NUR 145 Chapter 17 Pre-Op The Point Quiz

For the client who is taking aspirin, it is important to stop taking this medication at least how many day(s) before surgery? A. 7 B. 3 C. 1 D. 5

A. 7- Should be stopped 7-10 days prior to surgery

A client is scheduled for an invasive procedure. What should the nurse document in the chart regarding the procedure? A. A signed consent form from the client B. A report from the dietician C. A signed consent form from the client's family D. A detailed urinalysis report

A. A signed consent form from the client

A client asks about the purpose of withholding food and fluids before surgery. Which response by the nurse is appropriate? A. It prevents over-hydration and hypertension B. It prevents aspiration and respiratory complications. C. It decreases the risk of elevated blood sugar and slow wound healing. D. It decreases urine output so that a catheter will not be needed.

B. It prevents aspiration and respiratory complications.

The nurse is educating a community group about types of surgery. A member of the group asks the nurse to describe a type of surgery that is curative. What response by the nurse is true? A. A face-lift B. Tumor excision C. Placement of gastrostomy tube D. A biopsy

B. Tumor excision

A client continuously repeats, " I know all will go well". What cognitive coping strategy should the nurse document? A. Music Therapy B. Imagery C. Optimistic Self- Recitation D. Distraction

C. Optimistic Self- Recitation

When the client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? A. Up to 24 hours after alcohol withdrawal B. Immediately upon admission C. Up to 72 hours after alcohol withdrawal D. Upon awakening in the PACU

C. Up to 72 hours after alcohol withdrawal

The nurse would identify which vitamin deficiency to prevent hemorrhaging during surgery? A. Vitamin A B. Magnesium C. Vitamin K D. Zinc

C. Vitamin K

A client with a history of alcoholism is scheduled for urgent surgery. The client asks the nurse, "Why is everyone so concerned about how much I drink?" What is the best response by the nurse? A. "It is required screening questions for all clients having surgery." B. " We can have counselors available after surgery if it is determined you need help with your drinking." C. " The amount of alcohol you drink determines the amount of pain medication you will need postoperatively" D. " It is important for us to know how much and how often you drink to help prevent surgical complications"

D. " It is important for us to know how much and how often you drink to help prevent surgical complications"

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 severe bleeding C. A client rescheduled for cosmetic surgery D. A client with an acute gallbladder infection

D. A client with an acute gallbladder infection

When a client states, "I know all will go well", what cognitive coping strategy is the client using? A. Distraction B. Imagery C. Music Therapy D. Optimistic Self-Recitation

D. Optimistic Self-Recitation - when the pt verbalizes this statement it is an optimistic response.

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

Perioperative- includes the preoperative, intraoperative, and postoperative phases.

What nutrient plays an important role in normal blood clotting? A. Vitamin K B. Vitamin C C. Protein D. Zinc

A. Vitamin K

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? A. Progressive muscular relaxation B. Distraction C. Optimistic self-recitation D. Imagery

D. Imagery

A client with a skull fracture after falling from a ladder requires surgery. The nurse should anticipate transporting the client to surgery during what time frame? A. In 48-72 hours B. In 1 week C. In 1 day D. Immediately

D. Immediately

An example of a curative surgical procedure is A. a face-lift B. Placement of gastrostomy tube C. a biopsy D. tumor excision

D. tumor excision

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

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

Which would be considered to require an urgent surgical procedure? A. Loose facial skin B. Acute gallbladder infection C. Severe Bleeding D. Cataract

B. Acute gallbladder infection ** Severe Bleeding would be considered Emergent

A client is scheduled for a cholecystectomy. Which finding by the nurse is least likely to contribute to surgical complications? A. Pregnancy B. Urinary tract infection C. Osteoporosis D. Diabetes

C. Osteoporosis

Which health care profession has the ultimate responsibility to provide appropriate information regarding a non-emergent surgery? A. Nurse B. Case Manager C. Physician D. Certified Nurse's Aide

C. Physician

A fractured skull would be classified under which category of surgery based on urgency? A. Required B. Elective C. Urgent D. Emergent

D. Emergent

What is the major purpose of withholding food and fluid before surgery? A. Decrease urine output B. Decrease risk of constipation C. Prevent over-hydration D. Prevent aspiration

D. Prevent aspiration

Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? A. Thyroid B. Pituitary C. Adrenal D. Parathyroid

C. Adrenal

What action by the nurse best encompasses the preoperative phase? A. Shaving the client using a straight razor B. Documenting the application of sequential compression devices (SCDs) C. Monitoring vitals ever 15 minutes D. Educating clients on signs and symptoms of infection

D. Educating clients on signs and symptoms of infection

Which is the least important issue concerning the safety for the perioperative team before proceeding to the operating room? A. Client's ambulatory aids B. Surgical Site C. Client identification D. Surgical Procedure

A. Client's ambulatory aids

When a client is encouraged to concentrate on a pleasant experience or restful scene, the client is using the cognitive coping strategy called? A. Imagery B. Optimistic self-recitation C. Progressive muscular relaxation D. Distraction

A. Imagery

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

A. Prednisone - is a corticosteroid are at risk of adrenal insufficiency. Can cause circulatory collapse and hypotension.

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? A. "We obtained consent from your child after your child requested the surgery". B. " Your child had life-threatening injuries that required immediate surgery". C. " Two doctors decided your child needed for surgery, therefore we did not need to get consent". D. The surgical procedure being performed does not require consent".

B. " Your child had life-threatening injuries that required immediate 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? A. " The client was tachycardia, had progressive weight loss, and experienced bouts of insomnia as a result of hyperthyroidism" B. "The client is unresponsive, had a distended abdomen, and had unstable vital signs after a motor vehicle accident." C. " The client has severe pain and a laceration to the face with minimal bleeding after being attacked by a dog 1 hour ago". D. " The client had epigastric abdominal pain, an elevated white blood count, and vomiting for 1 day".

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

A client is scheduled for an invasive procedure. What priority documentation is needed regarding the procedure? A. A health history obtained by the primary physician B. A signed consent form from the client C. Prescriptions for postoperative medications D. The medication reconciliation form

B. A signed consent form from the client

When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as A. Elective B. Emergency C. Required D. Urgent

B. Emergency- the client requires immediate attention and the disorder may be life threatening.

The nurse is educating clients who require surgery for various ailments about the perioperative experience. What education provided by the nurse is most appropriate? A. Risk and benefits of the surgical procedure B. Three phases of surgery and safety measures for each phase C. Intraoperative techniques used to perform the surgery D. Expected pain levels and narcotic medications used to treat pain

B. Three phases of surgery and safety measures for each phase

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. Apply grounding devices to clients B. Verify the surgical site and mark it appropriately C. Maintain an aseptic environment D. Review the medical records E. Provide oral fluids to the patient F. Identify the client using two identifiers

B. Verify the surgical site and mark it appropriately D. Review the medical records F. Identify the client using two identifiers

The client refuses to remove her wedding band when preparing for surgery. What is the best action for the nurse to take? A. Notify the surgeon to cancel surgery B. Discuss the risk for infection caused by wearing the ring C. All the client to wear the ring and cover it with tape D. Remove the ring once the client is sedated.

C. All the client to wear the ring and cover it with tape

A client is undergoing thoracic surgery. What priority education should the nurse provide to assist in preventing respiratory complications? A. Depp breathing and coughing exercises should be completed every 8 hours B. Pain medication should be taken before completing deep breathing and coughing exercises C. Splint the incision site using a pillow during deep breathing and coughing exercises D. Deep breathing and coughing exercises may be used as a relaxation technique.

C. Splint the incision site using a pillow during deep breathing and coughing exercises

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. Take half doses of the aspirin until 1 week after surgery B. Aspirin should be increased until 3 days before surgery, then it should be discontinued until 3 days after surgery. C. Stop taking aspirin 7 days before the surgery, unless otherwise directed by the physicians. D. Continue to take the aspirin.

C. Stop taking aspirin 7 days before the surgery, unless otherwise directed by the physicians.

In which instance may a surgeon operate without informed consent? A. Invasive procedures B. Radiological procedures C. Procedures requiring sedation D. Emergency situations

D. Emergency situations

Which domain of perioperative nursing practice focuses on clinical processes and outcomes? A. Behavioral responses B. Safety C. Physiological responses D. Health Care Systems

D. Health Care Systems - consists of structural data elements and focuses on clinical processes and outcomes.

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. Respiration rate is 20, temp is 99.8, HR is 87, BP is 124/70. What is the best action by the nurse? A. Notify the provider about the assessment findings B. Wait 1 hour and complete the assessment again C. Document the findings and continue to moving the client through the preoperative phase D. Notify the surgeon to possibly delay the surgery.

D. Notify the surgeon to possibly delay the surgery. - A respiratory infection can delay nonemergent surgical procedures because infection can increase the risk for respiratory complications.

During the preoperative assessment, the client mentions allergies to avocados, bananas, and hydrocodone. What is the priority action by the nurse? A. Notify the manager to follow up on the procedure B. Notify the physician regarding postoperative medications. C. Notify the dietary department D. Notify the surgical team to remove all latex-based items.

D. Notify the surgical team to remove all latex-based items.

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

D. Prevention of respiratory complications

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? A. Answer the client's questions. B. Place the consent form in the client's medical record. C. Notify the nurse manager of the client's questions. D. Request that the surgeon come and answer the questions.

D. Request that the surgeon come and answer the questions.

The nurse is completing a preoperative assessment. The nurse notices the client is tearful and constantly wringing her hands. The client states, " I'm really nervous about this surgery. Do you think it will be okay?" What is the nurse's best response? A. " No one has ever died from the procedure you are having" B. You have nothing to worry about; you have the best surgical team" C. What family support do you have after the surgery? D. What are your concerns?

D. What are your concerns?