Perioperative Nursing Trivia

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| By Medsurgudanchapq
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Medsurgudanchapq
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Quizzes Created: 1 | Total Attempts: 161,718
Questions: 18 | Viewed: 161,718

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?

Answer: Use a cuff that is wide enough to cover two-thirds of the client’s upper arm.
Explanation:
To obtain an accurate blood pressure reading, it is crucial to use a cuff that covers two-thirds of the client's upper arm. Using an improperly sized cuff can lead to inaccurate readings. The width of the cuff should be sufficient to ensure accurate compression and measurement of blood pressure.
2.

To prevent complications of immobility, which activities would help the nurse plan for the first postoperative day after a colon resection?

Answer: Get the client out of bed and ambulate to a bedside chair.
Explanation:
Ambulation helps prevent complications of immobility after colon resection. Early mobilization aids in preventing postoperative complications such as atelectasis and deep vein thrombosis. It promotes circulation and respiratory function, contributing to a quicker recovery.
3.

In the recovery room, the postoperative client suddenly becomes cyanotic. What is the most appropriate nursing action?

Answer: Reposition the head and determine patency of the airway.
Explanation:
Cyanosis suggests inadequate oxygenation. The nurse should first reposition the client's head to open the airway, ensuring proper ventilation. If cyanosis persists, calling for assistance and administering oxygen may follow. Immediate assessment and intervention are crucial for the client's safety.
4.

A client is scheduled for surgery in the morning. Preoperative orders have been written. What is most important to do before surgery?

Answer: Have all consent forms signed.
Explanation:
Ensuring all laboratory work is complete is crucial before surgery to identify and address any potential issues. It helps the surgical team make informed decisions and ensures the patient's safety during the procedure.
5.

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

Answer: 2, 3, 1, 4
Explanation:
Initially, the patient is kept on NPO to allow the digestive system to rest. Once the patient’s condition stabilizes, they are gradually moved to a clear liquid diet, then to a full liquid diet, and finally to a soft diet as their tolerance improves. This progression helps to prevent complications and aids in the patient’s recovery. Always remember, the specific dietary progression can vary based on the patient’s individual health status and the nature of the surgery. It’s important to follow the healthcare provider’s instructions.
6.

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:

Answer: Full liquid diet
Explanation:
Based on the provided food items (gelatin, pudding, and vanilla ice cream), the nurse would anticipate that the client's current diet order is a full liquid diet. A full liquid diet typically includes foods that are liquid at room temperature or turn into a liquid at body temperature. Gelatin, pudding, and liquid ice cream are consistent with the items allowed on a full liquid diet.
7.

The nurse is preparing the preoperative client for surgery. The following statements indicate the client is knowledgeable about his impending surgery, except:

Answer: “I cannot have anything to drink or eat after midnight on the night before the surgery.”
Explanation:
This statement is incorrect because guidelines for fasting before surgery have changed in many places. It's essential for the client to be aware of the specific fasting instructions provided by the healthcare team to prevent complications and ensure a safe surgery. Therefore, this statement indicates a lack of up-to-date information.
8.

The nurse will provide preoperative teaching on deep breathing, coughing, and turning exercises. When is the best time to provide the preoperative teachings?

Answer: Before administration of preoperative medications.
Explanation:
Providing preoperative teaching on deep breathing, coughing, and turning exercises is most effective before administering preoperative medications. This ensures the patient is alert and can actively participate in learning essential postoperative care practices.
9.

Which of the following is the most dangerous complication during induction of spinal anesthesia?

Answer: Hypotension
Explanation:
Hypotension is a potentially dangerous complication during induction of spinal anesthesia. It can lead to inadequate perfusion and oxygenation of vital organs, requiring prompt intervention to stabilize the patient.
10.

The patient had undergone spinal anesthesia for appendectomy. To prevent spinal headaches, the nurse should place the patient in which of the following positions?

Answer: Flat on the bed for 6 to 8 hours.
Explanation:
To prevent spinal headaches, the patient should lie flat for 6 to 8 hours after spinal anesthesia. This position allows the puncture site to seal properly, minimizing the risk of cerebrospinal fluid leakage and subsequent headaches.
11.

The nurse is admitting a patient to the operating room. Which of the following nursing actions should be given the highest priority by the nurse?

Answer: Checking the patient’s identification and correct operative permit.
Explanation:
Ensuring correct patient identification and a valid operative permit is the highest priority when admitting a patient to the operating room. This step helps prevent errors and ensures the right patient undergoes the correct procedure.
12.

The nurse is transferring the patient from the postanesthesia care unit to the surgical unit. Which of the following is the primary reason for the gradual change of position of the patient?

Answer: To prevent respiratory distress.
Explanation:
The gradual change of position during transfer helps prevent respiratory distress in postoperative patients. Sudden position changes may lead to respiratory compromise, particularly in those recovering from anesthesia.
13.

The nurse is caring for a patient who has undergone exploratory laparotomy. Which of the following postop findings should the nurse report to the physician?

Answer: The patient’s urine output has been 20 ml/hr for the past 2 hours.
Explanation:
A low urine output may indicate inadequate renal perfusion and potential renal impairment. This finding should be reported to the physician for further assessment and intervention.
14.

The patient had undergone a thyroidectomy. Which of the following are the earliest signs of poor tissue perfusion and poor respiratory function?

Answer: Apprehension and restlessness.
Explanation:
Apprehension and restlessness are often early signs of poor tissue perfusion and compromised respiratory function. These symptoms can indicate that the body is experiencing stress due to inadequate oxygen supply to the brain and other vital organs. Such signs are early indicators that prompt medical professionals to assess and intervene to prevent further decline. This response can precede more visible signs such as cyanosis or changes in pulse and breathing patterns, making it crucial in early diagnosis and management.
15.

The diabetic patient who had undergone abdominal surgery experienced wound evisceration. Which of the following is the most appropriate immediate nursing action?

Answer: Cover the wound with sterile gauze moistened with sterile normal saline.
Explanation:
Covering the wound with sterile gauze moistened with sterile normal saline helps maintain a moist environment and protects exposed tissues. It is crucial for preventing further tissue damage and promoting optimal wound healing.
16.

The patient had undergone a total hip replacement. He complains of pain in the operative site. Which of the following is the appropriate initial nursing action?

Answer: Assess the patient’s pain level and vital signs.
Explanation:
Assessing the patient's pain level and vital signs is the initial nursing action to determine the appropriate intervention for postoperative pain management. It helps tailor the pain relief plan to the patient's needs.
17.

Which of the following individuals is not typically considered a member of the sterile team in an operating room?

Answer: Radiology technician
Explanation:
Radiology technicians are not part of the sterile team in the operating room. Their role involves medical imaging, such as X-rays, CT scans, and MRIs, which are typically performed in specialized radiology suites or areas outside of the surgical environment. They do not work within the sterile field during surgery.
18.

The best position for kidney, chest, or hip surgery is:

Answer: Lateral
Explanation:
The lateral position is often the best for kidney, chest, or hip surgery. It provides optimal access to these areas while maintaining patient safety and comfort during the procedure.
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