Question 1

The client is scheduled for surgery tomorrow.The nurse begins what type of teaching?

Accepted Answer

A) Postoperative 
B) Preoperative 
C) Perioperative 
D) Intraoperative 
A) Postoperative 
B) Preoperative 
C) Perioperative 
D) Intraoperative B

Question 2

The nurse administers the preoperative medication to the client 1 hour before elective surgery,and then discovers the preoperative consent is not signed.Which action by the nurse is the most appropriate?

Accepted Answer

A) Have the client sign the consent quickly,before the medication begins taking effect. 
B) Have a family member or medical power of attorney sign the consent. 
C) Send the client to the holding area without a signed consent. 
D) Notify the health care provider that surgery will need to be canceled. 
A) Have the client sign the consent quickly,before the medication begins taking effect. 
B) Have a family member or medical power of attorney sign the consent. 
C) Send the client to the holding area without a signed consent. 
D) Notify the health care provider that surgery will need to be canceled. D

Question 3

In the ongoing postoperative period,the nurse independently determines,within the protocols of the hospital,the need for which provision of care?

Accepted Answer

A) Type of diet 
B) Activity level 
C) Assessment intervals 
D) Intravenous solutions 
A) Type of diet 
B) Activity level 
C) Assessment intervals 
D) Intravenous solutions C

Question 4

The nurse is preparing to don sterile gloves using the closed procedure.Place the steps the nurse will take in the correct order in which they should occur.

Accepted Answer

A) With the dominant hand,pick up the opposite glove with the thumb and index finger,handling it through the sleeve.Response 
B) Open the sterile glove wrapper while the hands are still covered by the sleeves.Response 
C) Use the nondominant hand to grasp the cuff of the glove through the gown cuff,and firmly anchor it.Response 
D) Extend the fingers into the glove as you pull the glove up over the cuff.Response 
E) Place the fingers of the gloved hand under the cuff of the remaining glove. 
A) With the dominant hand,pick up the opposite glove with the thumb and index finger,handling it through the sleeve.Response 
B) Open the sterile glove wrapper while the hands are still covered by the sleeves.Response 
C) Use the nondominant hand to grasp the cuff of the glove through the gown cuff,and firmly anchor it.Response 
D) Extend the fingers into the glove as you pull the glove up over the cuff.Response 
E) Place the fingers of the gloved hand under the cuff of the remaining glove.

Question 5

The nurse works in a facility whose policy requires an antiseptic hand rub instead of a surgical scrub when performing surgical hand asepsis.Which are known advantages of the hand rub over the scrub?

Accepted Answer

A) Less harmful to the skin 
B) Does not require the use of a brush 
C) Contains ingredients that help to protect the skin 
D) Takes longer to perform 
E) Contains alcohol,which could dry the skin 
A) Less harmful to the skin 
B) Does not require the use of a brush 
C) Contains ingredients that help to protect the skin 
D) Takes longer to perform 
E) Contains alcohol,which could dry the skin

Question 6

The nurse performs preoperative teaching for a client requiring a surgical intervention.Which actions by the client indicate appropriate understanding of the information provided?

Accepted Answer

A) Demonstrating proper coughing and deep breathing 
B) Asking questions about and voicing understanding of information provided 
C) Having no anxiety about the impending surgery 
D) Demonstrating proper performance of leg exercises 
E) Demonstrating how to turn and get out of bed 
A) Demonstrating proper coughing and deep breathing 
B) Asking questions about and voicing understanding of information provided 
C) Having no anxiety about the impending surgery 
D) Demonstrating proper performance of leg exercises 
E) Demonstrating how to turn and get out of bed

Question 7

Which tasks can the nurse assign to the unlicensed assistive personnel (UAP)who is assisting with providing care on a medical-surgical unit?

Accepted Answer

A) Documenting the assessment completed by the nurse 
B) Reinforcing teaching previously provided by the nurse 
C) Assisting with client exercises 
D) Reporting when a client cannot complete exercises 
E) Conducting discharge teaching 
A) Documenting the assessment completed by the nurse 
B) Reinforcing teaching previously provided by the nurse 
C) Assisting with client exercises 
D) Reporting when a client cannot complete exercises 
E) Conducting discharge teaching

Question 8

The postoperative client displays sudden chest pain,shortness of breath,cyanosis,tachycardia,and low blood pressure.The nurse suspects which postoperative complication?

Accepted Answer

A) Pneumonia 
B) Atelectasis 
C) Hypovolemia 
D) Pulmonary embolism 
A) Pneumonia 
B) Atelectasis 
C) Hypovolemia 
D) Pulmonary embolism

Question 9

When providing preoperative teaching for the client who is scheduled for coronary artery bypass surgery in the morning,the nurse would include which dimensions?

Accepted Answer

A) Information 
B) Psychosocial support 
C) The role of the client and support people 
D) Skills training 
E) Coughing and deep breathing 
A) Information 
B) Psychosocial support 
C) The role of the client and support people 
D) Skills training 
E) Coughing and deep breathing

Question 10

Upon receiving the client from the postanesthesia care unit,which nursing action is the priority?

Accepted Answer

A) Apply clean linens to the bed. 
B) Assemble required equipment,such as suction,IV pole,or oxygen equipment. 
C) Assess the client. 
D) Notify the family of the client's return to the room. 
A) Apply clean linens to the bed. 
B) Assemble required equipment,such as suction,IV pole,or oxygen equipment. 
C) Assess the client. 
D) Notify the family of the client's return to the room.

Question 11

The client arrives at the surgeon's office 1 week after surgery to have the sutures removed.Which classification would the nurse use when documenting care for this client?

Accepted Answer

A) Preoperative 
B) Postoperative 
C) Perioperative 
D) Intraoperative 
A) Preoperative 
B) Postoperative 
C) Perioperative 
D) Intraoperative

Question 12

The nurse is completing the preoperative checklist on the night shift in preparation for the client's surgery,scheduled for 0800.Which tasks could the nurse complete at this time?

Accepted Answer

A) Documenting the time of last voiding 
B) Checking the medical record for the history,physical,and signed informed consent 
C) Administering preoperative medication 
D) Removing the prosthesis 
A) Documenting the time of last voiding 
B) Checking the medical record for the history,physical,and signed informed consent 
C) Administering preoperative medication 
D) Removing the prosthesis

Question 13

The nurse is performing a surgical hand scrub,and holds the hands in which position when rinsing?

Accepted Answer

A) Straight out from the elbows 
B) Lower than the elbows 
C) Higher than the elbows 
D) Irrelevant as long as the hands are well scrubbed 
A) Straight out from the elbows 
B) Lower than the elbows 
C) Higher than the elbows 
D) Irrelevant as long as the hands are well scrubbed

Question 14

The nurse is assessing a client's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening.When documenting this finding,which term will the nurse use?

Accepted Answer

A) Wound infection 
B) Wound dehiscence 
C) Wound evisceration 
D) Wound tunneling 
A) Wound infection 
B) Wound dehiscence 
C) Wound evisceration 
D) Wound tunneling

Question 15

The nurse is caring for a client with a drain connected to a portable drainage suction device shaped like a grenade made of plastic.Which term will the nurse use when describing this system during end-of-shift report?

Accepted Answer

A) Closed wound drainage system 
B) Hemovac 
C) Jackson-Pratt 
D) Reinfusion drain 
A) Closed wound drainage system 
B) Hemovac 
C) Jackson-Pratt 
D) Reinfusion drain

Exam 33: Performing Perioperative Care

The client is scheduled for surgery tomorrow.The nurse begins what type of teaching?

The nurse administers the preoperative medication to the client 1 hour before elective surgery,and then discovers the preoperative consent is not signed.Which action by the nurse is the most appropriate?

In the ongoing postoperative period,the nurse independently determines,within the protocols of the hospital,the need for which provision of care?

The nurse is preparing to don sterile gloves using the closed procedure.Place the steps the nurse will take in the correct order in which they should occur.

The nurse works in a facility whose policy requires an antiseptic hand rub instead of a surgical scrub when performing surgical hand asepsis.Which are known advantages of the hand rub over the scrub?

The nurse performs preoperative teaching for a client requiring a surgical intervention.Which actions by the client indicate appropriate understanding of the information provided?

Which tasks can the nurse assign to the unlicensed assistive personnel (UAP)who is assisting with providing care on a medical-surgical unit?

The postoperative client displays sudden chest pain,shortness of breath,cyanosis,tachycardia,and low blood pressure.The nurse suspects which postoperative complication?

When providing preoperative teaching for the client who is scheduled for coronary artery bypass surgery in the morning,the nurse would include which dimensions?

Upon receiving the client from the postanesthesia care unit,which nursing action is the priority?

The client arrives at the surgeon's office 1 week after surgery to have the sutures removed.Which classification would the nurse use when documenting care for this client?

The nurse is completing the preoperative checklist on the night shift in preparation for the client's surgery,scheduled for 0800.Which tasks could the nurse complete at this time?

The nurse is performing a surgical hand scrub,and holds the hands in which position when rinsing?

The nurse is assessing a client's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening.When documenting this finding,which term will the nurse use?

The nurse is caring for a client with a drain connected to a portable drainage suction device shaped like a grenade made of plastic.Which term will the nurse use when describing this system during end-of-shift report?

Foundational Skills

Vital Signs

Health Assessment

Diagnostic Testing

Client Hygiene

Bed-Making

Infection Control

Heat and Cold Therapy

Pain Management

Positioning the Client

Mobilizing the Client

Fall Prevention and Restraints

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Assisting With Mechanical Ventilation

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Ulcer Care

Orthopedic Care

End-Of-Life Care

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