Taylor, Chapter 30
Which of the following statements, if made by an adolescent preparing for abdominal surgery, would indicate to the nurse that the client requires additional instruction?
"I can have a hamburger and French fries as soon as I wake up."
In order to prevent the possibility of venous stasis, a nurse is teaching a surgical client how to perform leg exercises. Which of the client's following statements indicates a sound understanding of leg exercises? a) "I'm pretty sure my stomach muscles are strong enough to lift both of my legs off the bed at the same time." b) "I'll practice these now and try to start them as soon as I can after my surgery." c) "I'll try to do these lying on my stomach so that I can bend my knees more fully." d) "I'll make sure to do these, as long as my doctor doesn't tell me to stay on bed rest after my operation."
"I'll practice these now and try to start them as soon as I can after my surgery."
The nurse has entered the room of a client who is postoperative day one and finds the client grimacing and guarding her incision. The client refuses the nurse's offer of PRN analgesia, and on discussion, states that this refusal is motivated by his fear of becoming addicted to pain medications. How should the nurse respond to the client's concerns? a) "You should remind yourself that treating your pain is important now, and that dealing with any resulting dependency can come later." b) "The hospital has excellent resources for dealing with any addiction that might result from the medications you take to control your pain." c) "Research has shown that there is very little risk of clients becoming addicted to painkillers after they have surgery." d) "Actually, people who are not addicted to drugs before their surgery never develop a tolerance or addiction during their recovery."
"Research has shown that there is very little risk of clients becoming addicted to painkillers after they have surgery."
A client has arrived in the same-day surgery suite. He states to the nurse, "I am so worried about being put to sleep and having the surgery." What would be the nurse's best response? a) "Tell me what you are most worried about." b) "I will have the anesthesiologist talk to you." c) "You don't have to worry. It will be fine." d) "Have you ever had surgery before?"
"Tell me what you are most worried about."
The operating room nurse is aware that which of the following clients is at a greater risk related to a surgical procedure? a) A woman 34 years of age b) A man 48 years of age c) A woman 83 years of age d) A boy 8 years of age
A woman 83 years of age
Which of the following clients most likely requires special pre-operative assessment and treatment as a result of his or her existing medication regimen? a) A man who regularly treats his rheumatoid arthritis with over-the-counter nonsteriodal anti-inflammatory drugs (NSAIDs) b) A man who takes an angiotensin-converting enzyme (ACE) inhibitor because he has hypertension c) A woman who takes daily anticoagulants to treat atrial fibrillation d) A woman who takes daily thyroid supplements to treat her longstanding hypothyroidism
A woman who takes daily anticoagulants to treat atrial fibrillation
Which of the following clients most likely requires special pre-operative assessment and treatment as a result of his or her existing medication regimen? a) A woman who takes daily thyroid supplements to treat her longstanding hypothyroidism b) A man who takes an angiotensin-converting enzyme (ACE) inhibitor because he has hypertension c) A man who regularly treats his rheumatoid arthritis with over-the-counter nonsteriodal anti-inflammatory drugs (NSAIDs) d) A woman who takes daily anticoagulants to treat atrial fibrillation
A woman who takes daily anticoagulants to treat atrial fibrillation
A client with abdominal incisions experiences excruciating pain when he tries to cough. What should the nurse do to reduce the client's discomfort when coughing? a) Ask the client to drink plenty of water before coughing. b) Ask the client to lie in a lateral position when coughing. c) Administer prescribed pain medication 30 minutes before deliberately attempting to cough. d) Administer prescribed pain medication just before coughing.
Administer prescribed pain medication 30 minutes before deliberately attempting to cough.
Which of the following nursing interventions occurs in the postoperative phase of the surgical experience? a) Airway/oxygen therapy/pulse oximetry b) Reviewing the meaning of p.r.n. orders for pain medications c) Teaching deep breathing exercises d) Putting in IV lines and administering fluids
Airway/oxygen therapy/pulse oximetry
A nurse explains the effects of conscious sedation to a patient undergoing a colonoscopy. Which of the following occurs with conscious sedation? a) Lowered pain threshold b) Altered mood c) Total amnesia d) Loss of cardiopulmonary function
Altered mood
A nurse is preparing to receive a client in post-anesthesia care unit (PACU). The client is diabetic and has undergone knee surgery. Which information would be most important for the receiving nurse to obtain to develop an appropriate plan of care for this client? a) Chronic disease history b) Environment of the operating room c) Amount of blood loss d) Information about allergic agents
Amount of blood loss
Upon admission for an appendectomy, the client provides the nurse with a document that specifies instructions his health care team should follow in the event he is unable to communicate these wishes postoperatively. What is the document best known as? a) A Patient's Bill of Rights b) An informed consent c) An insurance card d) An advance directive
An advance directive
Upon admission for an appendectomy, the client provides the nurse with a document that specifies instructions his health care team should follow in the event he is unable to communicate these wishes postoperatively. What is the document best known as? a) An informed consent b) An insurance card c) A Patient's Bill of Rights d) An advance directive
An advance directive
Surgery can lead to hypothermia. Of the following clients, who is at greatest risk for hypothermia? a) A young adult with a fractured leg b) A woman delivering by C-section c) An adolescent for arthroscopic surgery d) An elderly man with a fractured hip
An elderly man with a fractured hip
A nurse is preparing an obese male client for gastric banding surgery. Which of the following would the nurse be least likely to include in the client's preoperative teaching plan? a) Techniques for effective deep breathing and turning b) Appropriate procedure to care for the surgical site c) Information about medications that will control nausea and pain d) Information about bowel preparation and skin preparation
Appropriate procedure to care for the surgical site
Nurses teach patients to restrict food and fluids before surgery. What condition does this measure attempt to avoid? a) Infection b) Aspiration c) Bowel alterations d) Respiratory distress
Aspiration
A client returning to the floor after orthopedic surgery is complaining of nausea. The nurse is aware that an appropriate intervention is to do which of the following? a) Avoid strong smelling foods. b) Avoid oral hygiene until the nausea subsides. c) Hold all medications. d) Provide clear liquids with a straw.
Avoid strong smelling foods.
The nurse is providing education to a client regarding pain control after surgery. What time does the nurse inform the client is the best time to request pain medication? a) After the pain becomes severe and relaxation techniques have failed b) When there is no pain, but it is time for the medication to be administered c) Before the pain becomes severe d) When the client experiences a pain rating of "10" on a 1-to-10 pain scale
Before the pain becomes severe
The nurse knows the term perioperative phase refers to care given to the client a) Immediately before an operative procedure b) Before, during, and after the operative phase c) From the start of surgery until its conclusion d) Immediately after the operative phase
Before, during, and after the operative phase
A nurse is caring for an elderly client with muscle atrophy. Which of the following conditions can lead to muscle atrophy in elderly clients? a) Being bedridden for 1 or 2 days b) Indwelling catheter c) Poor hydration d) Age-related skin changes
Being bedridden for 1 or 2 days
While reviewing the medical record of a client who has had abdominal surgery, the nurse notes that the client has developed a paralytic ileus. The nurse interprets this information as indicative of which of the following? a) Bowel functioning ceases due to becoming permanently paralyzed b) Bowel shrinks and appears deflated c) Bowel makes loud sounds constantly d) Bowel functioning is significantly decreased
Bowel functioning is significantly decreased
The telemetry unit nurse is reviewing laboratory results for a client who is scheduled for an operative procedure later in the day. The nurse notes on the laboratory report that the client has a serum potassium level of 6.5 mEq/L, indicative of hyperkalemia. The nurse informs the physician of this laboratory result because the nurse recognizes hyperkalemia increases the client's operative risk for which of the following? a) Cardiac problems b) Infection c) Fluid imbalances d) Bleeding and anemia
Cardiac problems
A nurse asks a preoperative patient what medications he is currently taking. Which of the following is an accurate guideline for patient teaching regarding these medications? a) Aspirin is generally stopped 1 month before surgery. b) Cardiac drugs must be stopped for 1 week before surgery. c) If the patient is diabetic and takes insulin, the dose may be increased before surgery. d) Certain respiratory drugs may be taken the day of surgery per physician's order.
Certain respiratory drugs may be taken the day of surgery per physician's order.
A physician has ordered a nurse to administer conscious sedation to a client. Which of the following is possible after administering conscious sedation to a client? a) Client's consciousness level can be monitored by equipment. b) Client is relaxed, emotionally comfortable, and conscious. c) Client can tolerate long therapeutic surgical procedures. d) Client can respond verbally despite physical immobility.
Client is relaxed, emotionally comfortable, and conscious.
A nurse is caring for a client who is scheduled to undergo a breast biopsy. Which of the following major tasks does the nurse perform immediately during the pre-operative period? a) Conduct a nursing assessment. b) Obtain a signature on the consent form. c) Reduce the dosage of toxic drugs. d) Review the surgical checklist.
Conduct a nursing assessment.
The nurse is preparing a patient for a colonoscopy. The nurse is familiar with the colonoscopy procedures at the hospital and is aware that which type of anesthesia is commonly used for this procedure? a) Nerve block b) Conscious sedation c) Spinal anesthesia d) Epidural anesthesia
Conscious sedation
A pediatric nurse is preparing a child for cleft palate repair surgery. The nurse recognizes that this type of surgery is categorized as which of the following? a) Constructive surgery b) Transplantation surgery c) Palliative surgery d) Reconstructive surgery
Constructive surgery
A nurse is assigned to be the circulating nurse, assisting a surgeon in the operating room. The nurse would be responsible for which of the following? a) Providing sponges and drains to the surgical team in the operating room b) Preparing the sterile tables in the operating room before surgery c) Controlling the temperature and humidity in the operating room d) Anticipating the needs of other members of the surgical team
Controlling the temperature and humidity in the operating room
A nurse is reinforcing wound edges and applying a blinder to the separated incisions of a client after a surgery. Which of the following postoperative complications has the client developed? a) Shock b) Evisceration c) Dehiscence d) Hypoxemia
Dehiscence
A nurse is caring for a client who has been wrapped with anti-embolism stockings to avoid thrombus formation. Which of the following measures can prevent thrombi? a) Drink plenty of fluids b) Sit for longer durations c) Keep legs crossed at knees d) Avoid ambulating
Drink plenty of fluids
A client is undergoing surgery for an appendectomy. This would be considered what type of surgery? a) Palliative surgery b) Elective surgery c) Diagnostic surgery d) Emergency surgery
Emergency surgery
A client has been taking aspirin since his heart attack in 1997. The client is at risk for what? a) Infection b) Hemorrhage c) Blood clots d) Thrombophlebitis
Hemorrhage
A nurse finds that a patient's temperature is increasing more than 1°C per hour when using a forced-air warming device to treat his postsurgery hypothermia. What condition might occur if this patient's temperature increases too rapidly? a) Hypertension b) Cardiac arrest c) Hypotension d) Respiratory distress
Hypotension
A nurse is assessing the pre-operative checklist of a client. Which of the following observations listed in the pre-operative checklist should the nurse verify? a) If the client has worn a fresh set of clothes b) If the client has worn his or her dentures c) If the client has urinated properly d) If the client is responding to reversal drugs
If the client has urinated properly
A nurse is assessing the pre-operative checklist of a client. Which of the following observations listed in the pre-operative checklist should the nurse verify? a) If the client has worn a fresh set of clothes b) If the client is responding to reversal drugs c) If the client has worn his or her dentures d) If the client has urinated properly
If the client has urinated properly
Which statement accurately represents a recommended guideline when providing postoperative care for the following clients? a) Force fluids for an adult client who has a urine output of less that 30 mL per hour. b) If the dressing was clean but now has a large amount of fresh blood, remove the dressing and reapply it. c) If client is febrile within 12 hours of surgery, notify the physician immediately. d) If vital signs are progressively increasing or decreasing from baseline, notify the physician of possible internal bleeding.
If vital signs are progressively increasing or decreasing from baseline, notify the physician of possible internal bleeding.
Which of the following clients will see the greatest permanent changes in lifestyle following surgery? a) Left mastectomy b) Right total knee replacement c) Ileostomy d) Appendectomy
Ileostomy
The nurse is preparing to send a client to the operating room for an exploratory laparoscopy. The nurse recognizes that there is no informed consent for the procedure on the client's chart. The nurse informs the physician who is performing the procedure. The physician asks the nurse to obtain the informed consent signature from the client. What is the nurse's best action to the physician's request? a) Call the house officer to obtain the signature. b) Inform the physician that the nurse manager will need to obtain the signature. c) Obtain the signature and ask another nurse to cosign the signature. d) Inform the physician that it is his or her responsibility to obtain the signature.
Inform the physician that it is his or her responsibility to obtain the signature.
A nurse teaches deep-breathing exercises to a preoperative patient. Which of the following accurately describes a step in this exercise? a) Instruct the patient to place the palms of both hands along the upper posterior rib cage. b) Instruct the patient to exhale gently and completely before breathing in. c) Instruct the patient to breathe in through the nose as deeply as possible and hold the breath for 10 seconds. d) Assist or place the patient in a supine position for the exercises.
Instruct the patient to exhale gently and completely before breathing in.
A nurse is preparing a client for endotracheal intubation. The anesthesiologist has ordered an anticholinergic medication for this client. Which of the following is an action of this medication? a) It decreases respiratory secretions. b) It promotes sleep or conscious sedation. c) It decreases gastric acidity and volume. d) It promotes induction of anesthesia.
It decreases respiratory secretions.
A nurse is assisting a physician during a cesarean section for a client. The client is administered epidural anesthesia. Which of the following is an advantage of epidural anesthesia? a) It decreases the risk of gastrointestinal complications. b) It acts on the central nervous system to produce loss of sensation. c) It counteracts the effects of conscious sedation. d) It prevents clients from remembering the initial recovery period.
It decreases the risk of gastrointestinal complications.
A nurse is dressing the wound of a client who is admitted to the outpatient surgical unit. Which of the following is a major advantage of outpatient surgery? a) It allows less opportunity for family contact and support. b) It requires intensive pre-operative teaching in a short time. c) It reduces the time for establishing a nurse-client rapport. d) It interferes less with the client's daily routine.
It interferes less with the client's daily routine.
Which of the following surgical clients will return to activities in their everyday lives more quickly? a) Right nephrectomy b) Laparoscopic cholecystectomy c) Open-heart surgery d) Vaginal hysterectomy
Laparoscopic cholecystectomy
Upon assessment, a client reports that he drinks five to six bottles of beer every evening after work. Based upon this information, the nurse is aware that the client may require which of the following? a) Lower doses of anesthetic agents and lower doses of postoperative analgesics b) Larger doses of anesthetic agents and lower doses of postoperative analgesics c) Lower doses of anesthetic agents and larger doses of postoperative analgesics d) Larger doses of anesthetic agents and larger doses of postoperative analgesics
Larger doses of anesthetic agents and larger doses of postoperative analgesics
Which of the following postoperative exercises promotes venous return, and decreases complications related to venous stasis? a) Coughing b) Deep breathing c) Leg exercises d) Incentive spirometry
Leg exercises
Which of the following nursing action provides the greatest assistance in healing? a) Maintaining a restful environment b) Allowing family members to visit often c) Keeping the client recumbent d) Providing solid food in the first day
Maintaining a restful environment
The nurse-anesthetist is monitoring his client during surgery. He notices a ventricular dysrhythmia and unstable blood pressure. He notifies the surgeon. The operative team suspects a) Myocardial infarction b) Mitral valve prolapse c) Major blood loss d) Malignant hyperthermia
Malignant hyperthermia
A nurse is taking care of a client during the immediate post-operative period. Which of the following duties performed during the immediate post-operative period is most important? a) Prepare a room for the client's return. b) Monitor the client for complications. c) Ensure the safe recovery of surgical clients. d) Assess the client's health constantly.
Monitor the client for complications.
A patient had an open cholecystectomy (gall bladder removal) 36 hours earlier, and the nurse's assessment this morning confirms that the patient has not yet had a bowel movement since prior to surgery. How should the nurse best respond to this assessment finding? a) Administer a cleansing enema. b) Monitor the patient closely and promote fluid intake. c) Contact the physician to come assess the patient. d) Increase the rate of the patient's intravenous infusion.
Monitor the patient closely and promote fluid intake.
In the postoperative phase of abdominal surgery, the client complains of severe abdominal pain. In the second postoperative day, the client's bowel sounds are absent. What does the nurse suspect? a) Paralytic ileus b) Normal response c) Hernia development d) Abdominal infection
Paralytic ileus
When an elderly client is brought to the recovery room and presents with irregular, loud respirations, the nurse determines that this most likely a result of a) Effects of anesthesia b) Normal return of reflexes c) Partial airway obstruction d) Type of surgery
Partial airway obstruction
A patient has presented to a clinic for a presurgical consult, during which the patient has expressed concern about having to fast before surgery. Current recommendations for preoperative fasting include which of the following? a) Preoperative fasting is still often recommended, even though it is medically unnecessary. b) Patients can usually eat or drink up to 2 hours prior to surgery. c) New recommendations allow eating and drinking until just prior to anesthetic being administered. d) Patients generally must eat or drink nothing after midnight the night before surgery.
Patients can usually eat or drink up to 2 hours prior to surgery.
A client states he has a latex allergy. What action should the nurse take? a) Place an allergy identification band on the client. b) Inform the client to tell the anesthesiologist. c) Send the client to the OR with epinephrine. d) Have the client take a Benadryl before surgery.
Place an allergy identification band on the client.
A nurse is caring for an older adult following hip surgery. Which of the following serious complications would the nurse attempt to avoid by encouraging use of the incentive spirometer? a) Pneumonia b) Asthma attack c) Hypertension d) DVT
Pneumonia
A nurse teaches deep breathing exercises to a client scheduled for surgery. In which of the following perioperative phases would this action occur? a) Pre-operative b) Intraoperative c) Postoperative d) None of the above
Pre-operative
In what phase of the surgical experience would advance directives be discussed with the patient? a) Intraoperative b) Postoperative c) Preoperative d) Recovery
Preoperative
The nurse recognizes the value of leg exercises in the prevention of postoperative thrombophlebitis. When should the nurse teach the correct technique for leg exercises to a client? a) Upon transfer from postanesthetic care unit to the postsurgical unit b) Prior to surgery c) When early signs of venous stasis are evident d) In postanesthetic recovery
Prior to surgery
A nurse is applying a pneumatic compression device to a client. What is the purpose of a pneumatic compression device? a) Enables the client to void b) Pumps liquid diet to the client c) Promotes circulation of venous blood d) Reduces swelling and pain
Promotes circulation of venous blood
Following a successful coronary artery bypass graft (CABG), a 71-year-old male patient has been transferred to the postanesthetic care unit (PACU). What is the priority for the patient's nursing care during this stage of his recovery? a) Positioning the patient to prevent skin breakdown b) Protecting and maintaining the patient's airway c) Treating the patient's pain d) Preventing incisional infection and monitoring for signs and symptoms of infection
Protecting and maintaining the patient's airway
Following a successful coronary artery bypass graft (CABG), a 71-year-old male patient has been transferred to the postanesthetic care unit (PACU). What is the priority for the patient's nursing care during this stage of his recovery? a) Preventing incisional infection and monitoring for signs and symptoms of infection b) Protecting and maintaining the patient's airway c) Positioning the patient to prevent skin breakdown d) Treating the patient's pain
Protecting and maintaining the patient's airway
When educating a client in the postoperative period, it is important to educate the client to consume a diet high in a) Potassium b) Protein c) Calcium d) Bicarbonate
Protein
A nurse is caring for a client with a chest incision. Which action should the nurse ask the client to perform to induce forced coughing? a) Pull the abdomen inward b) Lean slightly backward c) Inhale slowly through mouth d) Exhale through the nose
Pull the abdomen inward
A nurse is caring for a female client who will undergo a curative surgery for cholecystectomy. Which of the following precautions should the nurse take before surgery to prevent venous stasis? a) Recommend that the client wear antiembolism stockings b) Ask the client to wiggle the toes at regular intervals c) Ask the client to remove her dentures d) Enclose the client's leg in a pneumatic splint
Recommend that the client wear antiembolism stockings
A nurse is assisting a cosmetic surgeon in removing the skin tattoos from a client's back. What are the advantages offered by laser surgery as compared to conventional surgeries? a) Reduces scarring b) Eliminates wound infection c) Relieves pain d) Eliminates all sensation
Reduces scarring
A nurse caring for a patient postoperatively notes that the patient's wound dressing was clean before but now has a large amount of fresh blood. What intervention should be taken by the nurse in this situation along with notifying the primary care provider? a) Change dressing b) Reinforce dressing c) Remove dressing d) Leave dressing as is
Reinforce dressing
What nursing action will assist in pain management for a client in the postoperative phase? a) Client teaching b) Relaxation techniques c) Provide food and medication d) Dim lighting
Relaxation techniques
A nurse is caring for an infant who is postoperative following cardiac surgery. What is the most common postoperative complication found in this age group? a) Circulatory complications b) Infection c) Respiratory complications d) Renal complications
Respiratory complications
A nurse is assessing an older adult client who has undergone major bypass surgery at the healthcare facility. When developing the plan of care for this client in the postoperative period, which of the following would the nurse identify as a priority assessment in the immediate period and for the first few days after the surgery? a) Bowel elimination pattern b) Respiratory function c) Ability to ambulate d) Self-care capability
Respiratory function
A client is being discharged following surgery for cancer care. The client will require extensive dressing changes two times per day. The client is on a fixed income and cannot afford to purchase dressing supplies. The nurse contacts the local Peregrine Society to assist in the provision of dressings. This contribution in care will assist in improving the client's a) Self-concept b) Decision making c) Family relationships d) Return to daily activities
Self-concept
The PACU nurse has received a semiconscious client from the operating room and reviews the chart for orders related to positioning of the client. There are no specific orders on the chart related to the client's position. In this situation, in what position will the nurse place the patient? a) Trendelenburg position b) Side-lying position c) Supine position d) Prone position
Side-lying position
A patient is scheduled for cardiac surgery in an acute-care facility. What intervention would occur in the intraoperative phase of this patient's perioperative care? a) Visit by the anesthesiologist b) Frequent vital signs/assessments c) Airway/oxygen therapy/pulse oximetry d) Skin preparation
Skin preparation
A nurse is assisting a physician in an emergency surgery for a client with intestinal perforation. Which of the following descriptions is most suitable to the type of surgery performed? a) Surgery performed at the client's request b) Surgery required within one or two days c) Surgery required immediately for survival d) Surgery planned as per client's convenience
Surgery required immediately for survival
A female client age 54 years has been scheduled for a bunionectomy (removal of bone tissue from the base of the great toe) which will be conducted on an ambulatory basis. Which of the following characteristics applies to this type of surgery? a) The client must be previously healthy with low surgical risks. b) The client will be admitted the day of surgery and return home the same day. c) The surgery will be conducted using moderate sedation rather than general anesthesia. d) The surgery is classified as urgent rather than elective.
The client will be admitted the day of surgery and return home the same day.
A female client age 54 years has been scheduled for a bunionectomy (removal of bone tissue from the base of the great toe) which will be conducted on an ambulatory basis. Which of the following characteristics applies to this type of surgery? a) The surgery is classified as urgent rather than elective. b) The client will be admitted the day of surgery and return home the same day. c) The client must be previously healthy with low surgical risks. d) The surgery will be conducted using moderate sedation rather than general anesthesia.
The client will be admitted the day of surgery and return home the same day.
A client in the immediate postoperative period begins to complain of nausea and ultimately begins vomiting. The nausea and vomiting is most likely related to a) Movement of bowels during surgery b) The effects of anesthetic agents c) Severe pain at the operative site d) Inactivity and emotional upset
The effects of anesthetic agents
A nurse is caring for an elderly client who had a surgery for the removal of a cataract in the left eye. When can the client return home after outpatient surgery? a) After 2 days b) After 1 week c) The same day d) After 10 days
The same day
A nurse assists a patient with leg exercises. What condition does this intervention help to prevent? a) Ateleclasis b) Hemorrhage c) Thrombophlebitis d) Hypovelemic shock
Thrombophlebitis
The nurse monitors the urine output of a postoperative patient. What condition does urine output indicate? a) Kidney failure b) Clot formation c) Tissue perfusion d) Lung capacity
Tissue perfusion
A nurse asks a client to remove the dentures before administering anesthesia. What is the main reason the dentures must be removed prior to the administration of anesthesia? a) To retain oral fluids b) To avoid blood contamination c) To prevent airway obstruction d) To preserve facial contours
To prevent airway obstruction
What is the rationale for having the client void before surgery? a) To assess for pregnancy in women b) To prevent bladder distention c) To prevent electrolyte imbalance d) To assess for urinary tract infection
To prevent bladder distention
What is the rationale for having the client void before surgery? a) To assess for urinary tract infection b) To prevent bladder distention c) To assess for pregnancy in women d) To prevent electrolyte imbalance
To prevent bladder distention
Which of the following nursing interventions is most likely to prevent respiratory complications such as pneumonia and atelectasis in a postsurgical client? a) Use of incentive spirometry b) Adequate nutrition and fluids c) Control of anxiety and agitation d) Adequate pain control
Use of incentive spirometry
A nurse is caring for an older adult client who has been prescribed fluid restriction before surgery. Which of the following should the nurse check to assess the risks of fluid restriction in elderly clients? a) Anxiety level b) Vital signs c) Cardiac status d) Self-therapy
Vital signs
A nurse from the ambulatory surgical center is preparing discharge instructions for a client who has had pelvic surgery. Which criterion would the client need to demonstrate to ensure that she is ready for discharge? a) Verbalize absence of pain b) Exhibit no bleeding c) Eat without nausea d) Void normally
Void normally
Choice Multiple question - Select all answer choices that apply. A nurse is assisting a physician when performing a laparoscopic surgery on a client in an ambulatory surgical unit. Which of the following surgeries can now be performed in an ambulatory surgical center instead of a major healthcare center? Select all that apply. a) Cholecystectomy b) Hernia repairs c) Rhinoplasty d) Endoscopy e) Appendectomy
• Cholecystectomy • Hernia repairs • Appendectomy
Choice Multiple question - Select all answer choices that apply. A 51-year-old woman with a diagnosis of breast cancer has been scheduled for a unilateral mastectomy during which biopsies of her axillary lymph nodes will be taken. Which of the following categorizations of surgical procedures are represented in this patient's case? Select all that apply. a) Ablative b) Diagnostic c) Reconstructive d) Palliative e) Constructive
• Diagnostic • Ablative
Choice Multiple question - Select all answer choices that apply. A nurse is assessing a client with asthma for latex allergy at the healthcare facility. Which of the following symptoms does a person manifest during an allergic reaction due to latex products? Select all that apply. a) Pruritus b) Headache c) Cough d) Redness e) Local inflammation
• Local inflammation • Redness • Pruritus
Choice Multiple question - Select all answer choices that apply. A nurse is caring for an inpatient client scheduled to undergo a surgery for the removal of a malignant tumor. Which of the following are risk factors that increase the likelihood of perioperative complications? Select all that apply. a) Raised temperature b) Obesity c) Low hemoglobin d) Bleeding tendencies e) Anxiety
• Obesity • Bleeding tendencies • Low hemoglobin
Choice Multiple question - Select all answer choices that apply. A nurse is showing a client who has undergone a laparoscopic gallbladder surgery the correct way of performing exercises to reduce the risk of forming a thrombus. Which of the following actions should the nurse instruct the client to perform to reduce the risk of forming a thrombus? Select all that apply. a) Move both feet continually in clockwise circles b) Lean forward and take deep breaths c) Rest both legs on the bed d) Raise the lower abdomen e) Point toes toward the mattress and then toward the head
• Point toes toward the mattress and then toward the head • Rest both legs on the bed
Choice Multiple question - Select all answer choices that apply. A nurse is caring for a client who is admitted to the health care facility for surgery. Which of the following activities take place before inpatient surgery? Select all that apply. a) Diagnostic tests b) Meet anesthesiologist c) Meet family members d) Home care note e) Prior laboratory tests
• Prior laboratory tests • Diagnostic tests • Meet anesthesiologist
Choice Multiple question - Select all answer choices that apply. A nurse is caring for a client with acute back pain in the intra-operative phase. Which of the following nursing interventions are associated with intra-operative phase? Select all that apply. a) Preventing injuries b) Maintaining asepsis c) Selecting the type of anesthesia d) Providing emotional support e) Assessing the blood loss
• Providing emotional support • Maintaining asepsis • Preventing injuries
