NURS 309 Quiz 1 Preoperative Nursing Care Questions
With Complete Solutions
You are taking an initial history for a client seeking surgical treatment for obesity. Which
finding should be called to the attention of the surgeon before proceeding with additional
history taking or physical assessment?
1. Obesity for approximately 5 years
2. History of counseling for body dysmorphic disorder
3. Failure to reduce weight with other forms of therapy
4. Body weight 100% above the ideal for age, gender, and height –correct answer 2.
History of counseling for body dysmorphic disorder. Body dysmorphic disorder is a
preoccupation with an imagined physical defect. Corrective surgery can exacerbate this
disorder when the client continues to feel dissatisfied with the results. The other findings
are criterion indicators for this treatment.
Which is the top priority for nurses during the perioperative period?
a. Patient teaching
b. Patient diagnostic testing
,c. Patient safety
d. Patient care documentation - correct answer c
Which statements best describe the preoperative period? (select all that apply)
a. It begins when the patient makes the appointment with the surgeon to discuss the
need for surgery.
b. It ends at the time of transfer to the surgical suite.
c. It is a time during which the patient's need for surgery is established
d. It begins when the patient is scheduled for surgery.
e. It is a time during which the patient receives testing and education related to
impending surgery - correct answer b, d, e
Which are the focus areas for the surgical care improvement project? (select all that
apply)
a. Prevention of infection
b. Prevention of respiratory complications
c. Prevention of serious cardiac events
d. Prevention of venous thromboembolism
e. Prevention of acute kidney injury - correct answer a, c, d
, A female patient is having a biopsy of a nodule found in the right breast. Which
classification identifies this surgery?
a. Urgent
b. Minor
c. Cosmetic
d. Diagnostic - correct answer d
A patient who can barely ambulate with a walker at home is having a left total knee
replacement. What is the most appropriate category for this surgery?
a. Urgent
b. Restorative
c. Simple
d. Palliative - correct answer b
A colostomy is scheduled to be done on a patient who has severe crohn's disease.
What is the correct classification for this surgery?
a. Palliative
b. Minor
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