignant hyperthermia.
C
need for increased muscle relaxant.
D
onset of anesthesia.
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