Question 1

Which of the following are preoperative conditions that may affect the patient's response to surgery? (Select all that apply. )

Accepted Answer

A)  Age 
B)  Religion 
C)  Mental status 
D)  Occupation 
E)  Nutritional status 
A)  Age 
B)  Religion 
C)  Mental status 
D)  Occupation 
E)  Nutritional status

Question 2

The nurse instructing a postsurgical patient in the use of thrombolytic deterrent stockings would include which of the following instructions?

Accepted Answer

A)  Disregard appearance of edema above the stocking. 
B)  Massage legs to smooth wrinkles out of stockings. 
C)  Wring stockings thoroughly before hanging to dry. 
D)  Hand wash stockings in warm water and mild soap. 
A)  Disregard appearance of edema above the stocking. 
B)  Massage legs to smooth wrinkles out of stockings. 
C)  Wring stockings thoroughly before hanging to dry. 
D)  Hand wash stockings in warm water and mild soap.

Question 3

Which of the following are considerations for the older adult surgical patient? (Select all that apply. )

Accepted Answer

A)  The need for specific clear preoperative and postoperative teaching 
B)  Awareness of lower morbidity and mortality rate 
C)  Presence of coexisting conditions 
D)  Increased risk of respiratory complications 
E)  Expectation of normal recovery time 
A)  The need for specific clear preoperative and postoperative teaching 
B)  Awareness of lower morbidity and mortality rate 
C)  Presence of coexisting conditions 
D)  Increased risk of respiratory complications 
E)  Expectation of normal recovery time

Question 4

What is the responsibility of the nurse as a witness to informed consent?

Accepted Answer

A)  Explain the surgical options. 
B)  Explain the operative risks. 
C)  Verify/obtain the patient's signature. 
D)  Verify the patient's understanding of the procedure. 
A)  Explain the surgical options. 
B)  Explain the operative risks. 
C)  Verify/obtain the patient's signature. 
D)  Verify the patient's understanding of the procedure.

Question 5

In preparation for the return of the surgical patient,the patient's bed and equipment should be in what position?

Accepted Answer

A)  Lowest position with side rails elevated with oxygen and suction equipment available 
B)  Highest position with side rails elevated with IV pole and pump at bedside 
C)  Lowest position with side rails down on the receiving side 
D)  Highest position with the side rails down on receiving side and up on opposite side 
A)  Lowest position with side rails elevated with oxygen and suction equipment available 
B)  Highest position with side rails elevated with IV pole and pump at bedside 
C)  Lowest position with side rails down on the receiving side 
D)  Highest position with the side rails down on receiving side and up on opposite side

Question 6

A patient is on postoperative day 2 after a nephrectomy.What is the most effective way to increase her peristalsis?

Accepted Answer

A)  Ambulation 
B)  An enema 
C)  Encouraging hot liquids 
D)  Administering a laxative 
A)  Ambulation 
B)  An enema 
C)  Encouraging hot liquids 
D)  Administering a laxative

Question 7

Which of the following early postoperative observations should be reported immediately?

Accepted Answer

A)  "Coffee ground" emesis 
B)  Shivering 
C)  Scanty urine output 
D)  Evidence of pain 
A)  "Coffee ground" emesis 
B)  Shivering 
C)  Scanty urine output 
D)  Evidence of pain

Question 8

The nurse explains that to promote deep breathing and improve lung expansion and oxygenation the patient should use the _____________ ______________ at regular intervals during the day.

Accepted Answer

incentive

Question 9

______________ therapy is performed to alleviate or decrease uncomfortable symptoms without curing the problem.

Accepted Answer

The answer of ______________ therapy is performed to alleviate or...

Question 10

In which location are guidelines for ensuring that all nursing interventions on the day of surgery completed and documented?

Accepted Answer

A)  In the nurse's notes 
B)  In the anesthesia record 
C)  In the preoperative checklist 
D)  In the progress notes 
A)  In the nurse's notes 
B)  In the anesthesia record 
C)  In the preoperative checklist 
D)  In the progress notes

Question 11

Frequent assessment of a postoperative patient is essential.What is one of the first signs and symptoms of hemorrhage?

Accepted Answer

A)  Increasing blood pressure 
B)  Decreasing pulse 
C)  Restlessness 
D)  Weakness,apathy 
A)  Increasing blood pressure 
B)  Decreasing pulse 
C)  Restlessness 
D)  Weakness,apathy

Question 12

The nurse caring for a postsurgical patient is aware that the patient should void ____ to 8 hours postsurgery.

Accepted Answer

The answer of The nurse caring for a postsurgical patient...

Question 13

The nurse would include the patient problem of deficient knowledge,postoperative,when the patient scheduled for a bowel resection tomorrow remarks:

Accepted Answer

A)  "I am going to have adequate pain medication after surgery." 
B)  "I know you all are going to make me cough and walk soon after surgery." 
C)  "I am glad I will get to go home tomorrow evening." 
D)  "I will have to put up with dressing changes." 
A)  "I am going to have adequate pain medication after surgery." 
B)  "I know you all are going to make me cough and walk soon after surgery." 
C)  "I am glad I will get to go home tomorrow evening." 
D)  "I will have to put up with dressing changes."

Question 14

In performing the preoperative assessment,the nurse discovers that the patient is allergic to latex.What should the nurse do initially?

Accepted Answer

A)  Notify the diet kitchen to omit peaches from diet tray. 
B)  Apply a medical alert band to patient's wrist. 
C)  Tag chart with allergy alert. 
D)  Place patient in an isolation room. 
A)  Notify the diet kitchen to omit peaches from diet tray. 
B)  Apply a medical alert band to patient's wrist. 
C)  Tag chart with allergy alert. 
D)  Place patient in an isolation room.

Question 15

The postoperative nursing intervention that would be contraindicated for a 45-year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP)would be:

Accepted Answer

A)  coughing every 2 hours. 
B)  turning every 2 hours. 
C)  monitoring intravenous therapy at 50 mL/hr. 
D)  assessing vital signs every 2 hours. 
A)  coughing every 2 hours. 
B)  turning every 2 hours. 
C)  monitoring intravenous therapy at 50 mL/hr. 
D)  assessing vital signs every 2 hours.

Question 16

When the patient asks the nurse to make sure no one sees her with her dentures out,the nurse recognizes the common preoperative fear of:

Accepted Answer

A)  anesthesia. 
B)  loss of control. 
C)  fear of separation from family. 
D)  mutilation. 
A)  anesthesia. 
B)  loss of control. 
C)  fear of separation from family. 
D)  mutilation.

Question 17

A patient is transferred from the operating room to the recovery room after undergoing an amputation of his left foot.Which intervention is the last step for immediate assessment once the patient enters the PACU?

Accepted Answer

A)  System review 
B)  Breathing 
C)  Circulation 
D)  Airway 
E)  Level of consciousness 
A)  System review 
B)  Breathing 
C)  Circulation 
D)  Airway 
E)  Level of consciousness

Question 18

A 73-year-old patient with diabetes was admitted for below the knee amputation of his right leg.Removal of his right leg is an example of which type of surgery?

Accepted Answer

A)  Palliative 
B)  Diagnostic 
C)  Reconstructive 
D)  Ablative 
A)  Palliative 
B)  Diagnostic 
C)  Reconstructive 
D)  Ablative

Question 19

Discharge planning for a surgical procedure begins in the preoperative period and continues through the _____________ period.

Accepted Answer

The answer of Discharge planning for a surgical procedure begins...

Question 20

When the postoperative patient complains of sudden chest pain combined with dyspnea,cyanosis,and tachycardia,the nurse recognizes the signs of:

Accepted Answer

A)  hypovolemic shock. 
B)  dehiscence. 
C)  atelectasis. 
D)  pulmonary embolus. 
A)  hypovolemic shock. 
B)  dehiscence. 
C)  atelectasis. 
D)  pulmonary embolus.

Exam 42: Care of the Surgical Patient

Which of the following are preoperative conditions that may affect the patient's response to surgery? (Select all that apply. )

The nurse instructing a postsurgical patient in the use of thrombolytic deterrent stockings would include which of the following instructions?

Which of the following are considerations for the older adult surgical patient? (Select all that apply. )

What is the responsibility of the nurse as a witness to informed consent?

In preparation for the return of the surgical patient,the patient's bed and equipment should be in what position?

A patient is on postoperative day 2 after a nephrectomy.What is the most effective way to increase her peristalsis?

Which of the following early postoperative observations should be reported immediately?

The nurse explains that to promote deep breathing and improve lung expansion and oxygenation the patient should use the _____________ ______________ at regular intervals during the day.

______________ therapy is performed to alleviate or decrease uncomfortable symptoms without curing the problem.

In which location are guidelines for ensuring that all nursing interventions on the day of surgery completed and documented?

Frequent assessment of a postoperative patient is essential.What is one of the first signs and symptoms of hemorrhage?

The nurse caring for a postsurgical patient is aware that the patient should void ____ to 8 hours postsurgery.

The nurse would include the patient problem of deficient knowledge,postoperative,when the patient scheduled for a bowel resection tomorrow remarks:

In performing the preoperative assessment,the nurse discovers that the patient is allergic to latex.What should the nurse do initially?

The postoperative nursing intervention that would be contraindicated for a 45-year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP)would be:

When the patient asks the nurse to make sure no one sees her with her dentures out,the nurse recognizes the common preoperative fear of:

A patient is transferred from the operating room to the recovery room after undergoing an amputation of his left foot.Which intervention is the last step for immediate assessment once the patient enters the PACU?

A 73-year-old patient with diabetes was admitted for below the knee amputation of his right leg.Removal of his right leg is an example of which type of surgery?

Discharge planning for a surgical procedure begins in the preoperative period and continues through the _____________ period.

When the postoperative patient complains of sudden chest pain combined with dyspnea,cyanosis,and tachycardia,the nurse recognizes the signs of:

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission, transfer, and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management, comfort, rest, and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss, grief, dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Patient With an Integumentary Disorder

Care of the Patient With a Musculoskeletal Disorder

Care of the Patient With a Gastrointestinal Disorder

Care of the Patient With a Gallbladder, liver, biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient With a Blood or Lymphatic Disorder

Care of the Patient With a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient With a Respiratory Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With an Endocrine Disorder

Care of the Patient With a Reproductive Disorder

Care of the Patient With a Visual or Auditory Disorder

Care of the Patient With a Neurologic Disorder

Care of the Patient With an Immune Disorder

Care of the Patient With Hivaids

Care of the Patient With Cancer

Professional Roles and Leadership

Filters

The nurse explains that to promote deep breathing and improve lung expansion and oxygenation the patient should use the _ __ at regular intervals during the day.