Med Surge PrepU Preop Care

a

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 increases the likelihood of a successful recovery. b) It decreases the client's participation and allows the family to take on the caregiver role. c) It absolves the hospital of legal responsibility should complications arise. d) It minimizes the time needed to be spent on postoperative questions.

b

A gunshot wound would be classified under which category of surgery based on urgency? a) Required b) Emergent c) Urgent d) Elective

d

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

a

A patient is undergoing thoracic surgery. What priority education should the nurse provide to assist in preventing respiratory complications? a) Splint the incision site using a pillow during deep breathing and coughing exercises. b) Deep breathing and coughing exercises should be completed every 8 hours. c) Pain medication should be taken before completing deep breathing and coughing exercises. d) Deep breathing and coughing exercises may be used as relaxation techniques.

b

A patient with uncontrolled diabetes is scheduled for a surgical procedure. What chief life-threatening hazard should the nurse monitor for? a) Glucosuria b) Hypoglycemia c) Hypertension d) Dehydration

a

At what point does the preoperative period end? a) When the client is transferred onto the operating table b) When the decision is made to proceed with surgery c) When the client is admitted to the PACU d) When the client signs the consent form

a

For the patient who is taking aspirin, it is important to stop taking this medication at least how many day(s) prior to surgery? a) 7 b) 3 c) 5 d) 1

c

Informed consent from the surgical client is essential in all of the following categories of surgery except: a) Required surgery b) Urgent surgery c) Emergent surgery d) Elective surgery

c

Patients who have received corticosteroids preoperatively are at risk for which type of insufficiency? a) Parathyroid b) Pituitary c) Adrenal d) Thyroid

a

The nurse concludes that teaching about pain management was effective when the client states: a) "I will support my incision with my hands when I do my coughing and deep breathing exercises." b) "I will need to learn how to give myself pain medication by injection for when I go home." c) "I will ask for pain medication when the pain becomes unbearable." d) "The pain from my incision will be very similar to my arthritis pain."

c

The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. The appropriate nursing action is: a) To have the client sign the consent immediately b) For the nurse to sign the consent with verbal permission of the client c) To notify the surgeon d) To have the client's next of kin sign the consent

d

The nurse is caring for the client in the preoperative period and documenting rationale for a palliative surgical procedure. Which rationale is most appropriate? a) The client wishes to improve body structures and elects a procedure. b) The physician is repairing a deformity from birth or disease process. c) The physician needs additional information to plan medical treatment. d) The client and physician are focusing on symptom relief not a cure.

d

The nurse is evaluating the client's understanding of diet teaching aimed at promoting wound healing following surgery. The nurse would conclude teaching was ineffective if the client selects which of the following? a) Grilled salmon, rice pilaf, green beans, and cantaloupe b) Baked chicken, mashed potatoes, broccoli, and strawberries c) Turkey breast, baked sweet potato, asparagus, and an orange d) Cheeseburger, french fries, coleslaw, and ice cream

b

The nurse is reviewing the pre-admission laboratory findings of the client scheduled for surgery. Which of the following values would be of greatest concern to the nurse? a) White blood cell count 7.2 cells/mm b) Potassium 6.2 mEq/L c) Calcium 9.8 mg/dL d) Sodium 138 mEq/L

c

When assessing a postoperative client, the nurse is correct to relate which surgical risk factor that would decrease if the surgical client maintained a blood glucose level under 150 mg/dL? a) Nutrient deficiencies b) Liver dysfunction c) Wound healing d) Respiratory complications

d

When the patient is encouraged to concentrate on a pleasant experience or restful scene, the cognitive coping strategy being employed by the nurse is a) distraction. b) progressive muscular relaxation. c) optimistic self-recitation. d) imagery.

b

Why is assessment of dentition important in the patient preparing to have a surgical procedure with general anesthesia? a) Oral hygiene is important for all patients. b) Decayed teeth or dental prosthesis can become dislodged during intubation. c) The patient can sue if a tooth falls out during surgery. d) The patient may require referral to the dentist.

a

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? a) Place gauze under and over the ring and apply adhesive tape over it. b) Medicate the client and then remove the ring. c) Explain that the client cannot go into the operating room with jewelry on. d) Tell the physician and anesthesiologist.