Perioperative and Oncology Nursing

Rapidly eliminated

What is the main reason desflurane (Suprane) or sevoflurane (Ultrane) as the volatile liquid anesthesia agent are used for surgical clients who go home the day of the surgery?

Shellfish

When asked about allergies, the preoperative client tells the nurse she has allergies to all of the following substances. Which allergy alerts the nurse to potential problems in relation to the scheduled surgery?

Evaluate whether the client's knowledge level is sufficient to give consent

When obtaining consent for surgery, the nurse should initially

Cigarette smoke

When teaching about the cancer etiology, the nurse emphasize that the most lethal chemical carcinogen is?

Facilitates expansion of the thorax

When the client is deep breathing and coughing it is important to have the client sitting because this position:

Avoiding fresh fruits and vegetables if absolute WBC count is less than 1000/mm3

Which of the following actions is vital for the nurse to perform when assessing a patient receiving chemotherapy?

Have the client perform leg exercises every hour while awake

Which of the following interventions should the nurse implement for pulmonary emboli prophylaxis?

steam

Which of the following is NOT used for chemical sterilization?

Benign form is encapsulated and would only have localized

Which of the following is a TRUE statement regarding neoplasms?

Walk in, sit down, maintain eye contact, and introduce yourself

Which of the following is the best way for the nurse to begin the preoperative interview?

anesthesia note

Which of the following items of documentation is not required for the nurse to have on the chart before the client is transported to the operating suite?

Check the client's armband and ask his or her name

Which of the following method is the best for correctly identifying the client prior to surgery?

Early ambulation

Which of the following nursing interventions is most important in preventing postoperative complications?

Verify the identification and informed consent

Which of the following nursing interventions should be given the highest priority when receiving a client in the OR?

The client demonstrates deep breathing, coughing, splinting, and leg exercises

Which of the following outcomes would demonstrate the effectiveness of preoperative teaching?

A change in bowel habits

Which of the following symptoms is a client with colon cancer most likely to exhibit?

Change the sterile field after sterile water is spilled on it

Which of the following techniques will maintain surgical asepsis?

Use of all drugs taken in the last 18 months

During the preoperative interview the nurse obtains information about the client's medication history. Which of the following is not necessary to record about the client?

Sterile persons remain close to the sterile field, can turn their back to the field

The integrity of the sterile field must be maintained by individuals moving within the sterile field. Which of the following statement is false?

Practice monthly breast self-exam (BSE)

The nurse at a senior citizen center is teaching a class on the early warning signs of cancer. Which of the following will be part of the teaching plan for this class?

Compressing it and then plugging it to establish a Suction

The nurse empties a Jackson-Pratt drainage bulb. Which of the following nursing interventions ensures correct functioning of the drain?

Walk around the sterile field, keeping herself facing the sterile field

The nurse has a sterile field in front of her and needd to reach an instrument at the other side of the field. To maintain sterile technique, the nurse should

Restlessness

The nurse is assessing a client recovering from anesthesia. Which of the following signs or symptoms are the earliest indicators of hypoxemia?

Do not allow pregnant women in to the client's room

The nurse is caring for a client with an internal radiation implant. When caring for the client, the nurse should observe which of the following principles?

The client's pain rating

The nurse is caring for a client with cancer. The client is complaining of acute pain. The most appropriate nursing assessment of the client's pain would include which of the following?

1 week after menstruation begins

The nurse is instructing a group of female clients about breast self-examination. The nurse would instruct the clients to perform the examination

Limit visitors to 30 minutes per day

The nurse is planning care for a client with cervical radiation implants. Which nursing intervention will be included in the plan of care?

Have the client empty his bladder

The nurse is preparing to administer a premedication. Which of the following actions should the nurse take first?

Recurrent muscle pains

The nurse is providing health teaching regarding early warning signs of cancer. Which of the following is NOT included?

May create greater risks for complications or interact with anesthetic agents

The nurse should ask each client preoperatively for the name and dose of all prescription and over-the-counter medications taken before surgery because they:

Type of sterilizer used to sterilized items

"Sterile" is the condition of almost all items, devices or supplies used in the OR for any surgical procedure. Shelf life of a packaged sterile item is event related and depends on the following, EXCEPT:

Iodine skin preparations

The nurse should suspect that a client who reports an allergy to shellfish is also allergic to

Free from all pathogenic organisms

The nurse understands that surgical asepsis means

Notify the physician

A 46-year-old client with breast cancer complains of back pain and difficulty moving her legs. Which of the following nursing interventions is the most appropriate?

Reduction of stress on the abdominal incision

A binder placed around a surgical client with a new abdominal wound is indicated for

Scaly skin

A client develops radiodermatitis from external radiation therapy. When evaluating his symptoms, the nurse can expect to find all of the following EXCEPT:

lymphatic circulation

A client diagnosed with cervical cancer asks the nurse about the most common route of cancer metastasis. The nurse responds that metastasis usually is through

Shoulders

A client has been positioned in the lithotomy position under general anesthesia for a pelvic procedure. In which anatomic area may the client expect to experience postoperative discomfort?

Hemorrhage

A client is admitted to the surgical floor after having bowel surgery. The nurse observes that the client's urinary output has decreased from 50 to 20 ml/hr. Which of the following is the most likely cause?

Malignant proliferation of plasma cells and tumors within the bone

A client is diagnosed with multiple myeloma. The client asks the nurse about the diagnosis. The nurse bases the response on which of the following description of this disorder?

Hemoglobin 8 g/dL

A client who has undergone preadmission testing has had blood drawn for serum laboratory studies including a complete blood count, coagulation studies, and electrolytes and creatinine levels. Which of the following laboratory results should be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?

Anticipatory grieving

A client who is having mastectomy expresses sadness about losing her breast. Based on this information, the nurse would identify that the client is at risk for which nursing diagnosis?

Atelectasis and pneumonia

A client who is scheduled for an open cholecystectomy has a 20-pack-year history of smoking. For which postoperative complication is the client most at risk?

Pneumonia

A client who smokes two packs of cigarettes per day is most at risk postoperatively for:

Bleeding

A client with a prothrombin time (PT) or an activated partial thromboplastin time (APTT) greater than normal is at risk postoperatively for:

gains access to the blood and lymphatic channels

A malignant tumor

Remove colored nail polish

A nurse is preparing the client for surgery. The nurse would plan to implement which of the following on the day of surgery?

"My seven year-old twins should not come to visit me while I am receiving the treatment."

A woman is receiving internal radiation therapy for cancer of the cervix. Which statement indicates that the client understands precautions necessary during her treatment?

Skin changes at the radiation site

A woman is scheduled for radiation therapy following a mastectomy. The nurse can expect that this client may have

The hair loss is temporary

A woman loses most of her hair as a result of cancer chemotherapy. The nurse understands that which of the following is true about chemotherapy-induced alopecia?

Circulating nurse

The sterile nurse or sterile personnel touch only sterile supplies and instruments. When there is a need for sterile supply which is not in the sterile field, who hands out these items by opening its outer cover?

Checking the dressing for signs of bleeding

The surgical floor receives a new postoperative client from the postanesthesia care unit. Assessment reveals a patent airway and stable vital signs. What is the nurses' next action?

Anesthetist/anesthesiologist

All of the members of the surgical team must perform a "surgical scrub" except which of the following?

A tendency to bruise easily

An adult client is receiving radiation therapy. The nurse is teaching the client about signs of radiation induced thrombocytopenia, which include

Not assuming self-responsibility for her health

An adult comes to the clinic because she has productive cough. She smokes two packs of cigarette a day and has a family history of lung cancer and emphysema. Using the principles of health promotion, the nurse would make what interpretation of the client's behavior? She is

Use long handled forceps to remove the rod and place in a lead-lined container

An adult is receiving internal radiation therapy for cancer of the cervix. Her radiation source, a rod, becomes dislodged. The nurse's first action is to

Encourage the client to turn, deep breathe, and cough frequently

Because an older adult is at increased risk for respiratory complications after surgery, the nurse should:

That the items had undergone sterilization process but not necessarily sterile

Chemical indicators communicate that

Palliative surgery is performed to provide temporary relief of distressing symptoms rather than to cure a problem or condition

How does palliative surgery differ from any other type of surgery?

Every 4 hours

How often should the postoperative client's temperature ne assessed during the first 24 hours after surgery?

Mole that has become larger in the past 4 weeks

In assessing clients for early signs of cancer, which of the following findings reported to the nurse would indicate a priority for follow-up?

Provides the nursing process during surgery

In planning a client's perioperative teaching, the nurse includes an explanation of the circulating nurse as the person who

Position the client so that the tongue falls forward

In the PACU, the nurse notes that the client is having difficulty breathing because of an obstruction. The nurse would first:

Ask the client his name

In the operating room, the client tells the circulating nurse that he is going to have the cataract in his left eye removed. The nurse notes that the consent form indicates that surgery is to be performed on the right eye. What is the nurse's best first action?

Monthly breast self-examination for women 20 years old and older

In the secondary prevention of cancer, which of the following screening tests is recommended for breast cancer?

Identification bracelet

On admission to same-day surgery, the nurse reviews the chart to verify the client's identification documentation. Which of the following is most important?

Malignant hyperthermia

On the postoperative period if a client has unexpected tachycardia and tachypnea; jaw muscle rigidity; body rigidity of the limbs, abdomen and chest or hyperkalemia, the nurse should suspect:

relief of symptoms associated with cancer

Palliation refers to

Becomes free from all pathogenic organisms

Sterilization is the process by which an object

Destroy enough of the tumor so that the body's immune system can eradicate the remaining cells

The client asks the nurse how the chemotherapy that she is receiving for her lung cancer works. The nurse's best response based on the knowledge that chemotherapeutic drugs

Biopsy of the tumor

The client is diagnosed as having a bowel tumor. Several diagnostic tests are prescribed. The nurse understands that which of the following tests will confirm the diagnosis of malignancy?

Pick up the implant with long handled forceps and place it in a lead container

The client is hospitalized for insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. The initial action by the nurse is to:

Smoked a cigarette at 6:00 AM

The client is to take nothing by mouth after 4:00 AM. The nurse recognizes that the client has deficient knowledge when she state that he

Aspirin

The client receiving preoperative medication tells the nurse that all of the following medications (drugs or herbs) were ingested yesterday. Which one should the nurse report to the surgical team?

Drink six to eight glasses of water without voiding before the test

The client suspected of an ovarian tumor is scheduled for a pelvic ultrasound. The nurse provides which preprocedure instructions to the client?

Encouraging the patient to empty his bladder every 2 to 3 hours to prevent development of hemorrhagic cystitis

The client who is diagnosed with multiple myeloma, is receiving cyclophosphamide (Cytoxan). The nurse must include which of the following interventions in the nursing care plan of this patient?

Fecal occult blood test

The diagnostic test that will primarily detect colorectal cancer is

At least 1 foot

The distance that an unsterile person should maintain away from the sterile field is

Provide for an aseptic environment to prevent infection

The family cannot go with the surgical client past the doors that separate the public from the restricted area of the operating room suite. These traffic control measures are designed to:

Urinary output

The initial postoperative assessment is completed on a client who had an arthroscopy of the knee. Assessment of which of the following parameters is not necessary every 15 minutes during the first postoperative hour?