Test
Care of the Surgical Patient
Preguntas del test (53)
1The goals of perioperative nursing are
- Aassist the patient and family through the surgery
- Bpromote positive patient outcomes
- Cassist the patient to achieve his/her optimal level of function after the surgery
2what are the three phases of surgery?
- Apreoperative care
- Bintraoperative care
- Cpostoperative care (next week)
3Role of the nurse in Pre-op admission clinic (PAC)
- Apatient interview
- Bnursing assessment
- Cpreoperative teaching
- Dday of surgery prep
4In the patient interview what information should you obtain?
- Adetermine pt expectations about surgery and anesthesia
- Bprovide and clarify information about the surgical experience
- Cassess patient's emotional state and readiness for surgery
- Ddetermine if pt has enough information to make an informed decision
- Emay being some post op teaching
5Informed consent involves
- A1. adequate disclosure of diagnosis
- Bunderstanding and comprehension of the information being provided
- Cmust be given voluntarily
6Assess for ABCDE
- AAirway
- Bbreathing
- CCirculation
- DDiability
- EExposure
7What kind of allergies are you looking for?
- AMedication
- Bfoods
- CChemicals
- DTape
- EPollen
- Fperfumes
- Glatex
8For a pt about to undergo surgery ask about subjective health history
- Ahave you had surgeries in the past? which ones? did you have any complications?
- BHave you or any family members experienced any problems with anaesthesia
- CDo you have any past hospitalizations?
- Dany chronic health conditions
9Health history assessment
- Aweight and height
- Blimitations in neck mobility
- Chistory of drug or opiate abuse
- Dhx of ETOH use
- EHX of smoking
10Conduct lab and diagnostic tests
- ACBC
- Belectrolyte panel
- CLFT
- DRenal Panel
- ECoagulation studies
- FType and cross match
- G12 lead ECG
- HBlood Glucose levels
- ICXR
11What types of preoperative information is there?
- ASensory - sights, smells sounds
- BProcedural - what to wear, what to eat, physical prep
- CProcess - flow of surgery, family needs
12An adult learner
- Alikes to have choices
- Bhas a variety of learning styles and preferences
- Cneeds to have abilities and achievements recognized
- Ddoes best in an environment where they feel safe, accepted and respected
13What are the steps involved in client education
- Aassessment of the need to learn
- Bassessment of readiness
- Csetting of objectives
- Dteaching - learning
- Eevaluation and re-teaching if necessary
14Check all that are involved in a surgical team
- A2 RNs
- Bpractical nurse
- CSurgeon and assistant
- DRN first assistant
- EAnaesthetist
15What does SBAR-R stand for
- AS: Situation
- BB: background
- CA: Assessment
- DR: Recommendation
- ERepeat - repeat back so it is said properly
16During the preoperative interview, a patient scheduled for an elective hysterectomy to treat benign tumours of the uterus tells the nurse that she does not know whether she can go through with the surgery because she knows she will die in surgery, as her mother did. What is the most appropriate response?
- A“Tell me more about what happened to your mother.”
- B“Think positively! Positive thoughts have been shown to influence a positive surgical outcome.
17Why is it especially important for the nurse to determine the patient’s current use of medications during the preoperative assessment?
- AThese medications may alter the patient’s perceptions about surgery.
- BOther medications may cause interactions with anaesthetics, altering the potency and effect of the drugs.
- AThese medications may alter the patient’s perceptions about surgery.
18The nurse visits the patient to have him sign the operative permit as directed in the physician’s preoperative orders. The patient tells the nurse that the physician has not really told him what is involved in the surgical procedure. What should the nurse do?
- AExplain what the planned surgical procedure entails before having the patient sign the consent form.
- BDelay the patient’s signature on the consent form, and notify the physician that the informed-consent process is not complete.
19What does appropriate preoperative teaching for a patient scheduled for abdominal surgery include?
- AHow to breathe deeply and cough
- BHow to care for the wound
- AHow to breathe deeply and cough
20An 82-year-old man is admitted to the hospital the evening before a prostatectomy for cancer of the prostate. He is alert and oriented but has difficulty seeing and hearing. His wife is at his bedside and answers most questions directed to the patient. What should the nurse do to accomplish preoperative teaching with the patient?
- AProvide additional time for the patient to understand preoperative instructions and carry out procedures
- BAsk the patient’s wife to wait in the hall in order to focus on preoperative teaching with the patient himself
21What are the physical environment and traffic control measures of the OR primarily designed to do?
- AProtect the patient’s privacy.
- BPrevent transmission of infection
22Which one of the following intraoperative patient positions would the nurse anticipate for the patient who is being prepared for abdominal surgery?
- AProne
- BSupine
23The nurse notes that a preoperative patient is drowsy, but oriented, in the receiving area. In addition to checking her hospital number and identification band, what should the nurse check?
- AAsk the patient to state her name, her doctor’s name, and the operative procedure planned.
- BAsk the surgeon to identify the patient and the planned surgical procedure.
- AAsk the patient to state her name, her doctor’s name, and the operative procedure planned.
24The nurse from the general surgical unit brings the patient’s hearing aid to the surgical suite because the patient left the unit without it and it is needed to communicate with the patient. At the surgical suite, what areas can the general surgical unit nurse enter?
- AClean core
- BScrub sink areas
- CInformation or nursing station
- DCorridors of the ORs
25Which assessment finding would the nurse expect to observe in a patient with malignant hyperthermia
- ADecreased heart rate
- BLow, irregular respirations
- CDecreased temperature
- DVentricular dysrhythmias
26What is one of the most important goals of the registered nurse first assistant?
- ASafety of the patient
- BDocumentation of the intraoperative care
27You are the clinic nurse doing a preoperative assessment on a patient who will be undergoing outpatient cataract surgery with lens implantation in 1 week. While taking the patient's medical history, you note that this patient had a kidney transplant 8 years ago. The patient is taking immunosuppressive drugs. What is this patient at increased risk for when having surgery?
- Ainfection
- Bdeath
28An elderly client is preparing to undergo surgery. The nurse participates in preoperative care knowing that which of the following is the underlying principle that guides preoperative assessment, surgical care, and postoperative care for older adults?
- AOlder adults have less physiologic reserve (or ability to regain physical equilibrium) than younger clients.
- Bolder adults are more malnourished
29How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively?
- AThe patient should take a deep breath in through the mouth and exhale all the air out through the mouth, take a short breath, and cough from deep in the lungs.
- BThe patient should do box breathing
30Which of the following clinical manifestations is often the earliest sign of malignant hyperthermia?
- ATachycardia
- Bbradycardia
31A client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceration. Which nursing action is the first priority?
- AApplying a sterile, moist dressing
- Bsuturing the wound
32A postanesthesia care unit (PACU) nurse is caring for a patient with the following assessment data: pale, cool, moist skin; thready pulse of 122; blood pressure 78/60; urine output of 25 mL/h; temperature 99.2°F. What interventions by the nurse are appropriate? Select all that apply.
- AMaintain a patent airway.
• Frequently monitor neurological status.
. - B• Apply oxygen per orders
- C• Administer blood products per orders.
- Dapply warm blankets
- AMaintain a patent airway.
33Which of the following terms refers to a protrusion of abdominal organs through the surgical incision?
- AEviseration
- Bdesiccation
34Nursing assessment findings reveal a temperature of 96.2°F, pulse oximetry 90%, shivering, and client complains of chilling. The findings are indicative of which nursing diagnosis?
- AIneffective thermoregulation
- Bineffective airway clearance
35The nurse is caring for a client during the immediate postoperative period and is assessing for signs of shock. What signs and symptoms indicate that the client may be in shock?
- Aweak and rapid pulse
- Bbounding and rapid pulse
36The client asks the nurse about ways to control pain other than taking pain medication. Which strategy should the nurse include when responding to the client? Select all that apply
- A Listening to music
• - B Watching television
- C• Changing position
- Dyelling
- A Listening to music
37The primary objective in the immediate postoperative period is
- Amaintaining pulmonary ventilation.
- Bpreventing infection
38In the transfer of accountability what is transferred?
- Arights
- Bduties
- Cobligations
- Dcharting
39What is included in the post operative report/handover?
- Ageneral patient information
- Bpatient history
- Cintraoperative management
- Dpost anasesthesia care plan
40Post operative orders (select all that apply)
- Aiv fluids
- Bresumption of diet and fluids
- Cpositioning
- Dspecial wound care instructions
- Eoxygen therapy
- Fmedications
- Gemergency contact
- Hnumber of nurse in PACU
41what is part of your initial assessment of a post surgical patient?
- AABCs
- BLOC
- CV/S
- DO2 therapy
- EIntake/output
- FIV lines/fluid
- Gdrains and tubes
- HSurgical site
- Ipain
42When assessing neurological systems what should you look for?
- ALOC
- Borientation
- Cability to follow commands
- Dshine a pen light in their eye
43what percent of patients have emergence delirium?
- A10%
- B5%
44a neurological scale used to give reliable and objective way of recording the conscious state of a patient is a
- Aglasgow coma scale
- Borientation scale
45to prevent pulmonary complications what should you do?
- Akeep head of bed at 25-45 degrees at all times
- BT and P q 2hs
- Cleg exercises
- Dteach splinting when coughing
46list potential cardiovascular complications after surgery
- Ahemorrhage
- Bhypovolemia
- Chypotension
- Dsyncope/arrhythmias
- Edeep vein thrombosis
47what are some interventions to prevent cardiac complications?
- AIV management
- Bearly ambulation
- Ct and p while in bed
- Dleg exercises
- Eanticoagulants
48what are some GI function risks for post surgery
- ANausea and vomitting
- Babdominal distention
- Cparalytic ileus
- Dconstipation
- Eacites
49Potential dysfunction in GU function
- AOliguria <30 ml/hr
- Banuria (no urine)
- CUrinary retention
- DUTI
50when is the original dressing removed?
- Aby the surgeon
- Bby the nurse
51when is a surgical dressing changed?
- Aafter 24 hours
- Bafter 48 hours
52What are some of the benefits of discharge planning?
- Apatient satisfaction
- Bimproved self care
- Cdecreased LOS
- DDecrease readmission rates
- Edecreased cost
53if a drug is equianlgesic it means
- Adose of one drug is equivalent in pain relieving effects compared with another drug
- Bthat the drugs work the same
Información
- Descripción
- Test sobre Care of the Surgical Patient, creado por asissons el 12/04/2015.
- Autor
- asissons
- Idioma
- English
- Visitas
- 411
- Etiquetas
- Valoración
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