NCLEX Questions: Perioperative Care 100% Solved

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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 [Show More]

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