AIIH MED SURG Test 2-Questions and Answers

The client undergoing preoperative assessment before an elective procedure tells the nurse that she has been taking 10 mg of prednisone daily for rheumatoid arthritis. What is the nurse’s best action? A. Notify the su ...

The client undergoing preoperative assessment before an elective procedure tells the nurse that she has been taking 10 mg of prednisone daily for rheumatoid arthritis. What is the nurse’s best action? A. Notify the surgeon and anesthesiologist. B. Document the information as the only action. C. Reschedule the surgery in 2 weeks when the client has cleared the drug from her system. D. Suggest that the client switch to a nonsteroidal anti-inflammatory agent for pain relief. How does palliative surgery differ from any other type of surgery? A. The main purpose is cosmetic in nature rather than functional repair or comfort. B. There are fewer risks associated with palliative surgery than with any other type of surgery. C. The outcomes of palliative surgery cannot be ensured to produce the desired effect or restoration of functional ability. D. Palliative surgery is performed to provide temporary relief of distressing symptoms rather than to cure a problem or condition.While examining the 82-year-old client's preoperative laboratory blood tests, the nurse finds the client's serum sodium level to be 139 mEq/mL. What is the nurse’s best action? A. Increase the IV flow rate. B. Initiate oxygen therapy by mask. C. Document the finding as the only action. D. Notify the surgeon and anesthesiologist.The client who is scheduled to have surgery cannot read or write. The surgeon obtaining the consent wants to have the client's spouse sign the consent instead. What is the nurse’s best action? A. Nothing; a signed informed consent statement does not need to be obtained from this client. B. Locate the spouse, because the informed consent statement must be signed by the client's closest relative. C. Inform the surgeon that the client may sign the informed consent statement with an X in front of two witnesses. D. Notify the administration because the court must appoint a legal guardian to represent the client's best interests and give consent for all surgical procedures.When asked about allergies, the preoperative client tells the nurse she has allergies to all of the following substances. Which allergy alerts the nurse to potential problems in relation to the scheduled surgery? A. Pollens B. Bee stings C. Shellfish D. Peanuts