NUR 323 Ch 17 Pre-Op Nsg Managment

Which would be considered to require an urgent surgical procedure? a. surgical bleeding b. acute gallbladder infection c. loose facial skin d. cataract

acute gallbladder infection

The nurse is triaging surgical clients. Which client would the nurse document as in need of urgent surgical care? a. A client needing cataract surgery b. A client with an acute gallbladder infection c. A client with severe bleeding

b

When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as" a. required b. elective c. urgent d. emergency

emergency

For the client who is taking aspirin, it is important to stop taking this medication at least how many days before surgery?

7

A client is undergoing thoracic surgery. What priorty education should the nurse provide to assist in preventing respiratory complications? a. Splint the incision site, using a pillow during deep breathing and coughing exercises b. Pain med should be taken before completing deep breathing and coughing exercises c. Deep breathing and coughing exercises should be completed every 8 hours

a

A nurse is educating clients who require surgery for various ailments about the perioperative experience. What education provided by the nurse is most appropriate? a. Three phases of surgery and safety measures for each phase b. Intraoperative techniques used to perform the surgery c. Risk and benefits of the surgical procedures d. expected pain levesl and narcotic meds used to treat the pain

a

A surgical client has been transferred to the holding area. What nursing intervention(s) promote safe and effective nursing care?Select all that apply a. identify the client using two identifiers b. provide oral fluids to the pt c. maintain aseptic environment d. review the medical record e. verify the surgical site and mark it f. apply grounding devices to the pt

a d e

Clients who have recieved corticosteroids pre-op are at risk for which type of insufficiency?

adrenal

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

b

The nurse has administered preanesthetic medication. What action should the nurse take next? a. obtain the clients signature on the consent form b. place the client on bed rest with the side rails up c. educate the client on discharge instructions d. review the client's list of home medications

b

The nurse is educating a client scheduled for elective surgery. The client currently takes aspirin daily. What education should the nurse provide with regard to this medication? a. Aspirin should be increased until 3 days before the surgery, then it should be discontinued until 3 days after surgery b. Stop taking the aspirin 7 days before the surgery, unless otherwise directed c. Continue to take aspirin as needed

b

A client refuses to remove her wedding band when preparing for surgery. What is the best action for the nurse to take? a. remove the ring once the client is sedated b. discuss the risk of infection caused by wearing the ring c. Allow the client to wear the ring and cover it with tape d. Notify the surgeon to cancel surgery

c

During the preop assessment, the client mentions allergies to avocados, bananas, and hydrocodone. What is the priorty action by the nurse? a. notify the dietary management b. notify the physician regarding post-op pain medication c. notify the surgical team to remove all latex-bsed items

c

Which is the least important issue concerning safety for the periop team before proceeding to the op room? a. surgical procedure b. client ambulatory aids c. surgical site d. client identification

client ambulatory aids

Pts who recieve _______ are at risk for adrenal insufficiency; can cause circulatory collage and hypotension

corticosteroids

The nurse is conducting a pre-op assessment on a client scheduled for gallbladder surgery. The client reports a freq cough producing green sputum for 3 days and denies fever. Upon auscultation, the nurse notes rhonchi throughout the right lung, with an occasional expiratory wheeze. Respiratory rate is 20, temp oral 99.8, heart rate is 87 and BP is 124/70. What is the best action by the nurse? a. Notify the primary physician about the assessment findings

notify the surgeon to possibly delay the surgery

A client is scheudled for a cholecystectomy. Which finding by the nurse is least likely to contribute to surgical complications? a. pregnancy b. urinary tract infection c. osteoporosis

osteoporosis

A client is scheduled for elective surgery, to prevent complications of hypotension and cardiovascular ollapse, the nurse should report use of what medication?

prednisone

An example o a curative surgical procedure is: a. a face lift b. placement of gastronomy tube c. tumor excision d. a biopsy

tumor excision

The nurse is educating a community group about types of surgery. A emmeber of the group asks the nurse to describe a type of surgery that is curative. What response by the nurse is true? a. placement of a gastronomy tube b. a biopsy c. tumor excision

tumor excision