*NURSING > AQA Questions and Marking Scheme > NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, COMMUNICATION,SEXUALITY, INFECTION CONTROL (All)
NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK WITH VERIFIED ANSWERS 9TH EDITION/2023,VSUCare of Surgical Patients Potter et al.: Fun... damentals of Nursing, 9th Edition 1. The nurse is caring for a surgical patient, when the family member asks what perioperative nursing means.How should the nurse respond? a. Perioperative nursing occurs in preadmission testing. b. Perioperative nursing occurs primarily in the postanesthesia care unit.Perioperative nursing includes activities before, during, and after c. surgery. Perioperative nursing includes activities only during the surgical d. procedure. NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK WITH VERIFIED ANSWERS 9TH EDITION/2023,VSU ANS: C Perioperative nursing care occurs before, during, and after surgery. Preadmission testing occurs before surgeryand is considered preoperative. Nursing care provided during the surgical procedure is considered intraoperative, and in the postanesthesia care unit, it is considered postoperative. All of these are parts of the perioperative phase, but each individual phase does not explain the term completely. 2. The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completingan assessment and reviews the patient’s laboratory tests and allergies and prepares the patient for surgery. In which perioperative nursing phase is the nurse working? a. Perioperative b. Preoperative c. Intraoperative d. Postoperative ANS: B Reviewing the patient’s laboratory tests and allergies is done before surgery in the preoperative phase. Perioperative means before, during, and after surgery. Intraoperative means during the surgical procedure in the operating suite; postoperative means after the surgery and could occur in the postanesthesia care unit, in theambulatory surgical area, or on the hospital unit. 3. The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleedingfrom the surgical site, and the surgeon has determined the need to return to the operative area. How will the nurse classify this procedure? a. Major NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK WITH VERIFIED ANSWERS 9TH EDITION/2023,VSU b. Urgent c. Elective d. Emergency ANS: D An emergency procedure must be done immediately to save a life or preserve the function of a body part. An example would be repair of a perforated appendix, repair of a traumatic amputation, or control of internal hemorrhaging. An urgent procedure is necessary for a patient’s health and often prevents additional problems from developing. An example would be excision of a cancerous tumor, removal of a gallbladder for stones, or vascular repair for an obstructed artery. An elective procedure is performed on the basis of the patient’s choice;it is not essential and is not always necessary for health. An example would be a bunionectomy, plastic surgery,or hernia reconstruction. A major procedure involves extensive reconstruction or alteration in body parts; it poses great risks to well-being. An example would be a coronary artery bypass or colon resection. 4. The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologists of ASA III. Which assessment will support thisclassification? a. Normal, healthy patient b. Denial of any major illnesses or conditions c. Poorly controlled hypertension with implanted pacemaker d. Moribund patient not expected to survive without the operation NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK WITH VERIFIED ANSWERS 9TH EDITION/2023,VSU ANS: C An ASA III rating is a patient with a severe systemic disease, such as poorly controlled hypertension with animplanted pacemaker. ASA I is a normal healthy patient with no major illnesses or conditions. ASA II is a patient with mild systemic disease. ASA V is a moribund patient who is not expected to survive without the operation and includes patients with ruptured abdominal/thoracic aneurysm or massive trauma. NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK WITH VERIFIED ANSWERS 9TH EDITION/2023,VSU 5. The patient has presented to the ambulatory surgery center to have a colonoscopy. The patient is scheduledto receive moderate sedation (conscious sedation) during the procedure. How will the nurse interpret this information? a. The procedure results in loss of sensation in an area of the body. b. The procedure requires a depressed level of consciousness. c. The procedure will be performed on an outpatient basis. d. The procedure necessitates the patient to be immobile. ANS: B Moderate sedation (conscious sedation) is used routinely for procedures that do not require complete anesthesia but rather a depressed level of consciousness. Not all patients who are treated on an outpatient basisreceive moderate sedation. Regional anesthesia such as local anesthesia provides loss of sensation in an area ofthe body. General anesthesia is used for patients who need to be immobile and to not remember the surgical procedure. 6. The nurse is caring for a patient in the postanesthesia care unit who has undergone a left total knee arthroplasty. The anesthesia provider has indicated that the patient received a left femoral peripheral nerveblock. Which assessment will be an expected finding for this patient? a. Sensation decreased in the left leg b. Patient report of pain in the left foot c. Pulse decreased at the left posterior tibia [Show More]
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