Exam 14: Care of Preoperative Patients

A nurse assesses a client in the preoperative holding area and finds brittle nails and hair,dry skin turgor,and muscle wasting.What action by the nurse is best?

A nurse is giving a preoperative client a dose of ranitidine (Zantac).The client asks why the nurse is giving this drug when the client has no history of ulcers.What response by the nurse is best?

A nurse working in the preoperative holding area performs which functions to ensure client safety? (Select all that apply.)

A nurse is caring for several clients prior to surgery.Which medications taken by the clients require the nurse to consult with the physician about their administration? (Select all that apply.)

A client is on the phone when the nurse brings a preoperative antibiotic before scheduled surgery.The circulating nurse has requested the antibiotic be started.The client wants the nurse to wait before starting it.What response by the nurse is most appropriate?

The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital.What action by the managers is best?

A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication.What action by the nurse is best?

A nurse works on the postoperative floor and has four clients who are being discharged tomorrow.Which one has the greatest need for the nurse to consult other members of the health care team for post-discharge care?

A clinic nurse is teaching a client prior to surgery.The client does not seem to comprehend the teaching,forgets a lot of what is said,and asks the same questions again and again.What action by the nurse is best?

A client is clearly uncomfortable and anxious in the preoperative holding room waiting for emergent abdominal surgery.What actions can the nurse perform to increase comfort? (Select all that apply.)

A student nurse asks why older adults are at higher risk for complications after surgery.What reasons does the registered nurse give? (Select all that apply.)

A nurse recently hired to the preoperative area learns that certain clients are at higher risk for venous thromboembolism (VTE).Which clients are considered at high risk? (Select all that apply.)

A postoperative client has an abdominal drain.What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met?

A preoperative nurse is assessing a client prior to surgery.Which information would be most important for the nurse to relay to the surgical team?

A student nurse is caring for clients on the postoperative unit.The student asks the registered nurse why malnutrition can lead to poor surgical outcomes.What responses by the nurse are best? (Select all that apply.)

A student is caring for clients in the preoperative area.The nurse contacts the surgeon about a client whose heart rate is 120 beats/min.After consulting with the surgeon,the nurse administers a beta blocker to the client.The student asks why this was needed.What response by the nurse is best?

An older client is hospitalized after an operation.When assessing the client for postoperative infection,the nurse places priority on which assessment?

An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow.The client asks about possible complications from the operation.What response by the nurse is best?

A nurse is giving a client instructions for showering with special antimicrobial soap the night before surgery.What instruction is most appropriate?

A nursing instructor is teaching students about different surgical procedures and their classifications.Which examples does the instructor include? (Select all that apply.)