Perioperative PrepU Quiz
After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? "I'll be sleepy but able to respond to your questions." "I'm so glad that I will be unconscious during the surgery." "Only the surgical area will be numb." "I won't feel it, but I'll have a tube to help me breathe."
"I'll be sleepy but able to respond to your questions."
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
The nurse is triaging surgical clients. Which client would the nurse document as in need of urgent surgical care? A client with severe bleeding A client needing cataract surgery A client scheduled for cosmetic surgery A client with an acute gallbladder infection
A client with an acute gallbladder infection -severe bleeding would be emergent! which is right away!
Which of the following mobility criteria must a postoperative client meet to be discharged to home? Select all that apply. Pass a stress test Be able to drive to the grocery Ambulate the length of the client's house Get out of bed without assistance Be able to self-toilet
Ambulate the length of the client's house Get out of bed without assistance Be able to self-toilet
When should the nurse encourage the postoperative patient to get out of bed? Within 6 to 8 hours after surgery As soon as it is indicated Between 10 and 12 hours after surgery On the second postoperative day
As soon as it is indicated
What are the circulating nurse's responsibilities, in contrast to the scrub nurse's responsibilities? Coordinating the surgical team Assisting the surgeon Passing instruments Setting up the sterile tables
Coordinating the surgical team
What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? Thiopental sodium Naloxone Dantrolene sodium Fentanyl citrate
Dantrolene sodium
An instructor is developing for a class a teaching plan about agents used for intravenous (IV) anesthesia. Which of the following would the instructor include in this plan about these agents and this type of anesthesia? Select all that apply. Associated with more nausea Long duration of action Ease of administration More pleasant onset of anesthesia Need for little equipment
Ease of administration More pleasant onset of anesthesia Need for little equipment
A nurse documents the presence of granulation tissue in a healing wound. Which of the following is the best description for the tissue? Pale yet able to blanch with digital pressure White with long, thin areas of scar tissue Pink to red and soft, noting that it bleeds easily Necrotic and hard
Pink to red and soft, noting that it bleeds easily
What does the nurse recognize as one of the most common postoperative respiratory complications in elderly clients? Pleurisy Hypoxemia Pneumonia Pulmonary edema
Pneumonia
The circulating nurse is unsure whether proper technique was followed when an object was placed in the sterile field during a surgical procedure. What is the best action by the nurse? Remove the item from the sterile field. Ask another nurse to review the technique used. Remove the entire sterile field from use. Mark the client's chart for future review of infections.
Remove the entire sterile field from use.
A client is undergoing thoracic surgery. What priority education should the nurse provide to assist in preventing respiratory complications? Deep breathing and coughing exercises should be completed every 8 hours. Deep breathing and coughing exercises may be used as relaxation techniques. Pain medication should be taken before completing deep breathing and coughing exercises. Splint the incision site using a pillow during deep breathing and coughing exercises.
Splint the incision site using a pillow during deep breathing and coughing exercises.
A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of anesthesia? To prevent cerebrospinal fluid (CSF) leakage To prevent seizures To prevent cardiac arrhythmias To prevent confusion
To prevent cerebrospinal fluid (CSF) leakage -spinal (subarachnoid) block = spinal anesthesia
At what point does the preoperative period end? When the client signs the consent form When the client is admitted to the PACU When the decision is made to proceed with surgery When the client is transferred onto the operating table
When the client is transferred onto the operating table
The OR personnel responsible for maintaining the safety of the client and the surgical environment is the: Scrub nurse Anesthesiologist Circulating nurse Surgeon
circulating nurse
Which position is used for perineal surgical procedures? -Lithotomy -Sims -Trendelenburg -Dorsal Recumbent
correct: Lithotomy (supine position with legs separated, flexed, and supported in raised stirrups (childbirth position)) -perineal: area between the anus and scrotum/vuvla -sims: laying on stomach with knee out (rectal exams, enemas) -trendelenburg: supine on a 15-30 degree incline with feet elevated above head -dorsal recumbent: supine with legs moderately flexed and rotated outward
Informed consent from the surgical client is essential in all of the following categories of surgery except: Urgent surgery Emergent surgery Required surgery Elective surgery
emergent surgery
The primary objective in the immediate postoperative period is relieving pain. controlling nausea and vomiting. maintaining pulmonary ventilation. monitoring for hypotension.
maintaining pulmonary ventilation
A client is undergoing preoperative assessment. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. What is the nurse's next action? Give the client plenty of water to aid digestion. Cancel the surgery. Document what foods the client ate. Notify the surgeon.
notify the surgeon
A 79-year-old man is scheduled for surgical repair of an inguinal hernia. In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: Hyperglycemia or hypoglycemia Skin breakdown Early ambulation Overstimulation
skin breakdown
