Kahoot questions exam 4

One benefit of hormone replacement therapy is protection against? a. Bone cancer b. Lung cancer c. Colon cancer d. Brain cancer

c. Colon cancer

When the nurse asks the client who is having abdominal surgery today if the client understands the procedure, the client replies, "No, not really; I talked about several different things with my surgeon, and I'm just not sure." What should the nurse do next? a. Teach the client all the details of the planned procedures. b. Utilize a second witness when the client signs for consent. c. Notify the surgeon of the client's expressed lack of understanding. d. Administer the prescribed preoperative narcotics and/or sedatives.

c. Notify the surgeon of the client's expressed lack of understanding.

The nurse is assessing a client admitted to the hospital for surgery to repair an abdominal aortic aneurysm. Prior to surgery, the nurse should assess the client for which factor that puts the client at risk for rupture? a. anemia b. dehydration c. high blood pressure d. hyperglycemia

c. high blood pressure

Which nursing action does not aid in meeting the goal of clear breath sounds? a. offering pain relief before having the client cough b. using an incentive spirometer c. providing a minimum of 1,000 mL of fluid per day d. assisting with early ambulation

c. providing a minimum of 1,000 mL of fluid per day

Raloxifene is prescribed for a patient. What information in the patient's history should the nurse question all except? a. History of breast cancer b. History of a deep vein thrombosis c. History of smoking d. History of pregnancy

d. History of pregnancy

The RN is discussing teaching on the drug alendronate with a student nurse. Which indicates the correct teaching? a. "This drug is for prevention of pregnancy." b. "Take this medication with Aspirin to reduce flushing." c. "It is important to take this drug with a full glass of water." d. "I don't need to monitor my calcium levels"

c. "It is important to take this drug with a full glass of water."

A patient who has had open reduction and internal fixation (ORIF) of a hip fracture tells the nurse he is ready to get out of bed for the first time. Which actions should the nurse take? A. Check the patients prescribe weight-bearing status. B. Use a mechanical lift to transfer the patient to the chair. C. Decrease the pain medication before getting the patient up. D. Have the unlicensed assistive personnel (UAP) transfer the patient.

A. Check the patients prescribe weight-bearing status.

A patient who had an open reduction and internal fixation (ORIF) Of left lower leg fracture's continues to report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The nurse determines pulses are faintly palpable and the foot is cool to the touch. Which actions should the nurse take next? A. Notified the healthcare provider. B. Assassin incision for redness. C. Reposition the left leg on pillows. D. Check the patient's blood pressure.

A. Notified the healthcare provider. (Could be compartment syndrome)

The nurse is preparing to administer a preoperative medication that includes a sedative to a client who is having abdominal surgery. What should the nurse do first? a. Have the family present. b. Ensure that the operative area has been shaved. c. Have the client empty the bladder. d. Make sure the client is covered with a warm blanket.

c. Have the client empty the bladder.

The day after having a right below the knee amputation, the patient reports pain in the missing right foot. Which action is most important for the nurse to take? A. Explain the reasons for the pain. B. Administer prescribed and analgesics. C. Re-position the patient to assure good alignment. D. Tell the patient that the pain will diminish overtime.

B. Administer prescribed and analgesics.

Which patient statement indicates an understanding of the nurse is teaching about a new short arm synthetic cast? a. "I can remove the cast in four weeks using industrial scissors." B. "I should avoid moving my fingers until the cast is removed." C. "I will play an ice pack to the cast over the fracture site on and off for 24 hours." D. "I can use a cotton tipped applicator to rub lotion on any dry areas under the cast."

C. "I will play an ice pack to the cast over the fracture site on and off for 24 hours."

After the healthcare provider recommends reputation for a patient who has nonhealing ischemic foot ulcers, the patient tells the nurse that he would rather die than have an amputation. Which response by the nurse is best? A. "You are upset, but you may lose the foot anyway." B. "Many people are able to function with a foot prosthesis." C. "Tell me what you know about your options for treatment." D. "If you do not want an amputation, you do not have to have it."

C. "Tell me what you know about your options for treatment."

A patient with a complex pelvic fracture from a motor vehicle crashes on bedrest. Which assessment findings should indicate to the nurse a potential complication of the fracture? A. The patient states the pelvis feels unstable. B. The patient reports pelvic pain with palpitation. C. Abdomen is distended, and bowel sounds are absent. D. Ecchymoses are visible across the abdomen and hips.

C. Abdomen is distended, and bowel sounds are absent.

Which information should the nurse include in discharge instructions for a patient with comminuted left for him fractures in a long arm cast? A. Keep the left shoulder elevated on a pillow or cushion. B. Avoid nonsteroidal anti-inflammatory drugs (NSAIDS). C. Call the healthcare provider for numbness of the hand. D. Keep the hand in Mobile to prevent soft tissue swelling.

C. Call the healthcare provider for numbness of the hand.

Pt is being sent home from same-day surgery.Which statement indicates that the pt doesn't understand post op instructions? a. "My husband is taking the day off from work to drive me home." b. "I am taking a taxi home, and my daughter will meet me at home." c. "I can drive myself home after surgery." d. "My son will be here at noon to take me home."

c. "I can drive myself home after surgery."

A patient is discussing with the RN risks versus benefits of estrogen therapy (ET). Which of the following is a risk? a. cardiovascular disease b. osteoporosis c. reduction in hot flashes d. alzheimer's disease

a. cardiovascular disease

A client is scheduled to have surgery to relieve an intestinal obstruction. Prior to surgery, the nurse should verify that the client has followed which preoperative instructions? a. discontinued use of blood thinners b. eaten a low-residue diet c. performed abdominal tightening exercises d. signed a last will and testament

a. discontinued use of blood thinners

A client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal? a. transurethral resection of the prostate (TURP) b. suprapubic prostatectomy c. retropubic prostatectomy d. transurethral laser incision of the prostate

a. transurethral resection of the prostate (TURP)

The pre-op RN is speaking to a pt who added garlic daily to her diet to help with her BP. What should the RN ask next? a. "What type of surgery are you having?" b. "How much garlic are you eating?" c. "What is your normal blood pressure?" d. "What type of anesthesia are you having?"

b. "How much garlic are you eating?"

A client says, "I hate the idea of being an invalid after they cut off my leg." Which response by the nurse would be the most therapeutic? a. "At least you'll still have one good leg to use." b. "Tell me more about how you're feeling." c. "Let's finish the preoperative teaching." d. "You're lucky to have a wife to care for you."

b. "Tell me more about how you're feeling."

A nurse completes preoperative teaching for a client scheduled for a cholecystectomy. The client states, "If I lie still and avoid turning, I will avoid pain. Do you think this is a good idea?" What is the nurse's best response? a. "It is always a good idea to rest quietly after surgery, which will help minimize further pain." b. "Turn from side to side every 2 hours, and the nurse will administer pain medication to assist in movement." c. "The physician will probably order you to lie flat for 24 hours." d. "Why don't you decide about activity after you return from recovery?"

b. "Turn from side to side every 2 hours, and the nurse will administer pain medication to assist in movement."

Hormone Replacement Therapy (HRT) is generally used in menopausal women for.... a. 6 months b. <5 years c. <10 years d. 18 months

b. <5 years

The pt has a latex allergy. What should the nurse teach the client to do before having surgery? Select all that apply a. Ask to have the surgery at a hospital. b. Determine that there will be a latex-safe environment for surgery. c. Notify the health care providers (HCPs) at the surgery center. d. Report symptoms of the latex allergy (rhinitis, conjunctivitis, flushing)

b. Determine that there will be a latex-safe environment for surgery. c. Notify the health care providers (HCPs) at the surgery center. d. Report symptoms of the latex allergy (rhinitis, conjunctivitis, flushing)

Pt scheduled for abd surgery says, "I talked about several different things w/my MD, but I don't understand." What next a. Teach the client all the details of the planned procedure. b. Notify the surgeon of the client's expressed lack of understanding. c. Utilize a second witness when the client signs for consent. d. Administer the prescribed preoperative narcotics and/or sedatives.

b. Notify the surgeon of the client's expressed lack of understanding.

The client's identification armband was cut and removed to start an IV line as a part of the preoperative preparation. The transport team has arrived to transport the client to the operating room. The nurse notices that the client's identification band is not on either wrist. What should the nurse do? a. Send the removed armband with the medical record and the client to the operating room. b. Place a new identification armband on the client's wrist before transport. c. Tape the cut armband back onto the client's wrist. d. Send the client without an armband because the client is alert and can respond to questions about his or her identity.

b. Place a new identification armband on the client's wrist before transport.

The RN is interviews a preop pt who had a total hip replacement 3 yrs ago.Why should the RN tell this to the circulator? a. Prosthesis may cause a prob w/the electrosurgical unit b. The pt should not have her hip externally rotated when she is positioned c. The perioperative RN can inform the rest of the team about the total hip d. There isn't enough time to notify the surgeon & note this on the chart

b. The pt should not have her hip externally rotated when she is positioned

The adult daughters of an older adult client inform the nurse that they fully expect their father to be combative after surgery. Preoperatively, they request that the nurse put all four side rails up and use restraints to keep him safe. What should the nurse tell the daughters? a. "Certainly; we will want to be sure to keep your father safe, too." b. "We will call the health care provider to get a prescription right away." c. "We will first try to keep him safe without restraint." d. "Restraint use is prohibited at our hospital at all times."

c. "We will first try to keep him safe without restraint."

Surgeon prescribes cefazolin 1g via IV at 0730 when the pt's surgery is scheduled at 0800. What is the rationale? a. Legally the medication has to be given at the prescribed time. b. Postop dose of cefazolin should be started exactly 8 hours after the 1st c. Antibx help prevent infection if given 30-60 mins prior to the incision d. The peak and titer levels are needed for antibiotic therapy.

c. Antibx help prevent infection if given 30-60 mins prior to the incision

What should the nurse include one teaching older adults at a community recreation center about ways to prevent fractures? a. Tack down scatter rugs in the floor of the home. b. Expect most falls to happen outside the home in the yard. c. Buy shoes that provide good support and are comfortable to wear. D. Get instruction in range of motion exercise from physical therapist.

c. Buy shoes that provide good support and are comfortable to wear.

When conducting the preoperative preparations, the nurse determines that the client does not speak English, and the nurse does not speak the client's language. The surgeon needs to obtain the client's informed consent. What is the best way for the nurse to obtain the client's informed consent? a. Have the client call a family member to act as interpreter. b. Have the client sign the Spanish surgical consent form. c. Call the Spanish interpreter to translate the surgeon's explanation of the procedure, risks, and alternatives to obtain the client's consent and to answer the client's questions. d. Notify the surgical charge nurse of the situation.

c. Call the Spanish interpreter to translate the surgeon's explanation of the procedure, risks, and alternatives to obtain the client's consent and to answer the client's questions.

The RN is removing staples from an abd incision when the pt sneezes & the incision opens. What should the RN do 1st? a. Press the emergency alarm to call the resuscitation team. b. Have all visitors and family leave the room. c. Cover the abd organs with sterile dressings moistened with sterile 0.9% NS d. Call the surgeon to come to the client's room immediately.

c. Cover the abd organs with sterile dressings moistened with sterile 0.9% NS

A client in a general hospital is to undergo surgery in 2 days and is experiencing moderate anxiety about the procedure and its outcome. What should the nurse do to help the client reduce anxiety? a. Distract the client with games and television. b. Provide reassurance that the client that will come through surgery without incident. c. Explain the surgical procedure to the client and what happens before and after surgery. d. Ask the surgeon to refer the client to a psychiatrist who can work with the client to diminish anxiety.

c. Explain the surgical procedure to the client and what happens before and after surgery.

The nurse is working with a licensed practical nurse (LPN) and delegating the taking of vital signs for a preoperative client. Upon review of the chart as the client is leaving for the operating room, the nurse notes that the temperature is 101.1°F (38.4°C) and the pulse is 110 bpm. What are the nurse's initial actions? a. Have the LPN take the vital signs again, phone the operating room, and cancel the surgery. b. Take the vital signs, and in the future do not delegate this preoperative responsibility. c. Notify the surgeon and await the surgeon's decision; reinforce with the LPN the importance of reporting abnormal preoperative vital signs. d. Sign off the chart but flag that vital signs are abnormal; allow the client to go to the operating room.

c. Notify the surgeon and await the surgeon's decision; reinforce with the LPN the importance of reporting abnormal preoperative vital signs.

A client who is to receive general anesthesia has a serum potassium level of 5.8 mEq/L. What does the RN do first? a. Call the operating room to cancel the surgery. b. Make a note on the client's record. c. Send the client to surgery. d. Notify the anesthesiologist.

d. Notify the anesthesiologist.

Which nursing intervention is most important in preventing postoperative complications? a. progressive diet planning b. bowel and elimination monitoring c. pain management d. early ambulation

d. early ambulation

The RN is caring for a group of postoperative pts. Which pt will the RN assess as at highest risk for DVT? a. the client who is 5 feet 9 inches (172.5 cm) tall and weighs 128 lb (58 kg) b. the client who usually walks 3 miles (4.8 kilometers) a day c. the client who is a gravida IV whose last child was born 3 years ago d. thea. the client who is 5 feet 9 inches (172.5 cm) tall and weighs 128 lb (58 kg) d. the client who will be immobile during and shortly after surgery client who will be immobile during and shortly after surgery

d. the client who will be immobile during and shortly after surgery client who will be immobile during and shortly after surgery