CH 17 Practice Questions
A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. When should the client stop taking the aspirin before the surgery? A) 2 to 3 days B) 7 to 10 days C) 2 weeks D) 4 weeks
B
The nurse expects informed consent to be obtained for insertion of: A) An intravenous catheter B) An indwelling urinary catheter C) A gastrostomy tube D) A nasogastric tube
C
When caring for a patient with alcoholism, when should the nurse assess for symptoms of alcoholic withdrawal? A) About 24 hours postoperatively B) 4 days after a surgical procedure C) On the second or third day D) Within the first 12 hours
C
A client is scheduled to have surgery to address a cleft palate. What type of surgery would the nurse be preparing this client for? A) corrective B) prophylactic C) diagnostic D) reconstructive
D
What action by the nurse best encompasses the preoperative phase? A) Documenting the application of sequential compression devices (SCDs) B) Shaving the client using a straight razor C) Monitoring vital signs every 15 minutes D) Educating clients on signs and symptoms of infection
D
A nurse is teaching a client about pain management after surgery. Which client statement indicates the teaching was effective? A) "I will support my incision with my hands when I cough and do my deep breathing exercises." B) "I will need to learn how to give myself pain medication by injection for when I go home." C) "I will ask for pain medication when the pain becomes unbearable." D) "The pain from my incision will be very similar to my arthritis pain."
A
A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction should the nurse include in the teaching? A) Use diaphragmatic breathing. B) Exhale through an open mouth. C) Make inhalation longer than exhalation. D) Use chest breathing.
A
Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? A) "Let me explain to you what will happen next." B) "It is best to take deep breaths and relax before the procedure." C) "We will keep your family informed of your progress." D) "You will be just fine; the operating room nurses will take good care of you."
A
A nurse evaluates the potential effects of a client's medication therapies before surgery. Which drug classification may cause respiratory depression from an associated electrolyte imbalance during anesthesia? A) anticoagulants B) diuretics C) corticosteroids D) insulin
B
At what point does the preoperative period end? A) When the decision is made to proceed with surgery B) When the client is transferred onto the operating table C) When the client is admitted to the PACU D) When the client signs the consent form
B
Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? A) Pituitary B) Adrenal C) Parathyroid D) Thyroid
B
The nurse has provided preoperative instructions to a client scheduled for surgery at an ambulatory care center. Which statement, made by the client, would indicate that further instruction is needed? A) "The physician will update my family after the procedure and provide specific discharge instructions." B) "The nurse will explain the details of the surgery before I sign a consent." C) "My medical records will be sent to the ambulatory care center prior to my surgery." D) "If I do not follow the instructions, my surgery could be cancelled."
B
When is the ideal time to discuss preoperative teaching A) Day of surgery B) Preadmission visit C) Prior to entering the pre-op area D) When the patient is comfortable and sedated
B
A 17-year-old client is having same-day surgery. Solely during the intraoperative phase of perioperative care, the nurse: A) assesses how well the client is recovering from anesthesia. B) performs a complete assessment of the client. C) continuously monitors the sedated client. D) obtains a surgical consent from the client's mother.
C
A fractured skull would be classified under which category of surgery based on urgency? A) Required B) Elective C) Emergent D) Urgent
C
For the client who is taking aspirin, it is important to stop taking this medication at least how many day(s) before surgery? A) 3 B) 5 C) 1 D) 7
D
The nurse is starting preoperative teaching. What is the best response by the nurse when the client states, "I'm so nervous about my surgery"? A) "Relax. Let's focus on a good outcome." B) "We can discuss your concerns and then your nervousness will stop." C) "If you are nervous, would you like to revoke your consent?" D) "Would you like to discuss the concerns that you have?"
D
A client refuses to remove her wedding band when preparing for surgery. What is the bestaction for the nurse to take? A) Notify the surgeon to cancel surgery. B) Discuss the risk for infection caused by wearing the ring. C) Allow the client to wear the ring and cover it with tape. D) Remove the ring once the client is sedated.
C
A nurse is assessing a postoperative client with hyperglycemic blood glucose levels. Which client surgical risk factor would decrease if the surgical client maintained strict blood glycemic control? A) liver dysfunction B) respiratory complications C) wound healing D) nutrient deficiencies
C
The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. Which are general risk factors? Select all that apply. A) health status B) gender C) physical condition D) nutritional status E) Ethnicity F) age
A C D F