Perioperative: Chapters 17, 18, 19

Which statement by the client indicates further teaching about epidural anesthesia is necessary? "I will become unconscious." "I will be able to hear the surgeon during the surgery." "A needle will deliver the anesthetic into the area around my spinal cord." "I will lose the ability to move my legs."

"I will become unconscious."

Adequate hourly urine output for a client with an indwelling urinary catheter is 0.5 mL/kg/h. 1.5 mL/kg/h. 2.0 mL/kg/h. 1.0 mL/kg/h.

2.0 mL/kg/h.

In preparing the client for transfer to the operating room, which of the following actions by the nurse is inappropriate? Have client wear hospital gown. Remove all jewelry. Allow the client to wear dentures. Have the client void.

Allow the client to wear dentures.

A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. The client is ready for rewarming procedures. Which action by the nurse is appropriate? Place warm damp drapes on the client, replacing them every 5 minutes. Administer IV fluids warmed to room temperature. Temporarily set the OR temperature to 30°C. Apply a warm air blanket, gradually increasing body temperature.

Apply a warm air blanket, gradually increasing body temperature.

The nurse is responsible for monitoring cardiovascular function in a postoperative patient. What method can the nurse use to measure cardiovascular function? Upper endoscopy Central venous pressure Chest x-ray Complete blood count

Central venous pressure

Which action should not be allowed when wearing masks in the operating room? wearing the mask fitted tight Changing masks between treating clients Letting masks hang around the neck Covering the nose and mouth completely

Letting masks hang around the neck

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

Perioperative

Which health care profession has the ultimate responsibility to provide appropriate information regarding a nonemergent surgery? Case manager Nurse Physician Certified nurse's aide

Physician

The nurse documents the presence of granulation tissue in a healing wound. How should the nurse describe the tissue? Pink to red and soft, bleeding easily White with long, thin areas of scar tissue Pale yet able to blanch with digital pressure Necrotic and hard

Pink to red and soft, bleeding easily

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. Place gauze under and over the ring and apply adhesive tape over it. Medicate the client and then remove the ring. Tell the physician and anesthesiologist.

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

What does the nurse recognize as one of the most common postoperative respiratory complications in elderly clients? Pleurisy Pneumonia Hypoxemia Pulmonary edema

Pneumonia

A nurse prepares to suction a client's tracheostomy tube. Place the procedure steps in correct order. Position the client in Fowlers position. 2 Lubricate the sterile suction catheter. 3 Insert suction catheter into the lumen of the tube. 5 Don sterile gloves. 4 apply intermittent suction while withdrawing the catherter

Position the client in Fowlers position. Don sterile gloves. Lubricate the sterile suction catheter. Insert suction catheter into the lumen of the tube. Apply intermittent suction while withdrawing the catheter.

The client vomits during the surgical procedure. The best action by the nurse is: Increase the IV infusion rate to compensate for lost fluids. Suction the client to remove saliva and gastric secretions. Administer an anti-emetic to alleviate nausea. Lower the head of the operating table to promote circulation to the brain.

Suction the client to remove saliva and gastric secretions.

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 biopsy A face-lift Placement of gastrostomy tube Tumor excision

Tumor excision

When a 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? Up to 72 hours after alcohol withdrawal Upon awakening in the postanesthesia care unit Immediately upon admission Up to 24 hours after alcohol withdrawal

Up to 72 hours after alcohol withdrawal

You are caring for a client who is an obese diabetic. The client is 48 hours post surgery. What is this client at increased risk for? Wound dehiscence Contractures Phlebitis Hypotension

Wound dehiscence

The nurse recognizes older adults require lower doses of anesthetic agents due to: increased liver mass. increased tissue elasticity. decreased bone mass. decreased lean tissue mass.

decreased lean tissue mass.

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

emergency

The nurse understands that the purpose of the "time out" is to: verify all necessary supplies are available. clarify the roles of the OR personnel. identify the client's allergies. maintain the safety of the client.

maintain the safety of the client.

Hypothermia may occur as a result of increased muscle activity. being young. the infusion of warm fluids. open body wounds.

open body wounds.