Order Perioperative Nursing Assignment

Order Perioperative Nursing Assignment
Order Perioperative Nursing Assignment
1. The nurse is preparing Mrs. Ogg for surgery for treatment of a ruptured spleen as the result of an automobile
crash. The nurse knows that this type of surgery
belongs in which of the following categories?
a. Minor, diagnostic
b. Minor, elective
c. Major, emergency
d. Major, palliative
2. A group of students are reviewing the purposes of general anesthesia in preparation for a test. The students
demonstrate a need for additional study when they
identify which of the following as a purpose?
a. Loss of consciousness
b. Relaxation of skeletal muscles
c. Reduction of reflex action
d. Localized loss of sensation
3. A nurse has been asked to witness a patient signature
on an informed consent form for surgery. For which
one of these patients would the document be valid?
a. A 92-year-old patient who is severely confused
b. A 45-year-old patient who is oriented and alert
c. A 10-year-old patient who is oriented and alert
d. A 36-year-old patient who has had a narcotic
premedication
4. A 72-year-old woman is taking several medications on
a regular basis. Which of the following categories of
drugs would be most likely to increase her surgical
risk?
a. Anticoagulants
b. Antacids
c. Laxatives
d. Sedatives
5. A nurse is caring for an obese patient who has surgery.
The nurse monitors this patient for which of the following postoperative complications?
a. Hunger
b. Impaired wound healing
c. Hemorrhage
d. Gas pains
6. A nurse is teaching a man scheduled to have sameday surgery. Which teaching method would be most
effective in preoperative teaching for ambulatory
surgery?
a. Lecture
b. Discussion
c. Audiovisuals
d. Written instructions
7. Mr. Ying is scheduled for surgery. He says to the nurse,
“I am so frightened—what if I don’t wake up?” What
would be the best response?
a. “You have a wonderful doctor.”
b. “Let’s talk about how you are feeling.”
c. “Everyone wakes up from surgery!”
d. “Don’t worry, you will be just fine.”
8. A patient asks a nurse what a PCA pump does. The
nurse explains that a PCA pump allows postoperative
patients to:
a. Be totally pain free
b. Take unlimited amounts of medication
c. Choose the type of pain medication
d. Administer their own analgesics
9. Mr. Moreno has had a surgical procedure that necessitated a thoracic incision. The nurse anticipates that he
CHAPTER 30 Perioperative Nursing 859
will have a higher risk for postoperative complications
involving which body system?
a. Respiratory system
b. Circulatory system
c. Digestive system
d. Nervous system
10. While assessing a patient in the PACU, the nurse notes
increased wound drainage, restlessness, a decreasing
blood pressure, and an increase in the pulse rate. The
nurse interprets these findings as most likely indicating
which of the following?
a. Thrombophlebitis
b. Atelectasis
c. Infection
d. Hemorrhage
11. A patient tells the nurse she is having pain in her right
lower leg. How does the nurse assess for the presence
of thrombophlebitis?
a. By palpating the skin over the tibia and fibula
b. By documenting daily calf circumference
measurements
c. By recording vital signs obtained four times a day
d. By noting difficulty with ambulation
12. Gas pains are a common postoperative discomfort. Which
of the following nursing actions implemented in the plan
of care would be most likely to relieve gas pains?
a. Cough and deep breathe every 2 hours.
b. Maintain NPO status for 48 hours.
c. Encourage frequent ambulation.
d. Take vital signs every 4 hours.
13. Which of the following surgical patients is at a greater
risk for alterations in body image?
a. A 19-year-old woman who had a repair of large
facial laceration
b. A 42-year-old woman who has had gallbladder
surgery
c. A 14-year-old boy who underwent a repair of a
fractured clavicle
d. A 52-year-old man who has had an inguinal hernia
repair
14. Older adults often have reduced vital capacity as a result
of normal physiologic changes. Which nursing intervention would be most important for the postoperative care
of an older surgical patient specific to this change?
a. Take and record vital signs every shift.
b. Turn, cough, and deep breathe every 4 hours.
c. Encourage increased intake of oral fluids.
d. Assess bowel sounds daily.
15. The nurse is explaining the rationale for performing leg
exercises after surgery. Which reason would the nurse
include in the explanation?
a. Promote respiratory function
b. Maintain functional abilities
c. Provide diversional activities
d. Increase venous return
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