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Ch. 9 Concepts of care for perioperative patients Questions and Answers 2024
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Ch. 9 Concepts of care for perioperative patients
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Ch. 9 Concepts of care for perioperativepatients
A preoperative nurse is assessing a client prior to surgery. Which information would be
most
important for the nurse to relay to the surgical team?
a. Allergy to bee and wasp stings
b. History of lactose intolerance
c. No previous experience with surgery
d. Use of multiple herbs and supplements – answer ANS: D
Some herbs and supplements can interact with medications, so this information needs
to be
reported as the priority. An allergy to bee and wasp stings should not affect the client
during
surgery. Lactose intolerance should also not affect the client during surgery but will
need to
be noted before a postoperative diet is ordered. Lack of experience with surgery may
increase
anxiety and may require higher teaching needs, but client safety is more important.
A nurse works on the postoperative floor and has four clients who are being discharged
tomorrow. Which one has the greatest need for the nurse to consult other members of
the
health care team for postdischarge care?
a. Married young adult who is the primary caregiver for children.
b. Middle-age client who is post-knee replacement, and needs physical therapy.
c. Older adult who lives alone at home despite some memory loss.
d. Young client who lives alone, and has family and friends nearby. - answerANS: C
The older adult has the most potentially complex discharge needs. With memory loss,
the
client may not be able to follow the prescribed home regimen. The client's physical
abilities
may be limited by chronic illness. This client has several safety needs that should be
assessed.
The other clients all have evidence of a support system and no known potential for
serious
safety issues.
A clinic nurse is teaching a client prior to surgery. The client does not seem to
comprehend
, the teaching, forgets a lot of what is said, and asks the same questions again and
again. What
action by the nurse is best?
a. Assess the client for anxiety.
b. Break the information into smaller bits.
c. Give the client written information.
d. Review the information again. - answerANS: A
Anxiety can interfere with learning, coping, and cooperation. The nurse should assess
the
client for anxiety. The other actions are appropriate too, and can be included in the
teaching
plan, but effective teaching cannot occur if the client is highly anxious.
A preoperative nurse is reviewing morning laboratory values on four clients waiting for
surgery. Which result warrants immediate communication with the surgical team?
a. Creatinine: 1.2 mg/dL (106.1 umol/L)
b. Hemoglobin: 14.8 mg/dL (148 mmol/L)
c. Potassium: 2.9 mEq/L (2.9 mmol/L)
d. Sodium: 134 mEq/L (134 mmol/L) - answerANS: C
The potassium level is critically low and can affect cardiac and respiratory status. The
nurse
would communicate this laboratory value immediately. The creatinine is at the high end
of
normal, the hemoglobin is normal, and the sodium is only slightly low so these values
do not
need to be reported immediately.
An inpatient nurse brings an informed consent form to a client for an operation
scheduled for
tomorrow. The client asks about possible complications from the operation. What
response by
the nurse is best?
a. Answer the questions and document that teaching was done.
b. Do not have the client sign the consent and call the primary health care provider.
c. Have the client sign the consent, and then call the primary health care provider.
d. Remind the client of what teaching the primary health care provider has done. -
answerANS: B
In order to give informed consent, the client needs sufficient information. Questions
about
potential complications should be answered by the primary health care provider. The
nurse
can repeat some facts taught by the primary health care provider, but this topic is too
broad for
the nurse to address alone. The nurse should notify the primary health care provider to
come
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