A) Within 24 hours
B) Within the next week
C) Without delay because the bowel obstruction is emergent
D) Difficult to predict because the surgeon may be unavailable
A) Delirium tremens immediately following surgery
B) Delirium tremens within 72 hours after his last alcohol drink
C) Delirium tremens upon administration of general anesthesia
D) Delirium tremens 1 week after his last alcohol drink
A) The patient should take three deep breaths and cough hard three times.
B) The patient should take three deep breaths and exhale forcefully and then take a quick short breath and cough from deep in the lungs.
C) The patient should take a deep breath in through the mouth and exhale all the air out through the mouth, take a short breath, and cough from deep in the lungs.
D) The patient should rapidly inhale, hold for 30 seconds, and exhale slowly.
A) “I know I'll be fine because the physician said he has done this procedure hundreds of times.”
B) “I know I'll have pain after the surgery.”
C) “The physician is going to remove my uterus and told me about the risk of hemorrhage.”
D) “Because the physician isn't taking my ovaries, I'll still be able to have children.”
A) Upon the patient's admission to the postanesthesia care unit (PACU)
B) When the patient returns from the PACU
C) During the intraoperative period
D) Before the surgical procedure
A) Leg exercises increase the patient's appetite postoperatively.
B) Leg exercises improve circulation and prevent blood clots.
C) Leg exercises help to prevent pressure sores to the sacrum.
D) Leg exercise help increase the patient's level of consciousness after surgery.
A) Assist the patient to the bathroom.
B) Offer the patient a bedpan.
C) Wait until the patient gets to the operating room and is catheterized.
D) Have the patient go to the bathroom.
A) Have the patient sign the operative permit and place it in the chart
B) Call the physician to review the procedure with the patient
C) Explain the procedure to the patient and her family
D) Provide the patient with a pamphlet explaining the procedure
A) Inform the postoperative nurse of the patient's risk for wound dehiscence.
B) Evaluate the patient's ability to manage her pain level.
C) Inform the surgical team and determine her electrolyte levels.
D) Instruct the patient on the need for proper nutrition to promote healing.
A) Reduce smoking to prevent the development of pneumonia.
B) Stop smoking at least 6 weeks before the scheduled surgery to enhance pulmonary function and decrease infection.
C) Stop smoking at least 24 hours prior to surgery to promote pulmonary function.
D) Stop smoking 4 to 8 weeks before the scheduled surgery to enhance pulmonary function and decrease infection.
A) Instruct the patient to stop taking St. John's wort at least 2 weeks prior to surgery due to its interaction with anesthetic agents.
B) Instruct the patient to continue taking ephedrine prior to surgery due to its effect on blood pressure.
C) Instruct the patient to discontinue synthroid due to its effect on blood coagulation and potential heart dysrrythmias.
D) Instruct the patient to continue any herbal supplements, and inform the patient that they have no effect on the surgical procedure.
A) “You will need the pain medication for at least 1 week to help in your recovery. What do you mean you feel you won't get better faster?”
B) “Pain medication will help to decrease your pain and increase your ability to breath. Dependency is a risk with pain medication, but you are young and won't have any problems.”
C) “Pain medication can be given by mouth to prevent the risk of dependency that you are worried about. The pain medication has shown to increase your risk of a slowed recovery.”
D) “Pain medication decreases your pain so you can move more easily. You will heal more quickly with decreased pain. Dependence only occurs when it is administered for an extended period of time.”
A) Use the call light to summon the nurse for assistance.
B) Leave the bedpan at the bedside.
C) Have a bedside commode available for the patient.
D) Instruct the patient on catheterization.
A) Adrenal insufficiency
C) Impaired acid-base balance
A) Her parents
B) Her husband
C) The patient
D) The obstetrician
A) To promote wound healing
B) To promote optimal lung expansion
C) To enhance peripheral circulation
D) To increase gas formation
A) “You will need to have food and fluid restricted for 8 hours before surgery so you are not at risk for aspiration.”
B) “The restriction of food or fluid will present the development of pneumonia related to decreased lung capacity.”
C) “The presence of food in the stomach interferes with the absorption of anesthetic agents.”
D) “By withholding food for 8 hours before surgery, you will not develop constipation in the postoperative period.”
A) prevent aspiration of gastric contents.
B) prevent the development of gas postoperatively.
C) prevent contamination of the peritoneum.
D) allow for absorption of medications.
A) The administration of a stronger pain medication
B) Allowing the patient to increase activity
C) The use of guided imagery with pain medication
D) The use of patient controlled analgesia
A) Allow him to walk to the bathroom unassisted.
B) Place the bed in low position with the side rails up.
C) Tell him that he'll be asleep before he leaves for surgery.
D) Take his vital signs.
A) Verifies completion of preoperative diagnostic testing
B) Discusses and reviews patient's spiritual beliefs
C) Initiates appropriate medications
D) Informs patient of need for postoperative transportation
A) Establish an intravenous line
B) Verify surgical site and mark site per institutional policy
C) Take measures to ensure each patient's comfort
D) Review operative plans
E) Prepare medications administered in the OR
A) Physiologic monitoring
B) Providing emotional support to family
C) Maintaining patient's respiratory status
D) Maintaining a sterile, controlled environment