Exam 39: Perioperative Care

A client had a colon resection for removal of a cancerous tumor. Postoperatively, on the surgical floor, which of the following activities would the nurse perform for the purpose of decreasing the risk of postoperative complications? Select all that apply.

The nurse is caring for a client who is wearing antiembolism compression stockings. The client repeatedly complains of discomfort caused by the stockings. What actions will the nurse take to improve comfort? Select all that apply.

A client had a hiatal hernia repair earlier today and is now in the postanesthesia care unit (PACU). The family asks the nurse why the client is in the PACU rather than back in his room on the postsurgical unit. What should the nurse inform the family?

The nurse is providing care to a client scheduled for repair of a torn rotator cuff. The nurse understands that this surgery will be classified as what?

A client returns from surgery with a nasogastric tube and intermittent gastric suction to provide abdominal decompression. Which of the following are correct nursing activities for managing the equipment and drainage? Select all that apply.

The nurse admits a client to the postoperative unit following gastric bypass surgery for weight loss. Based on the client's history, what is the priority nursing diagnosis for this client?

A client is to have a sequential compression device (SCD) applied on the postoperative unit. The client is wearing knee-high elastic (antiembolism) stockings. When applying the SCD, what should the nurse do?

The circulating nurse is providing care to the surgical client during the interoperative phase. Which of the following are components of the circulating nurse's focus to prevent complications during the surgery? Select all that apply.

The client asks the preoperative nurse why all of the team members took a time-out before starting the procedure. Which of the following is the nurse's best response?

The nurse is preparing the client for general anesthesia. The client asks what the desired effects of general anesthesia are. Select all that apply.

The preoperative nurse is preparing clients for surgery. Which client does the nurse classify as facing the highest surgical risk?

The nurse admits a client who is scheduled for surgery tomorrow morning. The nursing admission assessment indicates that the client is mildly anxious about the procedure, does not drink alcohol or smoke, is married with two children, and is allergic to kiwi, avocados, and penicillin. The nurse identifies the priority nursing diagnosis for this client as:

To promote deep breathing, coughing, and turning by a postoperative client on the first postoperative day, what would be the best action by the nurse?

The postoperative client returned to the surgical nursing unit at 1:30 p.m. The evening shift nurse receives the report and begins working at 3:30 p.m. How often will the evening shift nurse take this client's vital signs?

Identify the type of surgery a terminally ill client will undergo if the purpose is removal of tissue to relieve pain.

The intraoperative nurse observes the anesthesiologist administer general anesthesia, insert the endotracheal tube, and take control of the airway. The nurse understands that the next important nursing intervention for this client is to:

The perioperative nurse maintains the safety of the client during surgery with which of the following goals? Select all that apply.

The postoperative client is admitted to the postanesthesia care unit (PACU) with an oral airway in place, an indwelling urinary catheter, IV fluid infusing via two different sites, and a Jackson-Pratt drain pinned to the gown near the wound dressing. What is the nurse's priority action after the client is moved to the bed?

The staff RN is assigned to an operation with an operating room LPN. The physician employs another RN who will be first assistant for the operation. What role will the staff RN play?

The client is scheduled for outpatient cholecystectomy (gall bladder removal) in 2 weeks. Based on the client's history, the nurse includes which of the following in the preoperative plan of care?