Question 1

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 2

The nurse should include the proper use of an incentive spirometer in teaching a preoperative patient.Postoperative monitoring of this patient would reveal that the incentive spirometry has been effective if the patient has:

Accepted Answer

A)  Adventitious breath sounds 
B)  Expiratory wheezing 
C)  Thick, green respiratory secretions 
D)  Clear breath sounds 
A)  Adventitious breath sounds 
B)  Expiratory wheezing 
C)  Thick, green respiratory secretions 
D)  Clear breath sounds

Question 3

To prevent the effects of postoperative immobility on the gastrointestinal system,the nurse suggests that the patient:

Accepted Answer

A)  Avoid taking antibiotics. 
B)  Increase her fluid intake. 
C)  Avoid high-fiber foods. 
D)  Limit her activity for the first 3 to 4 days. 
A)  Avoid taking antibiotics. 
B)  Increase her fluid intake. 
C)  Avoid high-fiber foods. 
D)  Limit her activity for the first 3 to 4 days.

Question 4

A postoperative patient is complaining of incisional pain.An order has been given for morphine every 4 to 6 hours as needed (PRN).The first assessment by the nurse should be to:

Accepted Answer

A)  Assess for the presence of bowel sounds. 
B)  Assess pupillary reaction. 
C)  Ask the patient's family if she is having pain. 
D)  Determine when the patient last received pain medication. 
A)  Assess for the presence of bowel sounds. 
B)  Assess pupillary reaction. 
C)  Ask the patient's family if she is having pain. 
D)  Determine when the patient last received pain medication.

Question 5

The nurse is caring for the postoperative patient who has had spinal anesthesia.The nurse would place highest priority on reporting which of these assessments?

Accepted Answer

A)  Complaints of a headache 
B)  Pulse rate of 78 beats per minute 
C)  Voided 300 ml 
D)  Blood pressure of 126/78 mm Hg 
A)  Complaints of a headache 
B)  Pulse rate of 78 beats per minute 
C)  Voided 300 ml 
D)  Blood pressure of 126/78 mm Hg

Question 6

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 7

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 8

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 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

The nurse is doing an assessment of a patient who has returned from a cardiac catheterization and had conscious sedation.The nurse should report which of the following findings?

Accepted Answer

A)  Difficulty arousing the patient 
B)  Blood pressure of 124/72 mm Hg 
C)  Oxygen saturation of 96% 
D)  Patient complaints of the need to void 
A)  Difficulty arousing the patient 
B)  Blood pressure of 124/72 mm Hg 
C)  Oxygen saturation of 96% 
D)  Patient complaints of the need to void

Question 11

The technique the nurse should use to change a postoperative dressing is:

Accepted Answer

A)  Enteric isolation 
B)  Aseptic technique 
C)  Clean technique 
D)  Respiratory isolation 
A)  Enteric isolation 
B)  Aseptic technique 
C)  Clean technique 
D)  Respiratory isolation

Question 12

The postoperative patient who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the postanesthesia care unit.The nurse monitors the pulse oximeter and gets a reading of 85%.The nurse's next action should be to:

Accepted Answer

A)  Assess the pulse oximeter reading again in 1 hour. 
B)  Arouse the patient, have him cough, and encourage deep breathing. 
C)  Administer a dose of pain medication. 
D)  Suction fluid from the oral cavity. 
A)  Assess the pulse oximeter reading again in 1 hour. 
B)  Arouse the patient, have him cough, and encourage deep breathing. 
C)  Administer a dose of pain medication. 
D)  Suction fluid from the oral cavity.

Exam 17: Surgical Care

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 should include the proper use of an incentive spirometer in teaching a preoperative patient.Postoperative monitoring of this patient would reveal that the incentive spirometry has been effective if the patient has:

To prevent the effects of postoperative immobility on the gastrointestinal system,the nurse suggests that the patient:

A postoperative patient is complaining of incisional pain.An order has been given for morphine every 4 to 6 hours as needed (PRN).The first assessment by the nurse should be to:

The nurse is caring for the postoperative patient who has had spinal anesthesia.The nurse would place highest priority on reporting which of these assessments?

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:

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 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:

The nurse is doing an assessment of a patient who has returned from a cardiac catheterization and had conscious sedation.The nurse should report which of the following findings?

The technique the nurse should use to change a postoperative dressing is:

The postoperative patient who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the postanesthesia care unit.The nurse monitors the pulse oximeter and gets a reading of 85%.The nurse's next action should be to:

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