CH17 - Preop, Questions

A nurse is witnessing a patient sign the consent form for surgery. After the patient signs the consent form, the patient starts asking questions regarding the risks and benefits of a surgical procedure. What action by the nurse is most appropriate? a) Request that the surgeon come and answer the questions. b) Notify the nurse manager of the patient's questions. c) Answer the patient's questions. d) Place the consent form in the patient's medical record.

a) Request that the surgeon come and answer the questions.

When a person with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the patient may show signs of alcohol withdrawal delirium during which time period? a) Up to 72 hours after alcohol withdrawal b) Immediately upon admission c) Upon awakening in the postanesthesia care unit d) Up to 24 hours after alcohol withdrawal

a) Up to 72 hours after alcohol withdrawal

A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction should the nurse include in the teaching? a) Use diaphragmatic breathing. b) Exhale through an open mouth. c) Use chest breathing. d) Make inhalation longer than exhalation.

a) Use diaphragmatic breathing.

Your client, a 2-year-old male, is scheduled to have surgery related to his cleft palate. You will be preparing this client for which type of surgery? a) Diagnostic b) Reconstructive c) Prophylactic d) Exploratory

b) Reconstructive

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

c) 7 to 10 days

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

c) During the preoperative period

A client will be undergoing an appendectomy tomorrow morning. The nurse spends significant time explaining to the client what will happen, including before and after the procedure is complete. What is the primary reason the nurse puts so much effort into preoperative teaching? a) It decreases the client's participation and allows the family to take on the caregiver role. b) It minimizes the time needed to be spent on postoperative questions. c) It increases the likelihood of a successful recovery. d) It absolves the hospital of legal responsibility should complications arise.

c) It increases the likelihood of a successful recovery.

The nurse is caring for a client during an intra operative procedure. When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? a) Pulse rate of 110 beats/min b) Blood pressure of 104/62 mm Hg c) Temperature of 102.5° F d) Respiratory rate of 18 breaths/min

c) Temperature of 102.5° F

A 17-year-old male client is having same-day surgery to remove a neuroma from his foot. Which of the following nursing interventions would occur during the intra operative phase of peri operative care? a) The nurse performs a complete assessment of the client. b) The nurse assesses how well the client is recovering from anesthesia. c) The nurse continuously monitors the sedated client. d) The nurse obtains a surgical consent from the client's mother.

c) The nurse continuously monitors the sedated client.

Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"? a) "You needn't worry. Your doctor has done this surgery many times before." b) "Stop worrying. It only makes you more nervous." c) "Relax. Your recovery period will be shorter if you're less nervous." d) "You seem nervous about your surgery."

d) "You seem nervous about your surgery."

A client is placed on the operating room table for the surgical procedure. Which surgical team member is responsible for handing sterile instruments to the surgeon and assistants? a) First assistant b) Certified registered nurse anesthetist c) Circulating nurse d) Scrub nurse

d) Scrub nurse

Which client would the nurse recognize as having the greatest risk for complications during the intraoperative or postoperative period? a) The 28-year-old client who occasionally smoked marijuana in high school. b) The 72-year-old client who takes no routine medications. c) The 47-year-old client who stopped smoking 2 years ago. d) The 35-year-old client with non-insulin dependent diabetes.

d) The 35-year-old client with non-insulin dependent diabetes.

The nurse is educating a community group regarding 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) A face-lift b) A biopsy c) The placement of gastrostomy tube d) The excision of a tumor

d) The excision of a tumor

Completing your preoperative assessment, you mentally rehearse your client's needs to determine if there is increased risk for complications intra operatively or postoperatively. Which of the following are general risk factors? Select all that apply. a) Age b) Physical condition c) Gender d) Health status e) Nutritional status f) Ethnicity

e) Nutritional status a) Age b) Physical condition d) Health status