Quiz For The Surgeons - What To Do And Not Do In Pre OP And Post OP?
Pre-op is the time before your surgery. It means "before operation. " During this time, you will meet with one of your doctors. This may be your surgeon or primary care doctor: This checkup usually needs to be done within the month before surgery. Post Op is the care you receive after a surgical procedure. The type of postoperative care you need depends on the type of surgery you have, as well as your health history. It often includes pain management and wound care.
- 1.1) A correct understanding by the nurse of the client’s informed consent before surgery is that:
- A.
Consent is required by law to protect the client’s rights
- B.
The nurse is responsible for providing information about the surgical procedure
- C.
The nurse’s signature as a witness indicates that the client fully understands the procedure
- D.
Consent is obtained immediately before surgery and after the preoperative medication is given
- 2.2) In the usual preparation for general surgery, the client may be:
- A.
Given ice chips
- B.
NPO for 12 to 14 hours before
- C.
Allowed to brush teeth and swallow water
- D.
Given specifically ordered oral medications with small amounts of water
- 3.3) A client asks a nurse what may be “left on” during the surgery. The nurse tells the client that an item that may remain in place is:
- A.
A hearing aid
- B.
An artificial limb
- C.
A pair of eyeglasses
- D.
A pair of contact lenses
- 4.4) A nurse determines that a client is prepared for surgery if that client:
- A.
Ate a piece of toast an hour before surgery
- B.
Voided before receiving the preoperative medication
- C.
Was unable to demonstrate the postoperative exercises
- D.
Had pulse and blood pressure measurements that were slightly above the expected readings
- 5.5) A change that occurs in the older adult client that places that individual at risk for surgery is:
- A.
Increased tactile sense
- B.
Decreased glomerular filtration rate
- C.
Increased number of red blood cells
- D.
Decreased rigidity of arterial walls
- 6.6) A client meets the criteria for ambulatory surgery discharge if a nurse assesses that:
- A.
The client is able to drive home alone
- B.
Some respiratory depression is evident
- C.
The oxygen saturation level is at 85%
- D.
No intravenous (IV) narcotics have been given in the last 30 minutes
- 7.7) A nurse recognizes that the surgeon should be informed and that the surgery may be postponed if the client has:
- A.
A history of smoking
- B.
Calf pain, redness, and swelling
- C.
An increased hemoglobin level
- D.
Experienced an upper respiratory infection a month ago
- 8.8) When instructing a client about the performance of postoperative exercises, a nurse tells the client to:
- A.
Repeat the breathing exercises twice
- B.
Cough two to three times and inhale between each cough
- C.
Place a pillow over the incisional site for splinting
- D.
Use the chest and shoulder muscles while inhaling during diaphragmatic breathing
- 9.9) When instructing a client about postoperative exercises, a nurse should tell the client to:
- A.
Turn every 4 hours
- B.
Complete leg exercises once daily
- C.
Repeat individual leg exercises 20 times
- D.
Perform active range-of-motion exercises to the unaffected extremities
- 10.10) A priority for the nurse caring for clients in the postanesthesia care unit or recovery room is
- A.
Inspection of the surgical site
- B.
Assessment of circulation
- C.
Maintenance of a patent airway
- D.
Determination of client discomfort
- 11.11) Assessment of a client in the postanesthesia care unit or recovery room is documented:
- A.
Every 5 minutes
- B.
Every 15 minutes
- C.
Every 30 minutes
- D.
Hourly
- 12.12) A client who has received spinal anesthesia should be positioned:
- A.
Prone
- B.
Lying on the side
- C.
Supine, with the head flat
- D.
In Trendelenburg’s position
- 13.13) When evaluating postoperative status in the postanesthesia care unit, the nurse discovers that progress is being made when the client is experiencing:
- A.
Eupnea
- B.
Tachycardia
- C.
Hypotension
- D.
Hyperthermia
- 14.14) A client is being transferred to a room from the postanesthesia care unit. Upon transfer, the nurse should:
- A.
Remove the indwelling urinary catheter
- B.
Attach the nasogastric tube to suction
- C.
Use a black pen to note the drainage on the dressing
- D.
Change the dressing immediately when the client reaches the room
- 15.15) A nurse explains to a nursing assistant that the incentive spirometer is used to prevent:
- A.
Lung collapse
- B.
Blood clotting
- C.
Stomach and intestinal problems
- D.
Decreases in blood pressure
- 16.16) When assessing a postoperative client, a nurse finds that there is tenderness, redness, and swelling in the left calf. The nurse should:
- A.
Massage the lower leg
- B.
Prepare for heparin therapy
- C.
Keep the leg in a dependent position
- D.
Have the client exercise that extremity
- 17.17) Upon entering a client’s room, a nurse finds that the abdominal surgical wound has eviscerated. The nurse should:
- A.
Call for help
- B.
Sit the client upright
- C.
Attempt to replace the organs
- D.
Cover the site with saline-soaked sterile gauze
- 18.18) Paralytic ileus is a possible postoperative complication. To assess for this, the nurse should:
- A.
Auscultate for bowel sounds every 4 hours
- B.
Check the blood pressure while sitting and standing
- C.
Observe the client’s performance of leg exercises
- D.
Palpate the suprapubic region for distention
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