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Preoperative and Postoperative Nursing Care, Exams of Nursing

A comprehensive overview of the key nursing considerations and interventions related to the preoperative and postoperative phases of surgical care. It covers a wide range of topics, including preoperative patient assessment, informed consent, preparation for surgery, postoperative monitoring and management of common complications, pain control strategies, and patient education. Structured in a question-and-answer format, addressing a variety of scenarios and clinical situations that nurses may encounter when caring for surgical patients. By studying this document, students and healthcare professionals can gain a deeper understanding of the essential nursing responsibilities and evidence-based practices that contribute to positive surgical outcomes and patient well-being.

Typology: Exams

2023/2024

Available from 08/21/2024

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NUR 206 Exam 1 | 100% Correct Answers |
Verified | Latest 2024 Version
During a preoperative physical exam, the nurse is alerted to the possibility of respiratory function during
or after surgery in the patient with - ✔✔obesity
when the nurse is performing a physical exam of a client who smokes and v.... on the day of surgery, it is
especially important to - ✔✔auscultate for normal and adventitious breath sounds
the nurse asks a hospitalized client to sign the operative permit as directed in the hear...preop orders.
The client tells the nurse, "i don't really understand what is involved in this surgery" the nurse should -
✔✔delay the clients signature on the consent form and notify the health care provider the informed
consent process is not complete
appropriate preop teaching for a client scheduled for abdominal surgery includes - ✔✔methods for
effective deep breathing and coughing
ten mins after receiving the ordered preop opioid by IV injection the patient asks to get up to go to the
bathroom to urinate. the most appropriate action by the nurse is to - ✔✔offer a urinal or bedpan and
position the client in bed to promote voiding
an 82 year old man is admitted to the hospital the evening before a prostatectomy. he is alert and
oriented but has difficulty seeing and hearing. his wife answers most questions directed to the client. to
accomplish preop teaching with the client the nurse plans to - ✔✔provide additional time for the client
to understand preop instructions and carry out procedures
a diabetic client well controlled with insulin injections has been NPO since midnight before having a
mastectomy
the nurse will anticipate the need to - ✔✔obtain a blood glucose measurement before any insulin
administration
a client is to receive atropine before surgery. the nurse teaches the client to expect - ✔✔dry mouth
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NUR 206 Exam 1 | 100% Correct Answers |

Verified | Latest 2024 Version

During a preoperative physical exam, the nurse is alerted to the possibility of respiratory function during or after surgery in the patient with - ✔✔obesity when the nurse is performing a physical exam of a client who smokes and v.... on the day of surgery, it is especially important to - ✔✔auscultate for normal and adventitious breath sounds the nurse asks a hospitalized client to sign the operative permit as directed in the hear...preop orders. The client tells the nurse, "i don't really understand what is involved in this surgery" the nurse should - ✔✔delay the clients signature on the consent form and notify the health care provider the informed consent process is not complete appropriate preop teaching for a client scheduled for abdominal surgery includes - ✔✔methods for effective deep breathing and coughing ten mins after receiving the ordered preop opioid by IV injection the patient asks to get up to go to the bathroom to urinate. the most appropriate action by the nurse is to - ✔✔offer a urinal or bedpan and position the client in bed to promote voiding an 82 year old man is admitted to the hospital the evening before a prostatectomy. he is alert and oriented but has difficulty seeing and hearing. his wife answers most questions directed to the client. to accomplish preop teaching with the client the nurse plans to - ✔✔provide additional time for the client to understand preop instructions and carry out procedures a diabetic client well controlled with insulin injections has been NPO since midnight before having a mastectomy the nurse will anticipate the need to - ✔✔obtain a blood glucose measurement before any insulin administration a client is to receive atropine before surgery. the nurse teaches the client to expect - ✔✔dry mouth

to promote effective coughing, deep breathing, and ambulation in the posop patient, what is most important for the nurse to do? - ✔✔provide adequate and regular pain meds the preop nurse encourages a family member or friend to remain with the client in the preop holding area until the client is taken to the operating room primarily to - ✔✔help relieve the stress of separation for the client and significant others the physical environment and traffic control measures of the operating room are designed primarily to - ✔✔prevent transmission of infection a patient scheduled for hip-replacement surgery in the early afternoon receives and ingests a breakfast tray with clear liquids the morning of surgery/ the nurse notifies the ACP with the expectation that the patient - ✔✔will be able to undergo surgery as scheduled all of the following components are essential for adequate disclosure in the case of informed consent expect: - ✔✔-purpose or treatment

  • consequences and risks of treatment
  • nature and purpose of treatment
  • assurance of successful outcome!! during a preop systems review, the patient reveals a history of renal disease. the finding of... suggests the need for preop diagnostic test of - ✔✔BUN, serum creatinine and electrolytes the nurse notes that a preop client is drowsy but oriented in the receiving area. to identify the client should - ✔✔have the client state name and the operative procedure planned in addition to checking the hospital number, ID band and chart the nurse recognizes that the use of local anesthesia would be particularly beneficial to a client wh... - ✔✔the client has recently taken foods and fluids

while caring for a client on the second postop day, which info about the client is most important to communicate to the HCP - ✔✔the right calf is swollen, warm and painful the nurse notes that the oxygen saturation is 88% in an unconscious patient who was transferred to the PACU 10 mins previously. an airway obstruction is suspected. all of the following nursing actions would be appropriate except - ✔✔-perform the jaw thrust manuerver

  • increase the oxygen flow rate per doctors order
  • suction the clients mouth
  • position the client supine!! a postop client who has undergone extensive bowel surgery moves as little as possible and does not use the incentive spirometer unless specifically reminded. the client rate the pain severity as X out of 10 but tells the nurse he can tough it out. in encouraging the client to use pain med the best explanation by the nurse is that - ✔✔unrelieved pain can be harmful due to the effect on respiratory function and activity level a client with chronic abdominal pain has learned to control the pain with the use of imagery and hypnosis. a family member asks the nurse how these techniques work. the nurses reply will be based on the information that these strategies - ✔✔impact the cognitive and affective components of pain to obtain the most complete assessment data about a clients chronic pain pattern the nurse asks the client - ✔✔"can you describe your daily activities in relation to your pain" a patient in the PACU has emergence delirium manifested by agitation and thrashing. the nurse should assess the patient first for - ✔✔hpoxemia upon admission of a patient to the PACU the nurses priority assessment is the patients - ✔✔respiratory adequacy a client with colorectal cancer has continuous, poorly localized abdominal pain at an intensity of 5 out of
  1. the nurse teaches the client to use pain meds - ✔✔on an around the clock schedule

assess skin moisture and temp - ✔✔integumentary system palpate for presence of leg edema - ✔✔cardiovascular system inspect the sclera of the eyes - ✔✔hepatic system weigh the client - ✔✔gastrointestinal system ausculatate the apical pulse - ✔✔cardiovascular system assess orientation to time and place - ✔✔neurological system what is the most common client position during surgery? - ✔✔supine monitor pulse oximetry findings - ✔✔opioids assess levels of consciousness - ✔✔benzodiazepines which of the following statements regarding spinal anesthesia is accurate? - ✔✔local anesthesia is injected into the cerebrospinal fluid in the subarachnoid space during the preop phase which of the following questions asked by the nurse would best assess for potential complications of malignant hyperthermia - ✔✔have any members of your family experienced any muscle complications after surgery which of the following postop assessments may indicate inadequate oxygenation? - ✔✔restlessness which of the following nursing measures is most significant to achieve the client outcomes of prevention of postop complications - ✔✔early ambulation

Valium (diazepam) - ✔✔Benzodiazepine morphine sulfate - ✔✔opioid what should be included in the instructions given to the postop patient before discharge - ✔✔writen information about self-care during recuperation