Exam 33: Surgery

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When a nurse conducts preoperative teaching for a client,which of these educational principles is MOST important?

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D

The nurse is caring for a client about to undergo surgery.A major nursing role related to preoperative physiologic assessment and diagnostic tests is to:

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A

For a client who had a craniotomy,postoperative nursing care would give priority to which of these actions?

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B

A client experiences dyspnea,chest pain,cyanosis,cough,hemoptysis,and tachycardia on the second postoperative day.Vital signs confirm the client is in shock.The nurse should recognize that the client has MOST likely developed which of these complications?

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Modern operating rooms are designed to prevent wound infections.Which of these characteristics contributes MOST to achieving that goal?

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Which of these postoperative complications is MORE likely to occur in older adult clients?

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Postoperative nursing measures to prevent the development of deep vein thrombosis,thrombophlebitis,and pulmonary embolism include which of the following?

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The endotracheal tube of a postoperative client transferred to the post-anesthesia care unit (PACU)was removed for 5 minutes.The client develops acute inspiratory stridor with sternal retractions.Which of these actions should the nurse take immediately?

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The nurse is preparing the client for surgery and assisting the client to put on a hospital gown and hair cap.Which of the following articles does the nurse remove? (Select all that apply. )

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What is the primary reason that electrocardiograms (EKGs)are routinely performed in middle-aged and older adult clients undergoing surgery?

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A client who is 24 hours postoperative has an oral temperature of 101.8 degrees Fahrenheit.Which of these actions is indicated FIRST?

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A client who has a history of angina is scheduled for a hernia repair tomorrow.Which of these nursing interventions is MOST likely to prevent postoperative complications for this client?

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A client who had surgery 4 hours ago has not yet voided.Of the following nursing measures to facilitate voiding,which one would be done LAST?

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Preoperative client teaching should include the purpose of the surgical site skin preparation,which is to:

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Which member of the surgical team assists all other team members,coordinates the team's efforts,and is held responsible for all activities during the surgical procedure?

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Before beginning to implement preoperative medical orders for a surgical client,it is MOST important that the nurse:

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Which of the following assessments of a client transferred to the post-anesthesia care unit (PACU)from the operating room would NOT necessarily indicate a postoperative complication to the nurse?

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Surgical clients who have chronic respiratory diseases are MOST likely to develop which postoperative complication?

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A nurse is assessing a client admitted to the ambulatory surgery unit.The client has diaphoresis with rapid pulse and respirations,elevated blood pressure,and dilated pupils.When the nurse attempts to reinforce preoperative teaching,the client cannot remember anything about previous instructions.Which of these nursing actions is MOST appropriate?

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Which member of the surgical team monitors the client's oxygenation and gas exchange during surgery?

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