NURS 309 Quiz 1 Preoperative Patients Exam Questions And Answers
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Course
Nurs 309
Institution
Nurs 309
A client was originally scheduled for surgery at noon. The surgeon is delayed, and the surgery has been rescheduled for 3:00 p.m. How will the nurse plan to administer the preoperative prophylactic antibiotic?
A. Give at noon as originally prescribed.
B. Cancel orders, preoperative prophylactic a...
A client was originally scheduled for surgery at noon. The surgeon is delayed, and the surgery
has been rescheduled for 3:00 p.m. How will the nurse plan to administer the preoperative
prophylactic antibiotic?
A. Give at noon as originally prescribed.
B. Cancel orders, preoperative prophylactic antibiotics are given optionally.
C. Adjust the administration time to be given within 1 hour before surgery.
D. Hold the preoperative antibiotic so it can be administered immediately following surgery. -
ANS C. Adjust the administration time to be given within 1 hour before surgery.
Which assessment data finding for a client scheduled for total knee replacement surgery is most
important for the nurse to communicate to the surgeon and the anesthesia provider before the
procedure? SATA
A. The oxygen saturation is 97%.
B. The serum potassium level is 3.0 mEq/L (3.0 mmol/L)
C. The client took a total of 1300 mg of aspirin yesterday.
D. The client requests to talk with a registered dietitian about weight loss.
E. The client took a regularly scheduled antihypertensive drug with a sip of water 2 hours ago.
F. After receiving the preoperative medications, the client tells the nurses that he lied on the
assessment form and that he really is a current smoker. - ANS B. The serum potassium
level is 3.0 mEq/L (3.0 mmol/L)
C. The client took a total of 1300 mg of aspirin yesterday.
F. After receiving the preoperative medications, the client tells the nurses that he lied on the
assessment form and that he really is a current smoker.
What client teaching will the nurse provide regarding postoperative leg exercises to minimize
the risk for development of deep vein thrombosis after surgery?
A. Only perform each exercise one time to prevent overuse.
B. Begin exercises by sitting at a 90-degree angle on the side of the bed.
C. Point toes of one foot toward bottom of bed; then point toes of same leg toward his or her
face. Repeat several times; then switch legs.
D. Bend knee and push heel of foot into the bed until the calf and thigh muscles contract.
Repeat several times; then switch legs. - ANS C. Point toes of one foot toward bottom of
bed; then point toes of same leg toward his or her face. Repeat several times; then switch legs.
, The nurse is providing preoperative care for a client who will have an arthroscopy of the left
knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what will the
nurse be required to do?
A. Ensure that the correct procedure is noted in the client's history.
B. Remind the surgeon that the client will have a left knee arthroscopy.
C. Verify with the client that a left knee arthroscopy will be performed.
D. Mark the left knee site with the client awake and the surgeon present. - ANS D. Mark the
left knee site with the client awake and the surgeon present.
A preoperative client smokes a pack of cigarettes a day. What is the nurse's teaching priority for
the best physical outcomes?
A. Instruct the client to quit smoking.
B. Teach about the dangers of tobacco.
C. Teach the importance of incentive spirometry.
D. Tell the client that smoking increases postoperative complications. - ANS C. Teach the
importance of incentive spirometry.
The nurse is educating a client who is about to undergo cardiac surgery with general
anesthesia. Which statement by the client indicates the need for further instruction?
A. "I will wake up with a tube in my throat."
B. "I will have a bandage on my chest."
C. "My family will not be able to see me right away."
D. "Pain medication will take away my pain." - ANS D. "Pain medication will take away my
pain."
Which task would be best for the charge nurse to assign to the LPN/LVN working in the surgery
admitting area?
A. Provide preoperative teaching to a client who needs insertion of a tunneled central venous
catheter.
B. Insert a retention catheter in a client who requires a flap graft of a sacral pressure ulcer.
C. Obtain the medical history from a client who is scheduled for a total hip replacement.
D. Assess the client who is being admitted for an elective laparoscopic cholecystectomy. - ANS
B. Insert a retention catheter in a client who requires a flap graft of a sacral pressure ulcer.
A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation. This
preoperative procedure is done to
A. decrease expected blood loss during surgery.
B. eliminate any risk of infection.
C. ensure that the bowel is sterile.
D. reduce the number of intestinal bacteria. - ANS D. reduce the number of intestinal
bacteria.
As the nurse obtains informed consent, the client asks, "Now what exactly are they going to do
to me?" What is the nurse's response?
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