Weekly Quiz #2 Study Guide

A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching? A. Hypotension is an adverse effect of spinal anesthesia. B. Urinary urgency occurs when the client has a spinal anesthesia, C. Lidocaine toxicity will cause the client to develop tachycardia. D. Most clients develop a headache from spinal anesthesia.

A. Hypotension is an adverse effect of spinal anesthesia.

A nurse is teaching a group of nursing students about the experiences of clients who are having surgery. Which phase of care is the client transferred to the surgical suite table before being transferred to PACU? A. Intraoperative B. Admission C. Preoperative D. Postoperative

A. Intraoperative

Who Am I? Dyspnea Tachypneic Hypoxia Decreased breath sounds or possible crackles

Atelectasis

A nurse is caring for a client who is due to receive general anesthesia. The client asks the nurse, "What is the difference between an analgesic & anesthesia?" Which of the following statements should the nurse make? A. Analgesics treat pain without causing sedation." B. "Anesthesia can cause loss of consciousness." C. "Analgesics can cause lack of sensation." D. "Anesthesia is specifically for eliminating pain perception."

B. "Anesthesia can cause loss of consciousness."

A nurse is teaching a newly licensed nurse about informed consent for a client who is scheduled for a surgical procedure. Which of the following pieces of information should the nurse include in teaching? A. A family member should be present when a client signs a consent form. B. The person performing the procedure is responsible for obtaining informed consent. C. Clerical staff can witness the siganture of a client on a consent form. D. The nurse caring for the client is responsible for explaining the procedure.

B. The person performing the procedure is responsible for obtaining informed consent.

Stress and surgeries can increase infection in what patient? A. Women B. Type 2 diabetic C. COPD

B. Type 2 diabetic

What is a priority assessment in the post-operative period for an extremity surgery? A. Pain B. Urine output C. CSMT D. Vital signs

C. CSMT

A nurse is preparing to administer dantrolene to a client who has muscle spasticity. Which of the following findings from the client's medical history should the nurse identify as a contranindication to the administration of this medication? A. History of cerebral palsy B. History of malignant hyperthermia C. History of cirrhosis D. History of multiple sclerosis

C. History of cirrhosis

A nurse on a med-surg unit is caring for a client who is postoperative following a hip replacement surgery. The client reports feeling appretensive and restless. Which of the following findings should the nurse recognize as indication of a PE? A. Bradycardia B. Difficulty swallowing C. Sudden onset of dyspnea D. Tracheal deviation

C. Sudden onset of dyspnea

A nurse is caring for client who was transferred to the surigical unit by stretcher from the PACU. Which of the following actions should the nurse perform immediantely following the transfer? A. Instruct the client to use the incentive spirometer every 1 hr B. Provide ice chips as pre provider prescription C. Administer pain medication D. Check the client's vital signs

D. Check the client's vital signs

A nurse is teaching a client who is postop about the importance of turning, coughing, and breathing deeply. Which of the following statements should the nurse identify a an indication that the client understands the instructions? A. "If I do this often, I won't get constipated." B. "If I do this often, I won't have a fast heartbeat." C. "if I do this often, I won't experience muscle wasting." D. "If I do this often, I won't get pneumonia."

D. "If I do this often, I won't get pneumonia."

A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client's consent form. The nurse's signature on the consent form indicates which of the following? A. Asserts the nurse has explained the risks and benefits of the procedure. B. Records that the client's spouse agrees the procedure is necessary. C. Determines the client does not have a mental illness. D. Confirms the client appears competent to provide consent.

D. Confirms the client appears competent to provide consent.

A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding prevention of postoperative complications should the nurse include in in the teaching? A. Discuss the visitation policy. B. Review the pain scale. C. Teach the client about how to use a PCA pump. D. Instruct the client about the use of sequential compression device.

D. Instruct the client about the use of sequential compression device.

A nurse is providing teaching to a client about a surgical procedure that she is scheduled for later in the day. The client states that no one has spoken to her about the procedure before. Which of the following actions should the nurse take? A. Stop teaching and ask the client to sign an informed consent. B. Continue teaching and check the client's medical record afterward for a signed informed consent. C. Continue the teaching, but check afterward with the surgeon about informed consent. D. Stop teaching and check with the surgeon about informed consent.

D. Stop teaching and check with the surgeon about informed consent.

Who Am I? Used in surgeryExample: airway placement Results in total flaccid paralysis Requires mechanical ventilation MUST HAVE a bag-mask available Blocks all muscles, including diaphragm & respiratory system

Nueromuscular blocking agent

Who Am I? Absence of bowel sounds Abdominal distention No passing of flatus

Paralytic Illeus

Perioperative Phases:

Perioperative Phases: -Preop: time pt is scheduled for procedure till transferred to OR -Intraop: time pt is transferred to OR till transferred to PACU -Postop: time pt leaves OR until last follow up w/ surgeon

Who Am I? Redness Swelling Unilateral Pain Warmth to touch to leg

DVT

A nurse is caring for a postperative client who has an indwelling catheter for gravity drainage? The nurse notes no urine output in the past 2 hours. Which of the following actions should the nurse take first? A. Obtain a prescription to irrigate the cathter with 0.9% sodium chloride. B. Encourage the client to drink more fluids. C. Check to determine if the catheter tubing is kinked. D. Palpate the bladder.

C. Check to determine if the catheter tubing is kinked.

What is an important part of ensuring in the intraoperative phase? A. patient id B. patient prep C. informed consent D. time-out

D. time-out