Question 1

The nurse preparing the surgical patient's room for the patient's return from the post-anesthesia unit should: (Select all that apply.)

Accepted Answer

A)  fan fold the sheets on the near side of the bed. 
B)  lower the bed for easy transfer of the patient. 
C)  place an IV pole at the head of the bed. 
D)  gather an emesis basin, tissues, and a small towel. 
E)  collect extra dressing supplies and place them on the bedside table. 
A)  fan fold the sheets on the near side of the bed. 
B)  lower the bed for easy transfer of the patient. 
C)  place an IV pole at the head of the bed. 
D)  gather an emesis basin, tissues, and a small towel. 
E)  collect extra dressing supplies and place them on the bedside table.

Question 2

A patient who has returned to the surgical nursing unit from the post-anesthesia care unit (PACU) is drowsy and requires verbal stimulation to remain aroused. The best position to maintain an airway for this patient is:

Accepted Answer

A)  supine. 
B)  side-lying. 
C)  head of bed at 30 degrees with head and neck midline. 
D)  head of bed at 45 degrees with head and neck midline. 
A)  supine. 
B)  side-lying. 
C)  head of bed at 30 degrees with head and neck midline. 
D)  head of bed at 45 degrees with head and neck midline.

Question 3

The nurse is assessing the surgical dressing of a patient who arrived on the unit an hour ago. The surgical dressing has serosanguineous drainage on the dressing. The nurse should:

Accepted Answer

A)  make a note of the drainage on the worksheet to report it at the end of shift. 
B)  change the surgical dressing immediately to prevent infection. 
C)  outline the area of drainage with a pen and mark it with the date and time. 
D)  reinforce the dressing with clean gauze sponges and tape. 
A)  make a note of the drainage on the worksheet to report it at the end of shift. 
B)  change the surgical dressing immediately to prevent infection. 
C)  outline the area of drainage with a pen and mark it with the date and time. 
D)  reinforce the dressing with clean gauze sponges and tape.

Question 4

A patient who has recently arrived on the surgical unit after being transferred from the post-anesthesia care unit asks for a drink. The nurse should first check the:

Accepted Answer

A)  status of the IV fluids. 
B)  ability to swallow. 
C)  nursing progress notes. 
D)  anesthesia record. 
A)  status of the IV fluids. 
B)  ability to swallow. 
C)  nursing progress notes. 
D)  anesthesia record.

Question 5

The patient informs the admitting nurse that she has been drinking feverfew tea for the herbal treatment of migraine headaches. The nurse reports this to the surgeon because this herb can cause ___________.

Accepted Answer

bleeding
The herb feverfew can

Question 6

A patient who had abdominal surgery is complaining of "gas pains" and has distention of the abdomen and flatus. To promote patient comfort, the nurse should advise:

Accepted Answer

A)  early ambulation. 
B)  turning to the left side. 
C)  drinking fluids that are very hot. 
D)  lying supine with knees flexed. 
A)  early ambulation. 
B)  turning to the left side. 
C)  drinking fluids that are very hot. 
D)  lying supine with knees flexed.

Question 7

To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

Accepted Answer

A)  verbally state the location of the surgical site and the expected procedure. 
B)  when still conscious participate in marking the surgical site. 
C)  have the unit nurse confirm their identity. 
D)  have a photograph of the surgical site on the chart. 
A)  verbally state the location of the surgical site and the expected procedure. 
B)  when still conscious participate in marking the surgical site. 
C)  have the unit nurse confirm their identity. 
D)  have a photograph of the surgical site on the chart.

Question 8

The nurse reminds the patient that the member of the surgical team who is responsible for obtaining the surgical consent is the ___________.

Accepted Answer

surgeon
The surgeon

Exam 37: Care of the Surgical Patient

The nurse preparing the surgical patient's room for the patient's return from the post-anesthesia unit should: (Select all that apply.)

A patient who has returned to the surgical nursing unit from the post-anesthesia care unit (PACU) is drowsy and requires verbal stimulation to remain aroused. The best position to maintain an airway for this patient is:

The nurse is assessing the surgical dressing of a patient who arrived on the unit an hour ago. The surgical dressing has serosanguineous drainage on the dressing. The nurse should:

A patient who has recently arrived on the surgical unit after being transferred from the post-anesthesia care unit asks for a drink. The nurse should first check the:

The patient informs the admitting nurse that she has been drinking feverfew tea for the herbal treatment of migraine headaches. The nurse reports this to the surgeon because this herb can cause ___________.

A patient who had abdominal surgery is complaining of "gas pains" and has distention of the abdomen and flatus. To promote patient comfort, the nurse should advise:

To help prevent errors in the surgical procedure, the National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must:

The nurse reminds the patient that the member of the surgical team who is responsible for obtaining the surgical consent is the ___________.

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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