Exam 17: Surgery

A patient has an extensive bowel preparation of oral laxatives and enemas for a colon resection.What rationales should the nurse list when asked about the rigorous preparation? (Select all that apply.)

A nurse is caring for a postoperative patient.What should the nurse ask when assessing for the complication of malignant hyperthermia?

Which technique should a nurse implement when changing a postoperative dressing?

What is the goal of palliative surgery?

A nurse is assisting in the transfer of a postoperative patient from the postanesthesia care unit to the surgical nursing unit.What action should the nurse implement to ensure the safety of the patient?

A postoperative patient is complaining of incisional pain.An order has been given for morphine every 4 to 6 hours as needed (PRN).What should the nurse assess first?

A patient scheduled for a liver biopsy has given a nurse a list of medications routinely taken at home.Which medication should the nurse question?

A nurse is doing an assessment of a patient who has returned from a cardiac catheterization and had conscious sedation.Which finding should the nurse report?

A postoperative patient who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the postanesthesia care unit.A nurse monitors the pulse oximeter and gets a reading of 85%.What should be the nurse's next action?

A nurse discovers on the preoperative assessment that a patient has a condition that would require increased amounts of general anesthesia.The condition is ______.

A patient who received Penthrane as an inhaled anesthesia complains of a sore throat and a raspy voice.What should the nurse explain as the probable cause of these discomforts?

A nurse should include the proper use of an incentive spirometer in teaching a preoperative patient.What postoperative assessment of this patient would reveal that the incentive spirometry teaching has been effective?

Which member of the surgical team administers anesthetics and monitors the patient's status throughout the procedure?

A patient who has just undergone a colon resection complains to a nurse that he felt something pop under his dressing while trying to get out of bed.The nurse removes the dressing and finds that dehiscence of the wound has occurred.What nursing action should be implemented first?

Which modification should the nurse implement when caring for a postoperative patient after cataract surgery?

The suprapubic area of a postoperative patient is distended.The patient states that he has not voided since surgery approximately 9 hours ago.What should be the nurse's first action?

Why should a nurse assess a patient's limbs and position the limbs frequently after a regional anesthesia?

A nurse carefully monitors an obese patient after a hysterectomy for the peculiar postoperative complications.Which postoperative complications are associated with obesity? (Select all that apply.)

A postanesthesia care nurse is evaluating a patient for possible transfer to the surgical unit.Which assessment should prevent the patient's transfer?

When obtaining a patient's signature on the surgical consent form, the patient seems confused about the procedure to be performed.What is the most appropriate response by the nurse?