Chapter 29 Perioperative

Question 5 of 20 The nurse knows the term perioperative phase refers to care given to the client: immediately after the operative phase. from the start of surgery until its conclusion. immediately before an operative procedure. before, during, and after the operative phase

before, during, and after the operative phase.

Question 17 of 20 Which surgical client does the nurse in the preoperative setting anticipate having the greatest potential for surgical complications? 50-year-old overweight client with controlled hypertension 76-year-old client with a history of renal failure and chronic bronchitis 6-month-old client who has just been introduced to solid food 40-year-old client with type 2 diabetes mellitus and a history of anxiety SUBMIT ANSWER

76-year-old client with a history of renal failure and chronic bronchitis

Question 13 of 20 A client has arrived to the postanesthesia care unit (PACU) and is drowsy with a respiratory rate of 12 breaths per minute. What would be an accurate interpretation by the nurse? The procedural physician should be notified immediately of client findings. The client needs to have the neurological status fully evaluated. This is an expected finding in the immediate postoperative period. The client should be returned to the operating room for further evaluation

This is an expected finding in the immediate postoperative period

Question 6 of 20 Which statement, if made by an adolescent preparing for abdominal surgery, would indicate to the nurse that the client requires additional instruction? "I can have a hamburger and French fries as soon as I wake up." "The better I eat before surgery, the more likely I will heal." "I might be sick to my stomach and throw up after surgery." "When I can eat again, the best meal would be steak and orange juice

"I can have a hamburger and French fries as soon as I wake up."

Question 18 of 20 The nurse is developing a plan of care for a client who had a splenectomy. The outcome is prevention of surgical site infection. Which interventions should be included in the client's plan of care? Use asepsis with dressing change. Reposition patient frequently. Maintain hydration. Assess vital signs. Monitor white blood cell count. Monitor bowel sounds. SUBMIT ANSWER

Assess vital signs. Monitor white blood cell count. Use asepsis with dressing change. Maintain hydration

Question 14 of 20 Which preoperative task can the nurse delegate to the UAP (unlicensed assistive personnel)? Checking to be sure all diagnostic tests are completed Auscultating of the client's breath sounds Assisting the client to the bathroom before surgery Teaching about use of the incentive spirometer

Assisting the client to the bathroom before surgery

Question 1 of 20 The nurse is preparing a client for a colonoscopy. The nurse is familiar with the colonoscopy procedures at the hospital and is aware that which type of anesthesia is commonly used for this procedure? Nerve block Conscious sedation Epidural anesthesia Spinal anesthesia SUBMIT ANSWER

Conscious sedation

Question 8 of 20 A client is undergoing surgery for an appendectomy. This would be considered what type of surgery? Palliative surgery Diagnostic surgery Elective surgery Emergency surgery SUBMIT ANSWER

Emergency surgery

Question 16 of 20 After a client receives morphine sulfate for pain in the postanesthesia care unit (PACU), which assessment finding would the nurse obtain as a priority? Auscultate bowel sounds. Measure respiratory rate. Obtain temperature. Check the neurological status

Measure respiratory rate

Question 9 of 20 A client had an open cholecystectomy (gall bladder removal) 36 hours earlier, and the nurse's assessment this morning confirms that the client has not yet had a bowel movement since prior to surgery. How should the nurse best respond to this assessment finding? Immediately administer a cleansing enema. Monitor the client closely and promote fluid intake. Contact the physician to come assess the client. Increase the rate of the client's intravenous infusion. SUBMIT ANSWER

Monitor the client closely and promote fluid intake

Question 7 of 20 In the postoperative phase of abdominal surgery, the client reports severe abdominal pain. In the second postoperative day, the client's bowel sounds are absent. What does the nurse suspect? Abdominal infection Paralytic ileus Hernia development Normal response

Paralytic ileus

Question 10 of 20 Which nursing action will best promote pain management for a client in the postoperative phase? Breathing into a paper bag Providing food and medication Performing relaxation techniques Dimming the lights SUBMIT ANSWER

Performing relaxation techniques

Question 19 of 20 A 9-month-old baby is scheduled for heart surgery. When preparing this patient for surgery, the nurse should consider which surgical risk associated with infants? Potential for hypothermia or hyperthermia Congestive heart failure Gastrointestinal upset Prolonged wound healing

Potential for hypothermia or hyperthermia

Question 20 of 20 The nurse is talking with a client who wishes to have a tattoo removed. Which client statement indicates that the client understands how the procedure will be accomplished? "I will plan to be hospitalized several days following the procedure." "This inpatient surgical procedure requires me to be at the hospital the morning of surgery." "The provider will perform this laser surgery in an ambulatory care setting." "I will talk with the anesthesiologist about anesthesia

The provider will perform this laser surgery in an ambulatory care setting

Question 4 of 20 A nurse from the ambulatory surgical center is preparing discharge instructions for a client who has had pelvic surgery. Which criterion would the client need to demonstrate to ensure that she is ready for discharge? Void normally Verbalize absence of pain Exhibit no bleeding Eat without nausea

Void normally

Question 15 of 20 Which client would a nurse monitor most closely for postoperative respiratory complications? a 75-year-old client with a history of hypertension who had a colonoscopy a 55-year-old client with a history of asthma who had a colon resection an 8-year-old client with no medical problems who had a tonsillectomy a 31-year-old client with no medical problems who had an appendectomy SUBMIT ANSWER

a 55-year-old client with a history of asthma who had a colon resection

Question 12 of 20 Which of these clients in the postanesthesia care unit (PACU) requires the most immediate attention by the nurse? a client reporting incisional pain rated 8/10 and no medication orders a client with snoring respirations who arouses readily a client who is pale and diaphoretic with a heart rate of 115 beats/minute a client reporting nausea who requests an antiemetic

a client who is pale and diaphoretic with a heart rate of 115 beats/minute

Question 2 of 20 Which client most likely requires special preoperative assessment and treatment as a result of the existing medication regimen? a woman who takes daily thyroid supplements to treat her longstanding hypothyroidism a man who takes an angiotensin-converting enzyme (ACE) inhibitor because he has hypertension a woman who takes daily anticoagulants to treat atrial fibrillation a man who regularly treats his rheumatoid arthritis with over-the-counter nonsteriodal anti-inflammatory drugs (NSAIDs) SUBMIT ANSWER

a woman who takes daily anticoagulants to treat atrial fibrillation

Question 3 of 20 A nurse is assisting a physician in an emergency surgery for a client with intestinal perforation. Which description is most suitable to the type of surgery performed? surgery required within 1 or 2 days surgery required immediately for survival surgery performed at the client's request surgery planned as per client's convenience SUBMIT ANSWER

surgery required immediately for survival

Question 11 of 20 A nurse is discussing a surgical procedure with a client who needs to sign his informed consent. Which of these tasks is part of the nursing role? explaining to the client about potential risks of having the surgery witnessing the client signature with their consent for surgery describing how the client will benefit from the surgical procedure determining for the client what other treatment options exist SUBMIT ANSWER

witnessing the client signature with their consent for surgery