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MedSurg Exam 3 QUESTIONS WITH CORRECT ANSWERS

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MedSurg Exam 3 QUESTIONS WITH CORRECT ANSWERS A patient expresses her anxiety about her upcoming surgical procedure and anesthesia to her nurse. Which is the most appropriate response? A. Tell her, "It's okay; we d ...

MedSurg Exam 3 QUESTIONS WITH CORRECT ANSWERS A patient expresses her anxiety about her upcoming surgical procedure and anesthesia to her nurse. Which is the most appropriate response? A. Tell her, "It's okay; we do this every day." B. Assure her that her fears are normal and encourage her to use her consultation time with the surgeon and anesthesiologist to address her concerns. C. Share a story about your friend who had similar fears prior to her surgery. D. Document her concerns in the chart so that the PACU nurse will expect her to be anxious during recovery. - ANS -Answer: B RATIONALE: IT IS IMPORTANT TO ENSURE THAT ALL OF THE PATIENT'S CONCERNS ARE ADDRESSED BEFORE SURGERY. SHARING STORIES OR DOCUMENTING HER CONCERNS OR SIMPLY TELLING THE PATIENT THAT "EVERYTHING WILL BE OKAY—WE DO THIS EVERY DAY" WILL HAVE NO IMPACT ON THE PATIENT'S ANXIETY. SHE NEEDS TO HAVE HER SPECIFIC QUESTIONS ANSWERED SO THAT SHE CAN FEEL COMFORTABLE THAT ALL OF HER CONCERNS ARE IMPORTANT TO THE PHYSICIANS. A patient has a smoking history of 2ppd x 15 years. The nurse understands the patient is at great risk for which of the following? (Select all that apply.) A. Increased postoperative pain B. Difficulty with anesthesia C. Respiratory depression during the procedure D. Increased healing time after the procedure E. Deep vein thrombosis after the procedure - ANS -Answer: C, D, and E RATIONALE: SMOKING PUTS PATIENTS AT RISK FOR RESPIRATORY DEPRESSION, DVT, AND INCREASED HEALING TIME. ALCOHOL MAY POSE PROBLEMS WITH ANESTHESIA AND INCREASED PAIN. The nurse is preparing a patient for a hernia repair surgery. She recognizes pre-operative teaching has been effective by which of the following statements? A. "My neighbor was able to eat right up to the time of her procedure." B. "I know there is nothing you can do about nausea after the procedure." C. "So that IV line will stay in throughout the procedure?" D. "I know I will need blood during this procedure." - ANS -Answer: C RATIONALE: THE IV LINE FOR THE PROCEDURE IS TYPICALLY INSERTED IN THE PRE-OP AREA. BLOOD IS NOT ALWAYS NECESSARY, NAUSEA CAN BE TREATED, AND PATIENTS SHOULD BE NPO BEFORE OPERATIVE PROCEDURES DUE TO RISK OF ASPIRATION.

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