Exam 13: Perioperative Care

The nurse is preparing to complete hand hygiene using an alcohol-based rub and knows that how much hand rub product will be required for adequate hand cleansing?

The nurse enters a room in preparation for a sterile dressing change.Which must the nurse do before preparing the sterile field?

The nurse is caring for a client who is being prepared for surgery.Due to a motorcycle crash 10 years ago,the client has a prosthetic right arm,prosthetic left leg,prosthetic left eye,and wears hearing aids.The client also wears a wedding ring that cannot easily be removed from the client's finger.Which statement by the nurse indicates the proper way of preparing the client for surgery?

The nurse is preparing four older adult patients for surgery and knows that which client is at highest risk for postoperative pressure wound development?

The nurse is preparing a client for inguinal hernia surgery,which will require hair to be removed from the inguinal region.The nurse informs the client that this hair removal is completed at what time in relation to the surgery?

The nurse is researching the literature to determine the best method to perform hand hygiene to prevent a postsurgical wound infection and has determined that which method has been determined to be the best?

The nurse is caring for a client who had a knee replacement completed 2 days ago.When changing the knee dressing,the nurse notes that the incision appears red and feels warm to the touch.The client's temperature is now 100.6 degrees F and the client states that the knee hurts worse now than it did the day after surgery.After calling the surgeon,the nurse anticipates which to be ordered for this client?

The nurse is caring for a client who had abdominal surgery three days ago.The client is able to drink fluids but is reluctant to eat anything for fear of nausea and vomiting.The nurse encourages the client to try and eat to prevent which postoperative complication?

The circulating nurse calls for a "time out" prior to the onset of a surgical procedure and knows that which client will not have a visible mark at the site of surgery?

The nurse is preparing to change the dressing of a surgical client and will be alert for which signs or symptoms of a wound infection? Select all that apply.

The nurse is conducting preoperative teaching for a 78-year-old client who will be having outpatient cataract surgery.Which statement by the nurse indicates the best approach to safely teaching this client?

The nurse is preparing a client for surgery and asks the client to remove his dentures and place them in the specified cup at the bedside.The client states,"Why are you asking me to do this? The last time I had surgery I got to keep my dentures in my mouth." Which is the nurse's best response to this client statement?

Immediately prior to placing the client on a gurney for surgery,the nurse asks the client to remove the partial plate dentures.The client becomes upset and states,"No one can see me without my teeth.I am so embarrassed by the way I look without them." What is the nurse's best response to the client?

The nurse is preparing a sterile field prior to a wet to dry dressing change and notices that the corner of the sterile drape is damp.What is the nurse's best action at this time?

The nurse is caring for an older adult client who is being prepared for abdominal surgery.During the preoperative assessment,the nurse notes that the client has a nonproductive cough but all lung sounds appear normal.With regard to this finding,which preoperative teaching will take priority with this client?

The nurse is preparing the room for a client who is having surgery to repair a tibial fracture.In an effort to promote early ambulation,the nurse will have which safest assistive device available for the client?

The nurse is preparing to do preoperative teaching for a client who will have abdominal surgery.Which preoperative teaching will the nurse emphasize for this client to assist the client with early ambulation? Select all that apply.

The nurse is performing a surgical hand scrub prior to entering the operating room.The circulating nurse will stop the nurse and reinstruct on proper hand scrubbing if the nurse does which action?

The nurse has just completed teaching a client about postoperative leg exercises to prevent which postoperative complication?

The nurse has been asked to assist a healthcare provider with a sterile procedure at the client's bedside.The nurse enters the client's room to find a non-covered sterile field set out on the client's bedside table but the healthcare provider has left the room.What should the nurse do at this time?