Question 1

The nurse is caring for a preoperative patient who has just received sedation prior to general anesthesia in the OR. What is the priority action of the nurse?

Accepted Answer

A)  Check to make sure that the consent form was signed. 
B)  Turn off the lights and provide a quiet environment. 
C)  Raise the side rails on the patient's stretcher. 
D)  Indicate the surgical site with an indelible marker. 
A)  Check to make sure that the consent form was signed. 
B)  Turn off the lights and provide a quiet environment. 
C)  Raise the side rails on the patient's stretcher. 
D)  Indicate the surgical site with an indelible marker.

Question 2

The nurse is working with a nursing assistant to care for several postoperative patients. Which interventions can the nurse delegate to the assistant for completion?

Accepted Answer

A)  Assess patients' comfort levels and need for pain medication. 
B)  Empty urinary catheter bags and record urine output. 
C)  Teach patients how to use incentive spirometers hourly. 
D)  Provide ice chips and juice to patients who are no longer NPO. 
E)  Monitor incisions for signs of infection.
F) Apply TED hose and assist with oral care. 
A)  Assess patients' comfort levels and need for pain medication. 
B)  Empty urinary catheter bags and record urine output. 
C)  Teach patients how to use incentive spirometers hourly. 
D)  Provide ice chips and juice to patients who are no longer NPO. 
E)  Monitor incisions for signs of infection.
F) Apply TED hose and assist with oral care.

Question 3

The nurse is obtaining preoperative information for a patient who will be having emergency surgery shortly for a ruptured appendix. Which information is crucial for the nurse to assess?

Accepted Answer

A)  All medications that the patient is taking 
B)  Use of tobacco, alcohol, or recreational drugs 
C)  Allergies to medications, foods, or other substances 
D)  Date of last tetanus shot and flu vaccination 
E)  Insurance coverage and preauthorization requirements
F) Possibility of pregnancy 
A)  All medications that the patient is taking 
B)  Use of tobacco, alcohol, or recreational drugs 
C)  Allergies to medications, foods, or other substances 
D)  Date of last tetanus shot and flu vaccination 
E)  Insurance coverage and preauthorization requirements
F) Possibility of pregnancy

Question 4

The nurse will be caring for a patient who has just arrived on the medical-surgical unit following surgical repair of his fractured right ankle. Which is the priority action of the nurse when the patient arrives on the unit?

Accepted Answer

A)  Instruct the patient how to call for assistance using the call light. 
B)  Assess the color and warmth of the toes on the patient's right foot. 
C)  Determine when the patient's next pain medication is due. 
D)  Check pulse oximetry and obtain a full set of vital signs. 
A)  Instruct the patient how to call for assistance using the call light. 
B)  Assess the color and warmth of the toes on the patient's right foot. 
C)  Determine when the patient's next pain medication is due. 
D)  Check pulse oximetry and obtain a full set of vital signs.

Exam 37: Perioperative Nursing Care

The nurse is caring for a preoperative patient who has just received sedation prior to general anesthesia in the OR. What is the priority action of the nurse?

The nurse is working with a nursing assistant to care for several postoperative patients. Which interventions can the nurse delegate to the assistant for completion?

The nurse is obtaining preoperative information for a patient who will be having emergency surgery shortly for a ruptured appendix. Which information is crucial for the nurse to assess?

The nurse will be caring for a patient who has just arrived on the medical-surgical unit following surgical repair of his fractured right ankle. Which is the priority action of the nurse when the patient arrives on the unit?

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

Assessment

Nursing Diagnosis

Planning

Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception Through Adolescence

Human Development: Young Adult Through Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

Spiritual Health

Public Health, Community-Based, and Home Health Care

Human Sexuality

Safety

Asepsis and Infection Control

Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Cognitive and Sensory Alterations

Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Pain Management

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

Filters