surgery notecards
During the preoperative assessment, the nurse learns that the client has been taking prednisone. The nurse realizes that the client is at risk for: a) Cardiovascular collapse. b) Increased blood loss. c) Decreased blood pressure. d) Respiratory depression.
A
Patients who have received corticosteroids preoperatively are at risk for which type of insufficiency? a) Adrenal b) Pituitary c) Parathyroid d) Thyroid
A
A patient is having a surgical procedure that requires the patient to be in the prone position. What is an expected patient outcome? a) The patient will not experience signs and symptoms of infection. b) The patient will not experience anxiety during the preoperative phase. c) The patient remains free of perioperative positioning injury. d) The patient will not experience signsof an allergic reaction.
C
The nurse concludes that further teaching about diaphragmatic breathing is needed when the client:
Exhales forcefully with a short expiration
You are caring for a client postoperatively. What nursing interventions help prevent venous stasis and other circulatory complications in a client who has undergone surgery? a) Encourage the client to move legs frequently and do leg exercises. b) Place pillows under the client's knees or calves. c) Maintain the client in a side-lying position. d) Apply pressure on the client's lower extremities.
a
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) Health status b) Gender c) Age d) Physical condition e) Ethnicity f) Nutritional status
a,b,d,f
Patients who have received corticosteroids preoperatively are at risk for which type of insufficiency?
adrenal
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) Liver dysfunction b) Wound healing c) Respiratory complications d) Nutrient deficiencies
b
When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as a) required. b) emergency. c) elective. d) urgent.
b
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) Medicate the client and then remove the ring. b) Place gauze under and over the ring and apply adhesive tape over it. c) Tell the physician and anesthesiologist. d) Explain that the client cannot go into the operating room with jewelry on.
b
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 client and physician are focusing on symptom relief not a cure. d) The physician needs additional information to plan medical treatment.
c
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 absolves the hospital of legal responsibility should complications arise. b) It decreases the client's participation and allows the family to take on the caregiver role. c) It minimizes the time needed to be spent on postoperative questions. d) It increases the likelihood of a successful recovery.
d
A physically fit 86-year-old is scheduled for right knee replacement. What factor in this client makes him at increased risk for surgery? a) Ability to metabolize medication b) Nutritional status c) Type of surgery d) Age
d
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) The placement of gastrostomy tube b) A face-lift c) A biopsy d) The excision of a tumor
d
When is the ideal time to discuss preoperative teaching a) Prior to entering the pre-op area b) When the patient is comfortable and sedated c) Day of surgery d) Preadmission visit
d
Informed consent from the surgical client is essential in all of the following categories of surgery except:
emergent surgery
An obese patient is undergoing abdominal surgery. A surgical resident states, "The amount of fat we have to cut through is disgusting" during the procedure. What is the best response by the nurse? a) Ignore the comment. b) Report the resident to the attending surgeon. c) Discuss concerns regarding the comments with the charge nurse. d) Inform the resident that all communication needs to remain professional.
D
The PACU nurse is caring for an older adult who presents with clinical manifestations of delirium. Which short-term outcome would be most important for this client? The client: a) exhibits wound healing without complications. b) experiences pain within tolerable limits. c) resumes usual urinary elimination pattern. d) maintains adequate oxygenation status.
D