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Perioperative Nursing Care

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Question 1
Free
Multiple Choice

The nurse is caring for a patient who is about to have surgery. Which intervention will be included in the patient's care to meet the goals for Risk for perioperative positioning injury r/t immobilization during surgical procedure?

Choose correct answer/s
A

Orient the patient to the OR environment and place the call light within reach.

B

Watch for early signs of hypovolemia caused by patient's NPO status since midnight.

C

Use therapeutic touch and guided imagery to allay patient's fears of surgery.

D

Pad all bony prominences and avoid hyperextension of extremities.

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Question 2
Free
Multiple Choice

The nurse is caring for a male patient who will soon have open heart surgery. The patient's chest is covered with thick hair so the surgical technician comes in to shave the patient's skin near the operative site. Which action by the technician requires intervention by the nurse to correct the technique?

Choose correct answer/s
A

A straight safety razor and antibiotic foam is used

B

Disposable electric trimmers are used to trim the hair

C

Antibacterial soap is used prior to hair removal

D

Only the hair directly around the surgical site is removed

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Question 3
Free
Multiple Choice

The nurse is caring for a patient who has just been brought to the postoperative unit following major surgery. The patient has many tubes and monitors in place. Which will the nurse assess first?

Choose correct answer/s
A

The patient's intravenous lines

B

The patient's urinary catheter

C

The patient's nasogastric tube

D

The patient's endotracheal tube

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Question 4
Free
Multiple Choice

The nurse is caring for a patient who has a family history of reactions to general anesthesia. Which medication will the anesthesiologist have ready as a precautionary measure before the patient's surgery is started?

Choose correct answer/s
A

Protamine sulfate

B

Dantrolene sodium (Dantrium)

C

Activated charcoal with sorbitol

D

Folinic acid (Leucovorin)

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Question 5
Free
Multiple Choice

Which action by the nurse best demonstrates accountability in the operating room?

Choose correct answer/s
A

Applying warm blankets when the patient reports feeling chilly

B

Holding the patient's hand to allay anxiety before anesthesia is administered

C

Double-checking that the surgical site is clearly marked and visible after draping

D

Using calming speech with a reassuring tone of voice when speaking with the patient

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Question 6
Multiple Choice

The nurse is caring for a patient who will be having surgery. The patient has just signed the consent form for the operation. What does the patient's signature indicate?

Choose correct answer/s
A
The patient agrees with the doctor's diagnosis.
B
The patient gives permission for the surgery to be performed.
C
The patient has agreed to pay for any costs not covered by insurance.
D
The patient has been told of all the available treatment options.
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Question 7
Multiple Choice

The nurse is caring for a postoperative patient who is very sleepy following general anesthesia and administration of pain medication. The nurse notes that the patient is making snoring sounds and his pulse oximetry has dropped to 88%. What is the best action of the nurse?

Choose correct answer/s
A
Insert an oral airway and administer oxygen.
B
Call for anesthesia to immediately reintubate the patient.
C
Remove the pillow from behind the patient's head.
D
Elevate the head of the patient's bed.
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Question 8
Multiple Choice

The nurse is caring for a postoperative patient on his first day after surgery. The nurse informs the patient that the plan is to sit in the chair and ambulate in the hallway. The patient states that he is in pain and he has no intention of getting out of bed. What is the nurse's best response?

Choose correct answer/s
A
"It's important to move around so you don't get a blood clot in your leg."
B
"Your doctor ordered that you are to get out of bed at least twice every day."
C
"I understand. You can rest in bed until tomorrow when the pain is better."
D
"I will call the doctor and let him know that you do not want to get up."
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Question 9
Multiple Choice

The nurse is walking a postoperative patient in the hallway when she notices a large red stain of fresh blood on the patient's gown over the abdominal incision. The patient states, "I felt something just ripped open." What is the priority action of the nurse?

Choose correct answer/s
A
Lift up the patient's gown and assess the incision.
B
Assist the patient to the floor and call for assistance.
C
Return the patient to bed and irrigate the wound with sterile saline.
D
Check the patient's vital signs and pulse oximetry.
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Question 10
Multiple Choice

The nurse is caring for a patient with advanced colon cancer. The patient is to have surgery to relieve a bowel obstruction that has been causing unrelenting vomiting and abdominal pain. What type of surgery will this patient undergo?

Choose correct answer/s
A
Palliative
B
Reconstructive
C
Diagnostic
D
Ablative
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Question 11
Multiple Choice

After general anesthesia is administered, the patient is carefully placed in the prone position. What is the primary consideration of the nursing staff as the patient is positioned?

Choose correct answer/s
A
Making sure that the patient's endotracheal tube does not become kinked
B
Ensuring that the patient's head is positioned to prevent cervical nerve injury
C
Carefully taping the patient's eyes shut to avoid corneal abrasions
D
Padding the operating table carefully and keeping linens free of wrinkles
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Question 12
Multiple Choice

The nurse is caring for a preoperative patient who has just received sedation prior to general anesthesia in the OR. What is the priority action of the nurse?

Choose correct answer/s
A
Check to make sure that the consent form was signed.
B
Turn off the lights and provide a quiet environment.
C
Raise the side rails on the patient's stretcher.
D
Indicate the surgical site with an indelible marker.
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Question 13
Multiple Choice

The nurse is caring for a postoperative patient who is recovering from abdominal surgery. The nurse notes that the patient's breath sounds are clear but diminished, shallow, and slightly labored. The patient's pulse oximetry is 96% on room air. What is the priority action of the nurse?

Choose correct answer/s
A
Administer a dose of the prescribed pain medication.
B
Administer 2 L of oxygen via nasal cannula.
C
Obtain an order from the physician for a chest x-ray.
D
Ensure that the patient is using the spirometer 10 times every hour.
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Question 14
Multiple Choice

The nurse will be caring for a patient who has just arrived on the medical-surgical unit following surgical repair of his fractured right ankle. Which is the priority action of the nurse when the patient arrives on the unit?

Choose correct answer/s
A
Instruct the patient how to call for assistance using the call light.
B
Assess the color and warmth of the toes on the patient's right foot.
C
Determine when the patient's next pain medication is due.
D
Check pulse oximetry and obtain a full set of vital signs.
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Question 15
Multiple Choice

The nurse is caring for a patient who is recovering from chest surgery. Which action by the patient indicates that additional teaching is needed about how to use the ordered incentive spirometer correctly?

Choose correct answer/s
A
The patient breathes into the spirometer so that the marker rises slowly.
B
The patient uses the spirometer at least 10 times every hour while awake.
C
The patient seals his lips tightly around the spirometer mouthpiece.
D
The patient rests for 5 to 10 seconds after each time the spirometer is used.
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Question 16
Multiple Choice

The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the nursing diagnosis risk for Perioperative positioning injury?

Choose correct answer/s
A
Patient will deny numbness or tingling in extremities after surgical procedure.
B
Patient will maintain urine output of at least 30 mL/hour during and after surgery.
C
Patient will maintain elastic skin turgor as well as moist tongue and mucus membranes.
D
Patient will have no emesis and deny nausea following arousal from general anesthesia.
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Question 17
Multiple Choice

The nurse is caring for a patient who requires emergency surgery for injuries sustained in a motor vehicle accident. The patient was on his way back to work after having lunch with colleagues when the accident happened. What is the highest priority nursing diagnosis for this patient?

Choose correct answer/s
A
Risk for imbalanced body temperature
B
Risk for aspiration
C
Risk for perioperative positioning injury
D
Risk for delayed surgical recovery
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Question 18
Multiple Choice

The nurse is caring for a postoperative patient who has a history of COPD. What is the priority nursing diagnosis for this patient?

Choose correct answer/s
A
Ineffective airway clearance
B
Readiness for enhanced knowledge
C
Risk for delayed surgical recovery
D
Activity intolerance
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Question 19
Multiple Choice

The nurse is assigned to care for several patients on the surgical unit. Which patient need will the nurse address first?

Choose correct answer/s
A
A patient who is waiting for discharge teaching before going home
B
A patient who needs to be ambulated for the first time postoperatively
C
A patient who has not voided since the catheter was removed 8 hours ago
D
A patient who requires a daily dressing change to the surgical incision
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Question 20
Multiple Choice

The nurse is obtaining preoperative information for a patient who will be having emergency surgery shortly for a ruptured appendix. Which information is crucial for the nurse to assess? (Select all that apply.)

Choose correct answer/s
A
All medications that the patient is taking
B
Use of tobacco, alcohol, or recreational drugs
C
Allergies to medications, foods, or other substances
D
Date of last tetanus shot and flu vaccination
E
Insurance coverage and preauthorization requirements
F
Possibility of pregnancy
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