Perioperative Review

Description

Nursing (334 Materials) Quiz on Perioperative Review, created by Angela Elenbaas on 18/03/2020.
Angela Elenbaas
Quiz by Angela Elenbaas, updated 10 months ago
Angela Elenbaas
Created by Angela Elenbaas over 6 years ago
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Resource summary

Question 1

Question
A presurgical patient has signed the informed consent form, after which, the nurse signs the consent form. What is the purpose of the nurse's signature?
Answer
  • agreement that the patient understands the procedure
  • witness to the physician explaining the procedure to the patient
  • witness to the patient's signature
  • the patient is ready to be taken to the operating room

Question 2

Question
A patient is scheduled for surgery in one hour and has had NPO after midnight orders. Blood was drawn for labwork 30 minutes ago. Under which of the following circumstances should the nurse contact the surgeon to inform them prior to the patient going to surgery? Select all that apply.
Answer
  • the patient states they have not been told about the procedure and informed consent has not been signed
  • the patient experienced nausea and the nurse administered an IV antiemetic per prn orders
  • prothrombin time (PT) 22 seconds (range 10-13 seconds) and international normalized ratio (INR) 4 (range 2-3 for valvular heart disease prophlaxis)
  • blood glucose 102 mg/dL
  • the patient's temperature is 99.8 degrees
  • the surgical site was prepped with electric clippers 8 hours ago

Question 3

Question
The patient is scheduled for an upper endoscopy and a colonoscopy at 1200 today. At 1000 the patient returned from hemodialysis during which heparin was administered. What is the primary risk for this patient?
Answer
  • aspiration
  • sedation
  • bleeding
  • infection

Question 4

Question
Which of the following may be allowed by the surgeon for a patient who is to have nothing by mouth (NPO) for a procedure involving sedation?
Answer
  • smoking
  • clear gelatin up to 1 teaspoon
  • a prescribed PO medication with a sip of water
  • broth up to one teaspoon

Question 5

Question
Prior to surgery and prior to the patient receiving any [blank_start]sedative medication[blank_end], the patient [blank_start]marks[blank_end] the surgical site and the surgeon confirms it with [blank_start]marking[blank_end] as well. This is to ensure that the correct site is [blank_start]operated on[blank_end].
Answer
  • sedative medication
  • lunch
  • marks
  • points to
  • marking
  • pointing
  • operated on
  • marked

Question 6

Question
The nurse knows that infection is a primary risk to a surgical patient. Which of the following interventions is most important to protect a surgical patient from infection?
Answer
  • adequate IV hydration
  • careful surgical site preparation
  • assessing WBCs prior to surgery
  • sterilization of the surgical incision after the procedure

Question 7

Question
Which of the following should the preoperative nurse replace prior to allowing the patient to be transported to surgery? Select all that apply.
Answer
  • an IV that has gone subcutaneous
  • the patient's earrings so they don't get lost
  • an identification band/bracelet that came off
  • 1 mL : 1 mL IV fluid to replace urine output over the 8 hours prior to surgery

Question 8

Question
Which of the following is included in the group of three signs that, together, can be an early indication of malignant hyperthermia? Select all that apply.
Answer
  • decreased oxygen saturation (SpO2)
  • increased respiratory rate
  • restlessness
  • elevated end-tidal CO2 level
  • tachycardia
  • bradycardia

Question 9

Question
Malignant hyperthermia is an emergency situation that any person undergoing surgery can experience.
Answer
  • True
  • False

Question 10

Question
The longer the surgical procedure, the higher the risk for: (select all that apply)
Answer
  • a longer recovery period
  • complications of anesthesia
  • hypothermia
  • venous thromboembolism
  • blood loss

Question 11

Question
The nurse is receiving hand-off report from another nurse about a patient who had abdominal surgery 12 hours ago, is stable, and is ambulating several times a day without difficulty. Which of the following should the receiving nurse question and ask for clarification about?
Answer
  • the patient has an order for anti-embolism stockings AND sequential compression boots
  • the patient should not be ambulating since surgery was only 12 hours ago
  • the patient is wearing sequential compression boots when in bed
  • the patient is doing coughing and deep breathing exercises q 2 hours

Question 12

Question
Which of the following would NOT be expected for a patient who had open abdominal surgery 24 hours ago?
Answer
  • serous drainage on the dressing
  • serosanguinous drainage on the dressing
  • dehiscence of the wound
  • the surgeon performs the first dressing change

Question 13

Question
Which of the following increase the risk of delayed surgical wound healing? Select all that apply.
Answer
  • malnutrition
  • obesity
  • smoking
  • infection
  • location of surgical wound being on the head
  • history of oral steroid use
  • hypertension
  • history of diabetes
  • history of renal disease

Question 14

Question
Which of the following are acceptable actions to delegate to unlicensed personnel such as a patient care assistant or medical assistant who has received the proper training?
Answer
  • measurement of vital signs
  • interpretation of vital signs
  • assessment of skin integrity
  • documentation of skin assessment
  • education of client on wound care
  • empty and record volume of surgical drains and foley catheter bags
  • check blood glucose using monitor

Question 15

Question
Which of the following are true regarding malignant hyperthermia? Select all that apply.
Answer
  • it is an inherited disorder
  • diaphragmatic and intercostal muscle paralysis negatively affect respiratory status
  • the treatment includes IV dantrolene, a skeletal muscle relaxant
  • ongoing muscle contraction contributes to hypermetabolism
  • metabolic alkalosis occurs
  • hypotension, hypoxemia, hyperkalemia, renal injury or cardiac arrest can result

Question 16

Question
A respiratory assessment is a priority assessment based upon the recommended "A, B, C" prioritization method. Which of the following is the best choice for components and order of respiratory assessment?
Answer
  • oxygen saturation then respiratory rate
  • airway patency then oxygen saturation
  • breath sounds then oxygen saturation
  • respiratory rate then airway patency

Question 17

Question
clopidogrel (Plavix) is a blood thinner/anticoagulant that should not be administered/taken for several days prior to surgery per provider orders.
Answer
  • True
  • False

Question 18

Question
Which of the following is a risk of general anesthesia? Select all that apply.
Answer
  • atelectasis
  • acute urinary retention
  • diabetes mellitus
  • diarrhea
  • acute kidney injury (AKI)
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