Exam 39: Perioperative Care

Identify the desired effects of general anesthesia.Select all that apply.

The preoperative nurse is preparing a patient for surgery.Identify the interventions the nurse will perform.Select all that apply.

When asked to sign the surgical consent form,the patient has questions.The nurse notifies the surgeon,who talks with the patient again and then tells the nurse the questions have been answered.When the nurse again explains the purpose of the consent form to the patient,the patient says,"The doctor says this surgery is necessary.Do you think it is really necessary?" What is the nurse's best response?

The student nurse is assigned to a patient through the entire perioperative period and identifies the time when the preoperative phase ends and the intraoperative phase begins as when the patient:

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

The nurse admits a patient to the postoperative unit following gastric bypass surgery for weight loss.Based on the patient's history,the nurse determines that the priority nursing diagnosis for this patient is:

A patient is admitted for hip surgery.The patient usually takes the following medications daily: an anticoagulant,a multivitamin,and vitamin E.He stopped taking his anticoagulant 4 days ago as instructed by his surgeon,but has continued to take the multivitamin and vitamin E.An important collaborative problem or nursing diagnosis for this patient is which of the following?

The patient tells the nurse,"I'm so nervous.I want to be knocked out for the surgery so that I don't know what is going on." When the nurse communicates with the surgeon and anesthetist,she tells them that the patient desires which type of anesthesia?

The nurse is caring for a patient who had abdominal surgery 3 days ago and will be discharged home later today.The nurse will know that teaching is effective if the patient does which of the following? Select all that apply.

A patient is scheduled for abdominal surgery tomorrow.While gathering preoperative data,the nurse learns that the patient takes the following medications daily: an anticoagulant,a multivitamin,and vitamin E.The patient reports that he stopped taking the anticoagulant 4 days ago as instructed by the surgeon.He has continued to take the multivitamin and vitamin E.Based on the information given,the nurse notifies the surgeon because she:

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

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

The nurse is caring for a patient with a Salem sump double lumen nasogastric (NG)tube to suction.The patient complains of nausea and has mild abdominal distention.What is the nurse's priority action?

The preoperative phase encompasses which period of time?

A patient has chronic confusion secondary to dementia.As a result,he is unable to sign an informed consent for surgery.In this situation:

Surgeries are commonly classified by which of the following? Select all that apply.

A patient is admitted from a local skilled nursing facility to the outpatient surgery center for surgical debridement of a stage IV sacral pressure ulcer.The perioperative nurse discovers that the patient does not have a signed consent form for the surgery on the chart or in the surgery center.The patient says that she has not talked to the surgeon and that she has many questions regarding her surgery.When informed of this,the surgeon tells the nurse to have the patient sign the informed consent form,and he will review it prior to the surgery.What should the nurse do?

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

The focus of nursing care in the intraoperative phase is to: