233 Chapter 2 - Perioperative Nursing

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1.  The nurse is preparing a client for surgery. What is the most effective method for obtaining an accurate blood pressure reading from the client?
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D.
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2.  Which of the following items on a client’s presurgery laboratory results would indicate a need to contact the surgeon?
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B.
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D.
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3.  To prevent complications of immobility, which activities would the nurse plan for the first postoperative day after a colon resection?
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D.
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4.  In the recovery room, the postoperative client suddenly becomes cyanotic. What is the most appropriate nursing action?
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5.  A client is scheduled for surgery in the morning. Preoperative orders have been written. What is the most important to do before surgery?
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D.
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6.  The nurse is caring for a first day postoperative surgical client. Prioritize the patient’s desired dietary progression. Arrange in sequence the dietary progression from 1 to 4: 1. Full liquid; 2. NPO; 3. Clear liquid; 4. Soft
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7.  A postoperative client receives a dinner tray with gelatin, pudding, and vanilla ice cream. Based on the foods on the client’s tray, what would the nurse anticipate the client’s current diet order to be:
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B.
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D.
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8.  The nurse is preparing the preoperative client for surgery. The following statements that indicate the client is knowledgeable about his impending surgery, except:
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D.
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9.  Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours before surgery?
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D.
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10.  The nurse will provide preoperative teaching on deep breathing, coughing and turning exercises. When is the best time to provide the preoperative teachings?
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11.  Which of the following factors ensure validity of informed written consent, except:
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12.  Which of the following drugs is administered to minimize respiratory secretions preoperatively?
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D.
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13.  Which of the following is experienced by the patient who is under general anesthesia?
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D.
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14.  Which of the following is most dangerous complication during induction of spinal anesthesia?
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D.
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15.  Which of the following postoperative patients is at risk for respiratory complications?
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D.
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16.  The patient had undergone spinal anesthesia for appendectomy. To prevent spinal headache, the nurse should place the patient in which of the following positions?
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D.
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17.  The nurse is admitting a patient to the operating room. Which of the following nursing actions should be given highest priority by the nurse?
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D.
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18.  Which of the following assessment data is most important to determine when caring for a patient who has received spinal anesthesia?
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D.
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19.  The nurse is transferring the patient from the postanesthesia care unit to the surgical unit. Which of the following is the primary reason for gradual change of position of the patient?
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B.
C.
D.
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20.  The nurse is caring for a patient who had undergone exploratory laparotomy. Which of the following postop findings should the nurse report to the physician?
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D.
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21.  The patient had undergone thyroidectomy. Which of the following are the earliest signs of poor tissue perfusion and poor respiratory function?
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B.
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D.
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22.  The diabetic patient who had undergone abdominal surgery experiences wound evisceration. Which of the following is the most appropriate immediate nursing action?
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D.
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23.  The patient had undergone total hip replacement. He complains of pain in the operative site. Which of the following is the appropriate initial nursing action?
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D.
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24.  Which of the following are not members of the sterile team in the operating room, except:
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B.
C.
D.
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25.  The best position for kidney, chest, or hip surgery is:
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B.
C.
D.
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