Pre,intra, Post Operative

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Pre,intra, Post Operative

Stella's Breeze Quiz. This does not include definitions or any other handouts that are not available as of yet. Some questions will require checking multiple boxes but not all. The questions will not state which are single answers and which are multiple answers.


Questions and Answers
  • 1. 
    A preoperative assessment should include all of the following except:
    • A. 

      Psychosocial aspects

    • B. 

      Drugs the patient is on

    • C. 

      Religious beliefs

    • D. 

      Height/Weight

    • E. 

      Patient understanding of assisted walking devices

  • 2. 
    Preoperative medication assessment should include:
    • A. 

      Doses and regularity of prescribed meds

    • B. 

      OTC meds

    • C. 

      Herbal meds

    • D. 

      Time of last dose taken

    • E. 

      None of the above

  • 3. 
    Aspirin administration can cause a patient to have to wait on a surgery?
    • A. 

      True

    • B. 

      False

  • 4. 
    These herbs increase the HR and BP except:
    • A. 

      Ginseng

    • B. 

      Goldenseal

    • C. 

      Ephedra

    • D. 

      Licorice

    • E. 

      Dong Quai

  • 5. 
    These herbs can increase bleeding except:
    • A. 

      Danshen

    • B. 

      Kava

    • C. 

      Feverfew

    • D. 

      Garlic

  • 6. 
    These herbs have a sedation affect except:
    • A. 

      Garlic

    • B. 

      St. Johns Wart

    • C. 

      Kava

    • D. 

      Danshen

    • E. 

      Valarian

  • 7. 
    If a person has a latex allergy, they could also be allergic to:
    • A. 

      Kiwi

    • B. 

      Banana

    • C. 

      Avocado

    • D. 

      Potato

  • 8. 
    A patient with a history of heart disease will be put on a propholactic anitbiotic:
    • A. 

      True

    • B. 

      False

  • 9. 
    Mary has had kidney stones in the past.  She does not have renal disease and can void without complication.  She is a 32 year old female with no other complications.  Could she be considered to have a possible GU problem?
    • A. 

      Yes. Kidney stones history needs to be taken into account.

    • B. 

      No. She is young and with no current GU problems.

  • 10. 
    • A. 

      Yes, his HIV level could increase due to the surgery.

    • B. 

      No. His meds will help kill infection.

    • C. 

      Yes. His HIV meds could cause and increase in infection and healing time.

  • 11. 
    Who should document in the patients chart concerning physical assessment:
    • A. 

      Nurse

    • B. 

      Doctor

    • C. 

      Both

  • 12. 
    Hypoventalation can lead to:
    • A. 

      Atelectasis

    • B. 

      Pneumonia

    • C. 

      Renal failure

    • D. 

      Liver prolems

  • 13. 
    Renal and Liver dysfunction can have what type of affect on a surgical patient:
    • A. 

      Longer medication half life.

    • B. 

      Shorter medication half life.

    • C. 

      Longer wound healing.

    • D. 

      Fluid imbalance.

    • E. 

      A, C, D

  • 14. 
    Dehydration can lead to:
    • A. 

      Heart failure

    • B. 

      Kidney failure

    • C. 

      Liver failure

    • D. 

      Stroke

  • 15. 
    Lisa is an alcoholic.  After surgery you might expect to see:
    • A. 

      Withdrawl

    • B. 

      Increased hydration

    • C. 

      Increased bleeding

    • D. 

      A desire to quit drinking.

  • 16. 
    As an aged operative patient, you might expect to see:
    • A. 

      A lower tolerance to medication

    • B. 

      Delayed wound healing

    • C. 

      Increase in pain

    • D. 

      Higher tolerance to general anesthesia

  • 17. 
    A nurses role in consent is to:
    • A. 

      Explain the procedure

    • B. 

      Witness the voluntary signature

    • C. 

      Advise the patient on the best choice to make

    • D. 

      To inform the patient of the surgeons faults.

  • 18. 
    A nurse should document about a patient and their consent when:
    • A. 

      A patient refuses information

    • B. 

      Level of understanding

    • C. 

      Refusal to sign

    • D. 

      Reluctance to have the procedure

  • 19. 
    Intraoperative positioning:  Supine would be used for:
    • A. 

      Abdominal

    • B. 

      Spine

    • C. 

      Cardiac

    • D. 

      Brain

  • 20. 
    Intraoperative positioning:  Prone position would be used for:
    • A. 

      Anal

    • B. 

      Spine

    • C. 

      Brain

    • D. 

      Cervical

  • 21. 
    Intraoperative positioning: Lateral position would be used for:
    • A. 

      Liver

    • B. 

      Kidney

    • C. 

      Lung

    • D. 

      Hip

  • 22. 
    Intraoperative positioning: Lithotomy would be:
    • A. 

      Sping

    • B. 

      Pelvic

    • C. 

      Hip

    • D. 

      Anal

  • 23. 
    Intraoperative positioning: Jacknife position would be:
    • A. 

      Kidney

    • B. 

      Lung

    • C. 

      Rectal

    • D. 

      Pelvic

  • 24. 
    Intraoperative positioning: Sitting would be:
    • A. 

      Brain

    • B. 

      Cervical

    • C. 

      Lung

    • D. 

      Heart

  • 25. 
    For General Anesthesia, what would be used for quick onset, but short duration.
    • A. 

      Propofol (Diprovan)

    • B. 

      Sevoflurane (Ultane)

  • 26. 
    For General Anesthesia, what would be used for inhalation that could cause tissue irritation, laryngospasms, branchiospasm, and increased secreation?
    • A. 

      Propofol (Diprovan)

    • B. 

      Sevoflurane (Ultane)

  • 27. 
    • A. 

      You will be able to move before you feel it.

    • B. 

      You will be able to feel, but wont be able to move right away.

    • C. 

      You will need 72 hours before you can walk safely.

    • D. 

      Sensation will return equally within 36 hours.

  • 28. 
    Local Anesthetic is used for:
    • A. 

      Perineum

    • B. 

      Cervical

    • C. 

      Abdomen

    • D. 

      Lower extremities

    • E. 

      Arms

  • 29. 
    Spinal Anesthesia used on a patient needs monitoring for:
    • A. 

      Hypotension

    • B. 

      Hypertension

    • C. 

      Glucose levels

    • D. 

      Renal function

  • 30. 
    Which anesthesia enters the CSF?
    • A. 

      General

    • B. 

      Spinal

    • C. 

      Epidural

  • 31. 
    What is true about Epidural Anesthesia?
    • A. 

      Increased hypotension

    • B. 

      Increased hypertension

    • C. 

      Pt able to move legs

    • D. 

      Can last in the system up to 72 hours.

  • 32. 
    • A. 

      Pt will experience loss of sensation in lower extremities.

    • B. 

      Pt will experience loss of sensation in the plexsus.

    • C. 

      Pt will have to have an occlusion tourniquet to prevent spreading of the anesthesia.

    • D. 

      Pt will experience dizziness and confusion when the surgery is over.

  • 33. 
    Which anesthetic is controlled by the body heat to control rate of delivery?
    • A. 

      General

    • B. 

      Nerve Block

    • C. 

      Brier Block

    • D. 

      Continuous Blockade

  • 34. 
    • A. 

      A general anesthetic will be used to control your pain.

    • B. 

      A Brier Block will be used to control your pain.

    • C. 

      A Continuous Blockade will be used to control your pain.

    • D. 

      A Nerve Block will be used to control your pain.

  • 35. 
    What is  the most important thing to do prior to discontinuing a PCA pump?
    • A. 

      Assess for inflammation and infection.

    • B. 

      Ensure the patient is moving around.

    • C. 

      Turn off pump and give PO meds to evaluate pain tolerance.

    • D. 

      Ensure pt VS is stable.

  • 36. 
    Which anesthesia is used for -oscopies, ED minor procedures, and breast biopsies?
    • A. 

      General Anesthesia

    • B. 

      Conscious sedation

    • C. 

      Nerve Block

    • D. 

      Continuous Blockade

  • 37. 
    Benzodiazepines create which potential problem, especially in the elderly pt?
    • A. 

      Cardiac

    • B. 

      Respiratory

    • C. 

      Renal

    • D. 

      LOC

  • 38. 
    Narcotic anesthesia used for conscious sedation have which of the following side effects:
    • A. 

      Sedation

    • B. 

      Confusion

    • C. 

      Hypotension

    • D. 

      Respiratory depression

    • E. 

      All the above

  • 39. 
    Malignant hyperthermia is most common in which group?
    • A. 

      Elderly

    • B. 

      Genetic predisposition

    • C. 

      Babies

    • D. 

      Young adults

  • 40. 
    Malignant hyperthermia can be classified as:
    • A. 

      O2 consumption goes up

    • B. 

      Lactic acidosis

    • C. 

      Sustained muscle contraction

    • D. 

      Increased heat and CO2 production

  • 41. 
    Increased temp and acidosis can cause:
    • A. 

      Destruction of muscle fiber cover

    • B. 

      Increased K

    • C. 

      Increased myoglobin

    • D. 

      Increased CK

    • E. 

      None of the above

  • 42. 
    Assessment in PACU needs to be done every:
    • A. 

      10-15 min

    • B. 

      20-30 min

    • C. 

      5-15 min

    • D. 

      30-60 min

  • 43. 
    To leave the PACU, Toby has to exhibit which of the following signs:
    • A. 

      A temperature greater than 96.8

    • B. 

      A temperature of greater than 95.0

    • C. 

      O2 sat of 93 or greater

    • D. 

      O2 sat of 90 or greater (or as ordered)

    • E. 

      No excessive bleeding or draining

  • 44. 
    When do preop orders become cancelled?
    • A. 

      Intra op

    • B. 

      Post op

    • C. 

      24 hours

    • D. 

      36 hours

  • 45. 
    How often are cardiovascular VS taken?
    • A. 

      Every 15 min x4, every 30 min x4, every hour x4

    • B. 

      Every 30 min x4, every hour x4

    • C. 

      Every hour x4

    • D. 

      Every 2 hours x4

  • 46. 
    Can a nurse order compression devices or stockings?
    • A. 

      Yes

    • B. 

      No

  • 47. 
    Things that lower BP are:
    • A. 

      Narcotics

    • B. 

      Bensodiazepines

    • C. 

      Increased heart rate

    • D. 

      Low fluid volume

  • 48. 
    How often should a post op patient have their temp taken at minimum?
    • A. 

      Every 15 minutes

    • B. 

      Every hour

    • C. 

      Every two hours

    • D. 

      Every four hours

  • 49. 
    A pt can can experience what type of temperature due anesthesia up to 12 hours after surgery?
    • A. 

      Increased

    • B. 

      Decreased

  • 50. 
    24-48 hours after a surgery, a pt can have a higher temp due to:
    • A. 

      Infection

    • B. 

      Inflammatory response

    • C. 

      Lungs

    • D. 

      Reactivated metabolism

  • 51. 
    If a pt has a high temp 72 hours after a surgery, what is the likely cause?
    • A. 

      Inflammation

    • B. 

      Increased drainage

    • C. 

      Infection

    • D. 

      Normal surgery response.

  • 52. 
    A nurse understands GI assessment when the nurse describes the position as:
    • A. 

      Prone

    • B. 

      Supine

    • C. 

      Semi Fowlers

    • D. 

      Jack Knife

  • 53. 
    Antiemetics should be given:
    • A. 

      Before a pt vomits

    • B. 

      After a pt vomits

    • C. 

      Both

  • 54. 
    Increased age, dehydration, and the use of NSAIDS increase the risk of:
    • A. 

      Renal failure

    • B. 

      Liver failure

    • C. 

      Hypotension

    • D. 

      Hypertension

  • 55. 
    Septicemia can be classified when the pt exhibits what signs?
    • A. 

      Intermittent fever

    • B. 

      Vomiting

    • C. 

      Chills

    • D. 

      Diaphoresis

    • E. 

      A,C,D

  • 56. 
    The neonate pt may:
    • A. 

      Have a hard time regulating temp

    • B. 

      Have higher blood volume

    • C. 

      Have lower blood volume

    • D. 

      None of the above

  • 57. 
    It is important that pediatric pt's have the ability to:
    • A. 

      Only eat when hungry

    • B. 

      Chose the type of band aids used

    • C. 

      Have as much ice cream as they want.

    • D. 

      Run around the hospital as soon as possible.

  • 58. 
    For the pediatric pt, it is most helpful for pain management to:
    • A. 

      Give meds PO

    • B. 

      Use different scales to measure pain

    • C. 

      Use IV

    • D. 

      Reduce pain scale by 3 as pediatric pt's have no pain reference.

  • 59. 
    In the obese pt, which system could be the most vulnerable?
    • A. 

      Cardiac

    • B. 

      Respiratory

    • C. 

      Integumentary

    • D. 

      Renal

  • 60. 
    A separation of surgical wound is called:
    • A. 

      Dehiscence

    • B. 

      Red Flower

    • C. 

      Purge

    • D. 

      Disrupted wound

  • 61. 
    Evisceration is:
    • A. 

      The removal of a capillary bed.

    • B. 

      The protrusion of body organs through a surgical site.

    • C. 

      A sunken surgical site.

    • D. 

      Complete removal of cancerous tissue.

  • 62. 
    • A. 

      Expect to see this in surgical pt's

    • B. 

      Call the MD

    • C. 

      Do simple sterile dressing with NS

    • D. 

      Raise head of bed and flex knees

  • 63. 
    Do keloids recess over time?
    • A. 

      Yes

    • B. 

      No

  • 64. 
    Do hypertrophic scars recess over time?
    • A. 

      Yes

    • B. 

      No