Exam 48: Care of Surgical Patients

The nurse is serving as precept for a new nurse in the perioperative area.The nurse explains that perioperative nursing is based on certain principles and includes which of the following? (Select all that apply. )

The nurse is preparing for a patient who will undergo surgery.The nurse screens for risk factors that can increase a person's risks in surgery.What risk factors are included in the nurse's screening? (Select all that apply. )

The nurse is caring for a patient who is scheduled to undergo a surgical procedure.The nurse is completing an assessment and reviews the patient's laboratory test results and allergies.In which perioperative nursing phase would this work be completed?

The nurse has completed a preoperative assessment for a patient about to undergo surgery and gathers assessment data.Of the following,which would be the most important next step?

The nurse is caring for a patient intraoperatively.Primary roles of the circulating nurse include which of the following?

The ambulatory surgical nurse calls to check on the patient at home the morning after surgery.The patient is reporting continued nausea and vomiting.Which of the following discharge education points should be reviewed with the patient?

The nurse is caring for a patient in the operating suite who is exhibiting tachypnea,tachycardia,premature ventricular contractions,and muscle rigidity.The nurse suspects which condition in this patient?

The nurse is caring for a preoperative patient.The nurse teaches the principles and demonstrates leg exercises for the patient.The patient is unable to perform leg exercises correctly.What is the nurse's best next step?

During preoperative assessment for a 0730-hour case,the patient indicates to the nurse that he had a cup of coffee at 0700 hours.The nurse reports this information to the anaesthesia provider,anticipating what?

The nurse is making a preoperative education appointment with a patient.The patient asks whether he should bring family with him to the appointment.What is the best response by the nurse?

The nurse is caring for a patient in the PACU who has undergone a left total knee arthroplasty.The anaesthesia provider has indicated that the patient received a left femoral peripheral nerve block.Which assessment would be an expected finding for a patient with this type of regional block?

The nurse is preparing a patient for a surgical procedure on the right great toe.Which of the following actions would be most important to include in this patient's preparation?

The nurse is caring for a patient in preadmission testing.The patient has been assigned a physical status classification of PS-III by the American Society of Anesthesiologists.Which of the following assessments would support this classification?

The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment.What points should the nurse include? (Select all that apply. )

The nurse is caring for a postoperative patient on the medical-surgical floor.To prevent venous stasis and the formation of thrombus after general anaesthesia,what does the nurse encourage the patient to do?

The nurse is encouraging a reluctant postoperative patient to deep breathe and cough.What explanation can the nurse provide that may encourage the patient to cough more effectively?

The nurse explains the pain relief measures available after surgery during preoperative teaching for a surgical patient.Which of the following comments from the patient indicates the need for additional education on this topic?

The nurse is caring for an ambulatory surgical patient.To be discharged home,which criteria must the patient meet? (Select all that apply. )

The patient has arrived at the ambulatory surgery centre for a colonoscopy.The patient is scheduled to receive moderate sedation (conscious sedation)during the procedure.Moderate sedation is used routinely for procedures that require which of the following?