CS Theory Ch. 17

A nurse is teaching a client about pain management after surgery. Which client statement indicates the teaching was effective? "I will support my incision with my hands when I cough and do my deep breathing exercises." "I will ask for pain medication when the pain becomes unbearable." "I will need to learn how to give myself pain medication by injection for when I go home." "The pain from my incision will be very similar to my arthritis pain."

"I will support my incision with my hands when I cough and do my deep breathing exercises."

You are the nurse working in an ambulatory surgery center. A teenage son of your clients ask you why so many people have surgery. What would be your best reply? "Many people have diagnostic or short therapeutic surgical procedures." "Lots of people have cancer and need tumors removed." "You know, we have a lot of sick people in the world." "Not everyone has to go to the hospital to have surgery anymore."

"Many people have diagnostic or short therapeutic surgical procedures."

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

7

A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. When should the client stop taking the aspirin before the surgery? 2 weeks 4 weeks 7 to 10 days 2 to 3 days

7 to 10 days

A client is scheduled for a surgical procedure. When planning the client's care, the nurse should consider that which of the following conditions will increase the client's risk of complications after surgery? A history of diabetes A history of sensitivity to aspirin A history of osteoarthritis A history of chronic low back pain

A history of diabetes

A patient is scheduled for a surgical procedure. For which surgical procedure should the nurse prepare an informed consent form for the surgeon to sign? An open reduction of a fracture An insertion of an intravenous catheter Irrigation of the external ear canal Urethral catheterization

An open reduction of a fracture

At which time does the nurse realize that it is best to begin teaching about care needed during the postoperative period? During the preoperative period Upon arrival to the surgical unit Following the surgical procedure At the time of discharge instructions

During the preoperative period

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

Emergency

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

Emergent

A gunshot wound would be classified under which category of surgery based on urgency? Emergent Elective Required Urgent

Emergent

A patient with uncontrolled diabetes is scheduled for a surgical procedure. What chief life-threatening hazard should the nurse monitor for? Dehydration Hypertension Hypoglycemia Glucosuria

Hypoglycemia

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.

A patient is scheduled for a reduction mammoplasty. What classification of surgery does the nurse understand that this is? Urgent Optional Required Reconstructive

Optional

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? Explain that the client cannot go into the operating room with jewelry on. Medicate the client and then remove the ring. Place gauze under and over the ring and apply adhesive tape over it. Tell the physician and anesthesiologist.

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

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

Request that the surgeon come and answer the questions.

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. Check that all surgical personnel are properly attired. Review the scheduled procedure, site, and client. Confirm that informed consent has been obtained.

Review the scheduled procedure, site, and client.

When does the nurse understand the patient is knowledgeable about the impending surgical procedure? The patient participates willingly in the preoperative preparation. The patient discusses stress factors causing the patient to feel depressed. The patient expresses concern about postoperative pain. The patient verbalizes fears to family.

The patient participates willingly in the preoperative preparation.

At what point does the preoperative period end? When the decision is made to proceed with surgery When the client is transferred onto the operating table When the client is admitted to the PACU When the client signs the consent form

When the client is transferred onto the operating table

A 17-year-old client is having same-day surgery. Solely during the intraoperative phase of perioperative care, the nurse: continuously monitors the sedated client. performs a complete assessment of the client. obtains a surgical consent from the client's mother. assesses how well the client is recovering from anesthesia.

continuously monitors the sedated client.