Med/Surg exam 1

An anxious client being prepared for surgery is encouraged to concentrate on a pleasant experience or restful scene. What cognitive coping strategy would the nurse document as being used?

Imagery

You are physically preparing a client for surgery and instruct the person to remove any jewelry. The client refuses to remove a wedding band. What should you do in this situation with approval from your facility?

Place gauze under and over the ring and apply adhesive tape over it.

A nurse is witnessing a client sign the consent form for surgery. After signing the consent form, the client starts asking questions regarding the risks and benefits of a surgical procedure. What action by the nurse is most appropriate? - Place the consent form in the client's medical record. - Request that the surgeon come and answer the questions. - Answer the client's questions. - Notify the nurse manager of the client's questions.

Request that the surgeon come and answer the questions.

A nurse evaluates the potential effects of a client's medication therapies before surgery. Which drug classification may cause respiratory depression from an associated electrolyte imbalance during anesthesia?

diuretics

A client will undergo abdominal surgery. The nurse provides preoperative education regarding the importance of diaphragmatic breathing exercises to prevent postoperative complications. The nurse will educate the client about the risk for developing_____, _____, and _____ if the client does not implement diaphragmatic breathing exercises in the postoperative period of care.

pneumonia, atelectasis, and bronchospasm

A client is scheduled to have surgery to address a cleft palate. What type of surgery would the nurse be preparing this client for? - reconstructive - diagnostic - prophylactic - corrective

reconstructive

A client scheduled for surgery asks why blood tests are being done to evaluate liver function. Which response will the nurse make?

"It is because the anesthesia you will receive is cleared through the liver."

A client scheduled for surgery has a blood pressure of 186/90 mm Hg. After documenting this in the medical record, which action will the nurse take? - document the findings - give preop meds early - notify the health care provider of the blood pressure

Notify the health care provider of the blood pressure.

The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. The client reports a frequent 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, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. What is the best action by the nurse? - Notify the surgeon to possibly delay the surgery. - Document the findings and continue moving the client through the preoperative phase. - Wait 1 hour and complete the assessment again. - Notify the primary physician about the assessment findings.

Notify the surgeon to possibly delay the surgery.

Once the operating team has assembled in the room, the circulating nurse calls for a "time out." What action should the nurse take during the time out? - Ensure that sufficient surgical supplies are available. - Review the scheduled procedure, site, and client. - Check that all surgical personnel are properly attired. - Confirm that informed consent has been obtained.

Review the scheduled procedure, site, and client.

A nurse is teaching a client about diaphragmatic breathing. What client action indicates that further teaching is needed? - The client places the hands on the lower chest to feel the rise and fall with breathing. - The client exhales forcefully with a short expiration. - The client breathes in deeply through the nose and mouth. The client performs diaphragmatic breathing in a semi-Fowler's position.

The client exhales forcefully with a short expiration.

Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? - Pituitary - Adrenal - Thyroid - Parathyroid

adrenal

Which is the least important issue concerning safety for the perioperative team before proceeding to the operating room?

ambulatory aids

A client scheduled for surgery follows a vegan eating plan. For which potential postoperative complication will the nurse plan care for this client? - Delayed wound healing - Blood clots - Stasis pneumonia - Hypoactive bowel sounds

delayed wound healing

An example of a curative surgical procedure is - a face-lift. - placement of gastrostomy tube. - tumor excision. - a biopsy.

tumor excision.