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Ch. 30 Perioperative Nursing NCLEX Questions with Accurate Answers
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Ch. 30 Perioperative Nursing NCLEX Questions
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Ch. 30 Perioperative Nursing NCLEXQuestions
A perioperative nurse is preparing a patient for surgery for treatment of a ruptured
spleen as the result of an automobile crash. The nurse knows that this type of surgery
belongs in what category?
a. Minor, diagnostic
b. Minor, elective
c. Major, emergency
d. Major, palliative - answerc. This surgery would involve a major body organ, has the
potential for postoperative complications, requires hospitalization, and must be done
immediately to save the patient's life. Elective surgery is a procedure that is preplanned
by essentially healthy people. Diagnostic surgery is performed to confirm a diagnosis.
Palliative surgery is not curative, rather it is done to relieve or reduce the intensity of an
illness.
A nurse is preparing a patient for a cesarean section and teaches her the effects of the
regional anesthesia she will be receiving. Which effects would the nurse expect? Select
all that apply.
a. Loss of consciousness
b. Relaxation of skeletal muscles
c. Reduction or loss of reflex action
d. Localized loss of sensation
e. Prolonged pain relief after other anesthesia wears off
f. Infiltrates the underlying tissues in an operative area - answerc, d. A localized loss of
sensation and possible loss of reflexes occurs with a regional anesthetic. Loss of
consciousness and relaxation of skeletal muscles occurs with general anesthesia.
Prolonged pain relief after other anesthesia wears off and infiltration of the underlying
tissues in an operative area occur with topical anesthesia.
A nurse has been asked to witness a patient signature on an informed consent form for
surgery. What information should be included on the form? Select all that apply.
a) The option of nontreatment
b) The underlying disease process and its natural course
c) Notice that once the form is signed, the patient cannot withdraw consent
d) Explanation of the guaranteed outcome of the procedure or treatment
e) Name and qualifications of the provider of the procedure or treatment
f) Explanation of the risks and benefits of the procedure or treatment - answera, b, e, f
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