Question 1

The nurse modifies postoperative care for a patient who has had cataract surgery from that given most general surgical patients as follows:

Accepted Answer

A)  Early ambulation is not necessary. 
B)  Remove dressing immediately 
C)  Omit instructions relative to coughing. 
D)  Omit use of incentive spirometer for deep breathing. 
A)  Early ambulation is not necessary. 
B)  Remove dressing immediately 
C)  Omit instructions relative to coughing. 
D)  Omit use of incentive spirometer for deep breathing.

Question 2

The nurse discovers on the preoperative assessment that the patient has a condition that would require increased amounts of general anesthesia.The condition is ____________________.

Accepted Answer

Alcoholism
Individua

Question 3

During the preoperative assessment,the nurse must ask the patient for information about:

Accepted Answer

A)  Current address and telephone number 
B)  Food preferences 
C)  Allergies, medications, and past medical conditions 
D)  Bathing and sleep patterns 
A)  Current address and telephone number 
B)  Food preferences 
C)  Allergies, medications, and past medical conditions 
D)  Bathing and sleep patterns

Question 4

A patient has just returned to the surgical unit after varicose vein stripping and ligation.To evaluate pain relief,the best technique for the nurse is to:

Accepted Answer

A)  Check the patient's record for the last dose of pain medication administered. 
B)  Ask the patient to rate the severity of the pain on a scale of 1 to 10. 
C)  Ask the family if they think that the patient is having pain. 
D)  Tell the patient to ask for pain medicine when it is needed. 
A)  Check the patient's record for the last dose of pain medication administered. 
B)  Ask the patient to rate the severity of the pain on a scale of 1 to 10. 
C)  Ask the family if they think that the patient is having pain. 
D)  Tell the patient to ask for pain medicine when it is needed.

Question 5

The nurse understands that palliative surgery is intended to:

Accepted Answer

A)  Remove and study tissue to make a diagnosis. 
B)  Relieve symptoms or improve function without correcting the basic problem. 
C)  Remove diseased tissue or correct defects. 
D)  Correct serious defects that only affect appearance. 
A)  Remove and study tissue to make a diagnosis. 
B)  Relieve symptoms or improve function without correcting the basic problem. 
C)  Remove diseased tissue or correct defects. 
D)  Correct serious defects that only affect appearance.

Question 6

The nurse is performing a postoperative assessment on a patient who has just returned from a hernia repair.The patient's blood pressure is 90/60 mm Hg,and the apical pulse is 108.The nurse's first action would be to:

Accepted Answer

A)  Check the dressing for bleeding. 
B)  Notify the registered nurse (RN). 
C)  Document the vital signs. 
D)  Increase the rate of infusion of intravenous (IV) fluids. 
A)  Check the dressing for bleeding. 
B)  Notify the registered nurse (RN). 
C)  Document the vital signs. 
D)  Increase the rate of infusion of intravenous (IV) fluids.

Question 7

The patient scheduled for a liver biopsy has given the nurse a list of medications routinely taken at home.The nurse should be concerned about the:

Accepted Answer

A)  Aspirin 
B)  Multivitamin 
C)  Furosemide 
D)  Acetaminophen 
A)  Aspirin 
B)  Multivitamin 
C)  Furosemide 
D)  Acetaminophen

Question 8

The member of the surgical team who administers anesthetics and monitors the patient's status throughout the procedure is the:

Accepted Answer

A)  Surgeon 
B)  Circulating nurse 
C)  Perfusionist 
D)  Anesthesiologist 
A)  Surgeon 
B)  Circulating nurse 
C)  Perfusionist 
D)  Anesthesiologist

Question 9

During the nurse's preoperative assessment,the nurse notices that the patient is extremely anxious.The patient's blood pressure is 142/92 mm Hg,the heart rate is 104 beats per minute,and respirations are 32.The nurse should:

Accepted Answer

A)  Give the preoperative medicine early to help calm the patient. 
B)  Call the surgical department, and cancel the surgery. 
C)  Notify the anesthesiologist or surgeon. 
D)  Instruct the patient on possible postoperative complications. 
A)  Give the preoperative medicine early to help calm the patient. 
B)  Call the surgical department, and cancel the surgery. 
C)  Notify the anesthesiologist or surgeon. 
D)  Instruct the patient on possible postoperative complications.

Question 10

A patient who has just undergone a colon resection complains to the nurse that he felt something pop under his dressing while trying to get out of bed.The nurse removes the dressing and finds that dehiscence of the wound has occurred.The nurse's first action should be to:

Accepted Answer

A)  Replace the dressing; dehiscence is normal. 
B)  Call the physician. 
C)  Pull the wound edges together, and replace the dressing. 
D)  Cover the wound with sterile dressings saturated with normal saline. 
A)  Replace the dressing; dehiscence is normal. 
B)  Call the physician. 
C)  Pull the wound edges together, and replace the dressing. 
D)  Cover the wound with sterile dressings saturated with normal saline.

Question 11

The patient scheduled for a bronchoscopy is placed on an NPO status after midnight before the procedure.The patient is complaining of being thirsty and requests some water on the morning of the procedure.The nurse should:

Accepted Answer

A)  Deny any oral fluid per order. 
B)  Allow 8 ounces of tap water. 
C)  Offer ice chips. 
D)  Administer only carbonated drinks. 
A)  Deny any oral fluid per order. 
B)  Allow 8 ounces of tap water. 
C)  Offer ice chips. 
D)  Administer only carbonated drinks.

Question 12

A patient who had a hysterectomy yesterday has not been allowed food or drink by mouth (NPO).The physician has now ordered the patient's diet to be clear liquids.Before administering the diet,the nurse should check for:

Accepted Answer

A)  Feelings of hunger 
B)  Bowel sounds 
C)  Positive Homans sign 
D)  Gag reflex 
A)  Feelings of hunger 
B)  Bowel sounds 
C)  Positive Homans sign 
D)  Gag reflex

Exam 17: Surgical Care

The nurse modifies postoperative care for a patient who has had cataract surgery from that given most general surgical patients as follows:

The nurse discovers on the preoperative assessment that the patient has a condition that would require increased amounts of general anesthesia.The condition is ____________________.

During the preoperative assessment,the nurse must ask the patient for information about:

A patient has just returned to the surgical unit after varicose vein stripping and ligation.To evaluate pain relief,the best technique for the nurse is to:

The nurse understands that palliative surgery is intended to:

The nurse is performing a postoperative assessment on a patient who has just returned from a hernia repair.The patient's blood pressure is 90/60 mm Hg,and the apical pulse is 108.The nurse's first action would be to:

The patient scheduled for a liver biopsy has given the nurse a list of medications routinely taken at home.The nurse should be concerned about the:

The member of the surgical team who administers anesthetics and monitors the patient's status throughout the procedure is the:

During the nurse's preoperative assessment,the nurse notices that the patient is extremely anxious.The patient's blood pressure is 142/92 mm Hg,the heart rate is 104 beats per minute,and respirations are 32.The nurse should:

A patient who has just undergone a colon resection complains to the nurse that he felt something pop under his dressing while trying to get out of bed.The nurse removes the dressing and finds that dehiscence of the wound has occurred.The nurse's first action should be to:

The patient scheduled for a bronchoscopy is placed on an NPO status after midnight before the procedure.The patient is complaining of being thirsty and requests some water on the morning of the procedure.The nurse should:

A patient who had a hysterectomy yesterday has not been allowed food or drink by mouth (NPO).The physician has now ordered the patient's diet to be clear liquids.Before administering the diet,the nurse should check for:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

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