NCLEX Questions: Perioperative Care
100% Solved
The nurse measures the client's blood pressure, pulse, and capillary refill prior to sending the client
to the operating room. Which concept related to perioperative car
...
NCLEX Questions: Perioperative Care
100% Solved
The nurse measures the client's blood pressure, pulse, and capillary refill prior to sending the client
to the operating room. Which concept related to perioperative care is the nurse implementing?
A. Quality control
B. Perfusion
C. Infection control
D. Safety ✔✔Answer: B
Rationale: The concept of perfusion is related to perioperative care. Nurses must be aware of the
client's hemodynamic status and understand the guidelines for perfusion. The client's
hemodynamic status is measured through blood pressure, pulse, and capillary refill. Measuring
blood pressure, pulse, and capillary refill does not directly support the concepts of safety, quality
control, or infection control.
The nurse is discussing the challenges when caring for a pediatric surgical client. Which is the
biggest challenge that must be included?
A. Reducing the risk of pneumonia
B. Preventing skin tears
C. Preventing hypothermia
D. Reducing the risk of venous thromboembolism ✔✔Answer: C
Rationale: For the pediatric client, temperature regulation may be the biggest challenge. Preventing
skin tears due to fragile skin, reducing the risk of pneumonia, and reducing the risk of venous
thromboembolism due to inactivity are concerns for nursing care of the older client having a
surgical procedure.
A preoperative client asks if blood products will be used during the procedure. Which laboratory
value should the nurse explain is used to determine the client's need for blood products? (Select
all that apply.)
A. Platelets
B. Hematocrit
C. Hemoglobin
D. Prothrombin time
E. Red blood cell count ✔✔Answer: A, B, C, E
Rationale: The diagnostic tests of platelets, hematocrit, hemoglobin, and red blood cell count are
used to determine if a blood transfusion is needed during the surgical procedure. Prothrombin time
is used to determine the client's risk for bleeding.
While preparing medications for a client scheduled for surgery, the nurse observes that
medications are scheduled for 0800 hours, analyzes the medication vial, and reviews the client's
armband. Which right of medication administration is the nurse performing? (Select all that apply.)
A. Right time
B. Right client
C. Right teaching
D. Right medication
E. Right assessment ✔✔Answer: A, B, D
Rationale: The rights of medication administration include right time, right client, and right
medication. Right teaching and right assessment are not considered a part of the basic rights of
medication administration.
A 78-year-old client is scheduled for surgery. Which intervention should the nurse make a priority
when planning this client's care? (Select all that apply.)
A.Preventing infection
B. Promoting skin integrity
C. Ensuring adequate oral intake
D. Maximizing respiratory function
E. Maintaining a normal body temperature ✔✔Answer: A, B, D, E
Rationale: Lifespan considerations for an older client having surgery include maintaining skin
integrity, preventing surgical infections, preventing the development of pneumonia, and
maintaining a normal body temperature. Oral intake is not a specific lifespan consideration for an
older client having surgery.
The nurse assessed an 80-year-old client who is scheduled for surgery and becomes concerned that
the client is at risk for a postoperative complication. Which
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