Module 2 PrepU quiz

The nurse is reviewing a preoperative informed consent when preparing the client for surgery. Which contents of the informed consent are required? Select all that apply. Explanation of procedure Estimated time of procedure Potential risks Benefits of surgery Personnel present Description of alternatives

Explanation of procedure Potential risks Benefits of surgery Description of alternatives

During the admission history the client reports to the nurse of taking the usual dose of warfarin the previous day. What is an appropriate nursing action? Notify the surgeon that the client took warfarin the day before surgery. No action is needed, because the client takes warfarin on a continuing basis. Put a note on the preoperative checklist before sending the client into surgery. Tell the client to inform the circulating nurse before the anesthesia is administered.

Notify the surgeon that the client took warfarin the day before surgery.

Which of the following factors may contribute to rapid and shallow respirations in a postoperative client? Select all that apply. Pain Constricting dressings Abdominal distention Obesity Effects of analgesics and anesthesia

Pain Constricting dressings Abdominal distention Obesity

A client is scheduled for elective surgery. To prevent the complications of hypotension and cardiovascular collapse, the nurse should report the use of which medication? Hydrochlorothiazide Prednisone Warfarin Erythromycin

Prednisone

In the immediate postoperative period, vital signs are taken at least every 15 minutes. 30 minutes. 45 minutes. 60 minutes.

15 minutes.

A nurse is planning care for a client scheduled to undergo a thoracotomy. After tolerating full liquids, which dietary recommendation will the nurse consider? Small, frequent low-fat meals Small, frequent full-fat meals Three low-sodium meals Three full-fat meals

Small, frequent full-fat meals

The patient is NPO prior to having a colonoscopy. The patient is to take a daily blood pressure pill prior to the procedure. Until when may water be given prior to the procedure? Up to 8 hours before surgery Up to 6 hours before surgery Up to 4 hours before surgery Up to 2 hours before surgery

Up to 2 hours before surgery

A client has been transported to the operating room for emergent surgery. Which statement by the nurse best supports the need for emergent surgery? "The client was unresponsive, had a distended abdomen, and had unstable vital signs after a motor vehicle accident." "The client had epigastric abdominal pain, an elevated white blood count, and vomiting for 1 day." "The client had severe pain and a laceration to the face with minimal bleeding after being attacked by a dog 1 hour ago." "The client was tachycardic, had progressive weight loss, and experienced bouts of insomnia as a result of hyperthyroidism."

"The client was unresponsive, had a distended abdomen, and had unstable vital signs after a motor vehicle accident."

A clinic nurse is conducting a preoperative interview with an adult client who will soon be scheduled to undergo cardiac surgery. What interview question most directly addresses the client's safety? "What prescription and nonprescription medications do you currently take?" "Have you previously been admitted to the hospital, either for surgery or for medical treatment?" "How long do you expect to be at home recovering after your surgery?" "Would you say that you tend to eat a fairly healthy diet?"

"What prescription and nonprescription medications do you currently take?"

The parent of a 16-year-old client asks the nurse, "How could the surgeon operate without my consent?" What is the best response by the nurse? "Two doctors decided your child needed the surgery, therefore we did not need to get consent." "Your child had life-threatening injuries that required immediate surgery." "We obtained consent from your child after your child requested the surgery." "The surgical procedure being performed does not require consent."

"Your child had life-threatening injuries that required immediate surgery."

The physician schedules an elective surgical procedure for a patient who smokes cigarettes. When should the nurse recommend that the patient cease smoking before the surgical procedure to minimize risks associate with cigarette smoking? 1 to 2 months 3 to 4 months 2 weeks 3 weeks

1 to 2 months

The nurse has administered preanesthetic medication. What action should the nurse take next? Obtain the client's signature on the consent form. Place the client on bed rest with the side rails up. Review the client's list of home medications. Educate the client on discharge instructions.

Place the client on bed rest with the side rails up.

A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Which of the following would the nurse expect the physician to order most likely? Ondansetron (Zofran) Hydroxyzine (Vistaril) Prochlorperazine (Compazine) Promethazine (Phenergan)

Prochlorperazine (Compazine)

A nurse is working in the postanesthesia unit (PACU). What evidence indicates that a client is ready for discharge from the PACU? Select all that apply. The client has been extubated, but still has an oropharyngeal airway in. The client is arousable, but falls back to sleep rapidly. The client has a blood pressure within 10 mm Hg of the baseline. The client has sonorous respirations and occasionally requires chin lift. The client rates pain a 9 out of 10 on a 0-10 scale after receiving morphine sulfate.

The client is arousable, but falls back to sleep rapidly. The client has a blood pressure within 10 mm Hg of the baseline.

The nurse should determine that a client is coughing effectively after surgery if the nurse observes which of the following activities? The client breathes through her nose, holds her breath, and then exhales slowly before coughing. The client takes short, panting breaths and coughs from the throat to expectorate sputum. The client takes a deep abdominal breath and then "huff" or "hack" coughs three or four times. The client takes three deep breaths and then coughs forcefully.

The client takes a deep abdominal breath and then "huff" or "hack" coughs three or four times.

In which phase of perioperative care will the nurse prepare the client's skin, encourage the client to void, and remove the client's dentures? preoperative postoperative intraoperative transoperative

preoperative

During the preoperative assessment, the nurse learns that the client has been taking prednisone. The nurse realizes that the client is at risk for: Cardiovascular collapse. Respiratory depression. Decreased blood pressure. Increased blood loss.

Cardiovascular collapse.

The nurse is caring for a 78-year-old man who has had an outpatient cholecystectomy. The nurse is getting him up for his first walk postoperatively. To decrease the potential for orthostatic hypotension and consequent falls, what should the nurse have the client do? Sit in a chair for 10 minutes prior to ambulating. Drink plenty of fluids to increase circulating blood volume. Stand upright for 2 to 3 minutes prior to ambulating. Perform range-of-motion exercises for each joint.

Stand upright for 2 to 3 minutes prior to ambulating.

An obese client is scheduled for open abdominal surgery. What priority education should the nurse provide to this client? Prevention of wound dehiscence Wound care and infection prevention Prevention of venous thromboembolism Prevention of respiratory complications

Prevention of respiratory complications

A postanesthesia care unit (PACU) nurse is caring for a client with the following assessment data: pale, cool, moist skin; thready pulse of 122; blood pressure 78/60; urine output of 25 mL/h; temperature 99.2°F. What interventions by the nurse are appropriate? Select all that apply. Raise the head of the bed 30 degrees. Maintain a patent airway. Frequently monitor neurological status. Administer blood products per orders. Apply oxygen per orders. Apply a warming blanket.

Maintain a patent airway. Frequently monitor neurological status. Administer blood products per orders. Apply oxygen per orders.

A nurse is receiving a client to the postanesthesia unit. What initial nursing activity is most important in the postoperative recovery area? Maintain patient safety. Administer medications and fluids. Assess pain level. Inspect surgical site.

Maintain patient safety.

The nurse is providing preoperative teaching to a client scheduled for hip replacement surgery in 1 month. During the preoperative teaching, the client gives the nurse a list of medications she takes, the dosage, and frequency. What intervention provides the client with the most accurate information? Instruct the client to stop taking St. John's wort at least 2 weeks prior to surgery due to its interaction with anesthetic agents. Instruct the client to continue taking ephedrine prior to surgery due to its beneficial effect on blood pressure. Instruct the client to discontinue Synthroid due to its effect on blood coagulation and the potential for heart dysrhythmias. Instruct the client to continue any herbal supplements unless otherwise instructed, and inform the client that these supplements have minimal effect on the surgical procedure.

Instruct the client to stop taking St. John's wort at least 2 weeks prior to surgery due to its interaction with anesthetic agents.

A surgical client has been transferred to the holding area. What nursing intervention(s) promote safe and effective nursing care? Select all that apply. Identify the client using two identifiers. Verify the surgical site has been marked per institutional policy Maintain an aseptic environment. Review the medical records. Apply grounding devices to the client. Provide oral fluids to the patient.

Identify the client using two identifiers. Verify the surgical site has been marked per institutional policy Review the medical records.

Select the nutrient that is important for postoperative wound healing because it helps form collagen. Protein Vitamin C Magnesium Vitamin A

Vitamin C

The nurse is caring for a client during the immediate postoperative period and is assessing for signs of shock. What signs and symptoms indicate that the client may be in shock? Weak and rapid pulse rate Warm, dry skin Pooling of secretions in the lungs Obstructed airway

Weak and rapid pulse rate

Which of the following medications may increases the hypotensive action of anesthesia? Chlorpromazine Prednisone Warfarin Hydrochlorothiazide

Chlorpromazine

The nurse is assessing the client for wound complications following surgery. For which clinical manifestation should the nurse assess? Select all that apply. Atelectasis Thrombophlebitis Dehiscence Hematoma Paralytic ileus

Dehiscence Hematoma

The nurse is admitting the older adult to the PACU. Which information about this client would be most important for the PACU nurse to obtain? What procedure was performed? What was estimated blood loss? Are family members available? Does the client have a history of dementia-like symptoms?

Does the client have a history of dementia-like symptoms?

A nurse is reviewing with a client the use of a patient-controlled anesthesia device and is explaining the benefits. Which of the following would the nurse correctly emphasize? Select all that apply. Fosters client participation in care Delays administration of analgesics Facilitates reduction of postoperative pulmonary complications Prevents drowsiness Allows drug levels to fluctuate with the client's vital signs

Fosters client participation in care Facilitates reduction of postoperative pulmonary complications

The nurse is providing preoperative care to a client who is anxious about total hip replacement surgery. "What if I can never walk again? I don't want to end up like my father!" What are some ways the nurse might help alleviate the client's anxiety? Select all that apply. Make sure the client understands what will happen during surgery. Listen empathetically to the client's concerns about the procedure. Remind the client that the chances of something going wrong are statistically low. Offer a sedative to help the client relax and feel more comfortable. Review the client's postoperative goals following the procedure. Ask the client if he would like to speak with a clergyperson.

Make sure the client understands what will happen during surgery. Listen empathetically to the client's concerns about the procedure. Review the client's postoperative goals following the procedure. Ask the client if he would like to speak with a clergyperson.

Regarding the surgical client, which phase refers to the period of time that spans the entire surgical experience? Preoperative Intraoperative Postoperative Perioperative

Perioperative

In what phase of postanesthesia care (PACU) is the client prepared for self-care or care in the hospital or an extended care setting? Phase I PACU Phase II PACU Phase III PACU Phase IV PACU

Phase II PACU

The nurse is admitting a client to the medical-surgical unit from the PACU. In order to help the client clear secretions and help prevent pneumonia, the nurse should encourage the client to: eat a balanced diet that is high in protein. limit activity for the first 72 hours. take medications as prescribed. use the incentive spirometer every 2 hours.

use the incentive spirometer every 2 hours.