Periop moodle quiz

An intraoperative nurse is applying interventions that will address surgical clients' risks for perioperative positioning injury. What factors contribute to this increased risk for injury in the intraoperative phase of the surgical experience? Select all that apply. Select one or more: a. Absence of reflexes b. Reduced blood pressure c. Diminished ability to communicate d. Nausea resulting from anesthetic e. Loss of pain sensation

a. Absence of reflexes c. Diminished ability to communicate e. Loss of pain sensation

The nurse is planning the care of a client who has type 1 diabetes and who will be undergoing knee replacement surgery. This client's care plan should reflect an increased risk of what postsurgical complications? Select all that apply. Select one or more: a. Acidosis b. Glucosuria c. Hypoglycemia d. Delirium

a. Acidosis b. Glucosuria c. Hypoglycemia

When creating plans of nursing care for clients who are undergoing surgery using general anesthetic, what nursing diagnoses should the nurse identify? Select all that apply. Select one or more: a. Anxiety related to surgical concern b. Risk for impaired nutrition: less than body requirements related to anesthesia c. Disturbed body image related to anesthesia d. Risk of latex allergy response related to surgical exposure e. Disturbed sensory perception related to anesthetic

a. Anxiety related to surgical concern d. Risk of latex allergy response related to surgical exposure e. Disturbed sensory perception related to anesthetic

The nurse is caring for clients in the preoperative holding area. The nurse notes that one client, who is a older adult, has an increased surgical risk based on which factor? Select one: a. Decreased kidney function, leading to potential fluid and electrolyte imbalances b. Inability to comprehend the seriousness of surgical interventions, leading to noncompliance c. Increased hunger sensations, leading to postoperative complications from hyper-acidity d. Poor cardiovascular status, leading to decreased pain sensations

a. Decreased kidney function, leading to potential fluid and electrolyte imbalances

The nurse's aide notifies the nurse that a client has decreased oxygen saturation levels. The nurse assesses the client and finds that he is tachypneic, has crackles on auscultation, and his sputum is frothy and pink. The nurse should suspect what complication? Select one: a. Flash pulmonary edema b. Pulmonary embolism c. Atelectasis d. Laryngospasm

a. Flash pulmonary edema

The nurse has taught the client to perform deep breathing and coughing exercises. The nurse determines that the client needs additional teaching when the client is observed doing which activities? Select one or more: a. Placing both hands vertically and slightly on either side of the incision b. Using a pillow for splinting during coughing c. Sitting upright before deep breathing and coughing d. Taking deep breaths before attempting to cough e. Use gentle coughing efforts that sound like clearing the throat

a. Placing both hands vertically and slightly on either side of the incision e. Use gentle coughing efforts that sound like clearing the throat

When positioning a patient in preparation for surgery, the nurse understands that injury to the patient is most likely to occur as a result of Select one: a. incorrect musculoskeletal alignment b. disregarding the patient's need for modesty c. loss of perception of pain or pressure d. pooling of blood in peripheral vessels

a. incorrect musculoskeletal alignment

A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is MOST LIKELY to stimulate further discussion between the client and the nurse? Select one: a. "I will be happy to explain the entire surgical procedure to you." b. "Can you share with me what you've been told about your surgery." c. "Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate." d. "If it's any help, everyone is nervous before surgery."

b. "Can you share with me what you've been told about your surgery."

When a patient is admitted to the PACU, what are the PRIORITY interventions the nurse performs? Select one: a. Assess the surgical site, noting presence and character of drainage b. Assess for airway patency and quality of respiration and obtain vital signs c. Review results of intraoperative lab values and medications received d. Assess the amount of urine output and the presence of bladder distension

b. Assess for airway patency and quality of respiration and obtain vital signs

The PACU nurse is caring for a client who has been deemed ready to go to the postsurgical floor after her surgery. What would the PACU nurse be responsible for reporting to the nurse on the floor? Select all that apply. Select one or more: a. The identities of the staff in the OR b. The client's preoperative level of consciousness c. The client's full name d. The presence of family and/or significant others e. The names of the anesthetics that were used

b. The client's preoperative level of consciousness c. The client's full name d. The presence of family and/or significant others

A nurse in the preoperative holding area is admitting a woman prior to reduction mammoplasty. What should the nurse include in the care given to this client? Select all that apply. Select one or more: a. Preparing the medications to be given in the OR b. Verifying the surgical site with the client c. Establishing an IV line d. Taking measures to ensure the client's comfort e. Applying a grounding device to the client

b. Verifying the surgical site with the client c. Establishing an IV line d. Taking measures to ensure the client's comfort

A 59 year old man scheduled for a herniorrhaphy in 2 days reports that he takes ginko daily. What is the priority intervention? Select one: a. tell the patient to continue to take the herbal supplement up to the day before surgery b. inform the surgeon, since the procedure may have to be rescheduled c. notify the anesthesia care provider, since this herb interferes with anesthetics d. ask the patient if he has noticed any side effects from taking this herbal supplement

b. inform the surgeon, since the procedure may have to be rescheduled

An overweight patient is scheduled for a laparoscopic cholecystectomy at an outpatient surgery setting. The nurse knows that: Select one: a. this setting is not appropriate for this procedure b. surgery will involve multiple small incisions c. the patient will need special preparation because of obesity d. surgery will involve removing a portion of the liver

b. surgery will involve multiple small incisions

The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter MOST carefully during the next hour? Select one: a. Serous drainage on the surgical dressing b. urinary output of 20mL/hour c. blood pressure of 100/70 mm Hg d. Temperature of 99.6 F

b. urinary output of 20mL/hour

The nurse is preparing an elderly client for a scheduled removal of orthopedic hardware, a procedure to be performed under general anesthetic. For which adverse effect should the nurse most closely monitor the client? Select one: a. Pulmonary edema b. Arthritis c. Hypothermia d. Cerebral ischemia

c. Hypothermia

A client is being prepared for surgery. When the nurse asks that the client remove a wedding ring, the client refuses. What would be an appropriate response by the nurse. Select all that apply. Select one or more: a. Notify the surgeon's office that the surgeon must see the client in the preoperative holding area. b. Encourage the client to use soapy water to remove the ring if it is tight c. Tape the ring in place before the client is transported to the preoperative holding area d. Explain that the hospital cannot be responsible for jewelry worn during surgery e. Make a notation on the preoperative checklist that the ring is in place

c. Tape the ring in place before the client is transported to the preoperative holding area e. Make a notation on the preoperative checklist that the ring is in place

A patient who normally takes 40 units of glargine insulin at bedtime asks the nurse what to do about her dose the night before surgery. The BEST response would be to have her Select one: a. take her usual dose at bedtime and eat a light breakfast in the morning b. eat a moderate meal before bedtime and then take half her usual insulin dose c. get instructions from her surgeon or HCP on any insulin adjustments d. skip her insulin altogether the night before surgery

c. get instructions from her surgeon or HCP on any insulin adjustments

A client with a gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesia that have been administered. The nurse should take which MOST APPROPRIATE action in the care of this client? Select one: a. obtain a court order for surgery b. send the client to surgery without the consent form being signed c. obtain a telephone consent from a family member, following agency policy d. have the charge nurse sign the informed consent immediately

c. obtain a telephone consent from a family member, following agency policy

The nurse is reviewing a surgeon's prescription sheet for a preoperative client that states that the client must be nothing by mouth (NPO) after midnight. The nurse should call the surgeon to clarify that which medication should be given to the client and not withheld? Select one: a. cyclobenzaprine b. ferrous sulfate c. prednisone d. conjugated estrogen

c. prednisone

The nurse is teaching a client about coughing and deep-breathing techniques to prevent post operative complications. Which statement is MOST APPROPRIATE for the nurse to make to the client at this time as it relates to these techniques? Select one: a. "Administration of intravenous fluids will prevent or treat fluid imbalance." b. "Close monitoring of oxygen saturation will detect hypoxemia." c. "Early ambulation and administration of blood thinners will prevent pulmonary embolism." d. "Use of an incentive spirometer will help prevent pneumonia."

d. "Use of an incentive spirometer will help prevent pneumonia."

A toddler who has not had surgery before is being prepared for a surgical procedure. The child's mother expresses concern about the child's psychological adaptation to surgery. While planning for postoperative care, the nurse recognizes that the child is likely to have which greatest concern based on age? Select one: a. body image changes b. anticipated pain c. communication difficulties d. separation from parents

d. separation from parents