Chapter 20--Preoperative Nursing Management

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Chapter 20--Preoperative Nursing Management MULTIPLE CHOICE 1. The nurse is identifying diagnoses appropriate for a client scheduled for a surgical procedure. Which of the following is a diagno ... sis commonly used for preoperative client? 1. Anxiety 2. Sleep deprivation 3. Excess fluid volume 4. Disturbed body image PTS: 1 DIF: Apply REF: Nursing Diagnoses Used During Preoperative Assessment 2. The preoperative nurse cares for the client until the client progresses into the intraoperative phase of care which begins when the client: 1. signs the surgical consent form. 2. arrives at the surgical suite doors. 3. is transferred to the postanesthesia care unit. 4. accepts that surgery is pending. PTS: 1 DIF: Analyze REF: Introduction 3. The nurse is ensuring that a client is able to make knowledgeable decisions regarding an upcoming surgery and can provide informed consent. What is the responsibility of the nurse regarding informed consent? 1. Explain the surgical options 2. Explain the operative risks 3. Describe the operative procedure to be done 4. Witness a patient’s signature PTS: 1 DIF: Apply REF: Decision Strategies and Informed Consent 4. A client being prepared for surgery has a pulse oximeter placed on one digit of his hand. The nurse is applying this device to monitor the client’s: 1. oxygen level. 2. heart rate. 3. blood pressure. 4. urine output. PTS: 1 DIF: Analyze REF: Trends 5. A client is scheduled for surgery in 2 weeks. Which of the following should the nurse instruct the client regarding healthy lifestyle behaviors? 1. Eat nutritious meals. 2. If obese, cut calories before the surgery. 3. If sedentary, exercise more before the surgery. 4. Stop all prescribed medications. PTS: 1 DIF: Apply REF: Time Frames and Tasks 6. The nurse wants to reduce the stress level for a preoperative client. Which of the following communication techniques can the nurse use to achieve this result? 1. Allow the client to be alone before the surgery. 2. Observe and ask the client if there is anything that can be done to help reduce her anxiety. 3. Refer to the client by her first name. 4. Make tasteful jokes or comments to help the client laugh. PTS: 1 DIF: Apply REF: Nurse/Patient Communication 7. Which of the following can the nurse do to help an elderly client scheduled for a surgical procedure? 1. Work at a slower pace. 2. Speed up the pace so the client has time to rest. 3. Talk to family members and leave the client alone. 4. Send them to the surgical holding area in advance. PTS: 1 DIF: Apply REF: Age-Related Issues 8. The nurse is concerned that a client scheduled for surgery will be at risk for hypothermia. Which of the following did the nurse assess in this client to determine the risk? 1. Client is a vegetarian. 2. Client exercises 5 days a week for 30 minutes. 3. Client has a history of congestive heart failure. 4. Clint is 48 years old. PTS: 1 DIF: Analyze REF: Environmental Safety 9. The nurse is concerned that a client may have an undocumented allergy to latex when which of the following is assessed? 1. Recent episode of appendicitis 2. Recovered from bronchitis 3 months ago 3. Allergy to specific foods 4. Does not like to wear wool clothing PTS: 1 DIF: Analyze REF: Personal Patient Safety 10. The nurse is providing a medication to reduce the preoperative client’s anxiety. Which of the following medications is the nurse most likely providing to the client? 1. Hydrogen ion antagonist 2. Anticholinergic 3. Calcium channel blocker 4. Opioid PTS: 1 DIF: Apply REF: Pharmacology 11. An elderly client scheduled for surgery is concerned that his wife is not going to be able to manage at home alone. Which of the following can the nurse do to help this client and spouse? 1. Encourage the client to not worry about his spouse. 2. Ask the client if the spouse would agree to having some help while he is hospitalized. 3. Encourage the spouse to come and stay with the client in the hospital. 4. Suggest the spouse stay in a hotel until the client is discharged. PTS: 1 DIF: Apply REF: Population Based Care; Box 20-5 Couples at Risk: The Frail Elderly 12. A client needs emergency surgery after sustaining injuries from a natural gas explosion. The client is not attended by any family member and the surgery cannot wait. Which of the following can be done to ensure the best and safest care is provided to the client? 1. Hold the surgery until a family member arrives to the hospital to provide consent. 2. Contact a pastor to pray with the client before the surgery. 3. Instruct the client in postoperative exercises while waiting for anesthesia to take effect. 4. Have a member of the nursing staff try to reach the family at home to provide consent for the surgery. PTS: 1 DIF: Apply REF: Urgent and Emergent Care 13. A client who smokes one pack of cigarettes per day tells the nurse that she will need to be taken outside to have a cigarette while recovering from surgery. Which of the following can the nurse respond to this client? 1. “That can be arranged.” 2. “You really should stop smoking before the surgery.” 3. “Your physician will prescribe medication to help reduce the nicotine cravings.” 4. “I can assign someone who will be responsible for transporting you to the smoking section.” PTS: 1 DIF: Apply REF: Population-Based Care MULTIPLE RESPONSE 1. A client tells the nurse that he has been told that he needs surgery but does not know who to select as his surgeon. Which of the following should the nurse instruct the client regarding important attributes to consider when choosing a surgeon? (Select all that apply.) 1. Board certification 2. Graduation from a reputable school 3. Personality or bedside manner 4. Location of office 5. Word of mouth from trusted others 6. The car he or she drives PTS: 1 DIF: Apply REF: Box 20-1 Choosing a Surgeon 2. A client tells the nurse that the surgeon has provided the client with a choice of several hospitals in which to have a surgical procedure performed, but the client does not know which one to choose. Which of the following can the nurse instruct the client to consider when choosing a hospital or surgical center? (Select all that apply.) 1. Does the facility have a national reputation? 2. Is there an ICU in the hospital? 3. Is it close to family? 4. Will insurance pay for the stay? 5. Does the hospital have magnet status? 6. Does it have good food? PTS: 1 DIF: Apply REF: Box 20-2 Choosing a Hospital or Surgical Center 3. A client scheduled for surgery is instructed on the use of a patient-controlled analgesic device that she will use after the procedure. What are the advantages this device for pain control? (Select all that apply.) 1. The client controls the timing of medication delivery. 2. The client does not have to wait for a nurse to provide pain medication. 3. The nurse does not have to check on the client as frequently. 4. The physician does not need to prescribe various pain medication after the surgery. 5. The medication is delivered intravenously. 6. Pain control improves client comfort after surgery. PTS: 1 DIF: Analyze REF: Trends 4. A client is scheduled for a same-day surgical procedure in which he will be discharged afterwards, and he tells the nurse that he does not know what to bring to the hospital. Which of the following should the nurse instruct the client? (Select all that apply.) 1. Bring identification, but send it home after it is used. 2. Bring personal sleepwear to put on after the surgery. 3. Bring work-related items. 4. Leave important jewelry at home. 5. Make a list of all medications and bring the list to the hospital. 6. Books and puzzles to be entertained while waiting for the surgery. PTS: 1 DIF: Apply REF: Patient Playbook: What to Bring to the Hospital or Surgicenter 5. The preoperative nurse has a variety of activities to complete when preparing a client for surgery. Which of the following are activities of this nurse? (Select all that apply.) 1. Awareness of safety considerations 2. Assessment of vital signs during the surgery 3. Physical assessment of the client 4. Assessment of the environment 5. Postoperative care in the recovery room 6. Awareness of best practices PTS: 1 DIF: Analyze REF: Planning and Implementation [Show More]

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