Unit 2: Surgery

A client who is to receive general anesthesia has a serum potassium level of 5.8mEq/L. What should be the nurse's first response? A) Notify the anesthesiologist B) Call the operating room to cancel the surgery C) Make a note on the client's record D) Send the client to surgery

A) Notify the anesthesiologist

A patient is transferred to the PACU after having surgery with general anesthesia. What is the priority nursing assessment when the patient is admitted to the PACU? A) Vital signs and body temperature B) Airway and gas exchange. C) Level of consciousness D) Dressing and incision status

B) Airway and gas exchange.

A client is to be NPO 6 hours before same-day surgery. A nurse learns the client had half a glass of orange juice 3 hours prior to admission. The nurse should: A) Cancel the surgery B) Notify the nursing supervisor. C) Inform the surgical nurse. D) Notify the anesthesiologist.

D) Notify the anesthesiologist.

A patient has had bowel surgery. The nurse is assessing for return of intestinal activity. The nurse know the best indicator of full intestinal activity is which of the following? A) Detection of bowel sounds upon auscultation B) Abdominal cramping with mild distention C) Patient's report of hunger D) Passage of flatus or stool.

D) Passage of flatus or stool.

A client is receiving atropine sulfate prior to surgery. Which of the following is the intended outcome of this drug? A) Central nervous system stimulation B) Bradycardia C) Pupil constriction D) Suppression of oral secretions

D) Suppression of oral secretions

The nurse is helping to prepare a client for non-emergency surgery. Which action is the nurse's responsibility? A) Inform the client about the risk of the surgery to be performed B) Obtain informed consent from the client C) Explain the surgical procedure in detail D) Verify the client understands the informed consent form

D) Verify the client understands the informed consent form

The nurse is aware that a patient having surgery is at risk for infection if which additional factor is present? A) Age less than 65 years B) Impaired liver function C) Diabetes Mellitus D) WBC count of 8,000

C) Diabetes Mellitus

A client reports being very anxious and scared for her surgery. The pre-operative nurse should provide which of the following actions? A) Describe the entire intra-operative experience B) Reassure the client about the capability of the surgeon C) Encourage the client to verbalize feelings. D) Administer a dose of lorazepam.

C) Encourage the client to verbalize feelings.

A client arrives in the operating room wearing two post earrings on each eyebrow. The nurse should do which of the following? A) Secure the earrings in place with tape B) Remind anesthetist to remove them when the client is anesthetized. C) Ask the client to remove the earrings and place them in a labeled container. D) Note the location of earrings and document on EMR.

C) Ask the client to remove the earrings and place them in a labeled container.

The nurse is monitoring a patient who is receiving moderate sedation. An expected outcome for conscious sedation is? A) Blocked multiple peripheral nerves in a specific region B) Ability to be sedated, yet to recall all the events from the procedure C) Decreased level of consciousness, yet able to respond to verbal commands D) CNS depression, resulting in analgesia and amnesia, with loss of muscle reflexes

C) Decreased level of consciousness, yet able to respond to verbal commands