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Perioperative Care - Practice Questions with solutions
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Perioperative Care - Practice Questions
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Perioperative Care - Practice QuestionsThe surgery for a client scheduled for an 0800 procedure is delayed until 1100. What is
the appropriate nursing action regarding administration of preoperative prophylactic
antibiotic?
a) Administer at 0800 as originally prescribed
b) adjust the administration time to be given at 1000
c) do not administer, as preoperative prophylactic abx are optional
d) hold the abx until immediately following the surgery, and then administer. – answer B
The nurse is caring for a client who is to undergo surgery at 0600 today. Which
assessment data will the nurse communicate immediately to the surgeon and
anesthesia provider? SATA.
a) BP 130/72
b) Serum Potassium 3.5
c) Diffuse rash on upper torso
d) Took 650 mg of aspirin yesterday
e) Has not had food or water since 1700 last night - answerC, D
The nurse is teaching a client about postoperative leg exercises. What teaching will the
nurse include? SATA.
a) Begin practicing leg exercises prior to surgery
b) Repeat leg exercises several times daily for each leg
c) Push the ball of the foot into the bed until the calf and thigh muscles contract.
d) If pain or warmth in the calf is present, discontinue exercises and contact the
surgeon.
e) Point toes of one foot toward bed bottom; then point toes of same leg toward face.
Switch - answerA, C, D, E
The nurse has prepared a client for transport from the med-surge unit to surgery. Which
client statement will the nurse respond to as the priority?
a) "When I eat shrimp, my tongue swells and I have trouble breathing."
b) "I'm feeling more anxious about my surgery than I thought I would be."
c) "I'm not sure what I will do if insurance doesn't cover this expensive hip replacement."
d) "My sister had anesthesia a few months ago and she said she didn't like the way she
felt." - answerA
, The nurse is caring for a client who has been readmitted to the med-surge unit following
surgery for a hernia repair completed under general anesthesia. What is the priority
nursing assessment?
a) Perform thorough auscultation of the lungs
b) Assess response to pinprick stimulation from feet to mid-chest level
c) Determine level of consciousness and response to environmental stimuli
d) Compare BP findings from preoperative assessment to the present - answerA
In the early postoperative phase, which assessment finding in a client who had an
epidural during surgery requires immediate nursing intervention?
a) BP of 142/90
b) Headache of 4 on a 1-10 scale
c) gradual return of motor function
d) increase in back pain when coughing - answerA
The nurse is caring for a client who reports being fearful of becoming dependent on
opioid pain medication after surgery. What is the appropriate nursing response? SATA.
a) "Why do you think you're going to get hooked?"
b) "Don't worry, I won't give you any opioid medications."
c) "Have you had concerns with drug dependence in the past?"
d) "Tell me what makes you most fearful about taking opioid medication."
e) "There are proper ways of taking opioid so you will not become dependent." -
answerC, D, E
The nurse is completing a preoperative physical assessment for a client who will have
surgery this afternoon. Which assessment finding will the nurse report to the operative
team? SATA
a) left arm prothesis
b) skin turgor <3 seconds
c) BP 160/100
d) presence of chest rigidity
e) Has been NPO since midnight
f) Expressed concern about surgery payment - answerA, C, D
The nurse is caring for a postoperative patient who has asked for pain medicine an hour
before it is due. What is the priority nursing response?
a) "You cannot have more pain medicine until an hour from now."
b) "Can you describe the pain you are having, and rate it on a 1-10 scale?"
c) "I can help you begin a pain diary so we can see trends when your pain worsens."
d) "Let's try some relaxation exercises to help address the discomfort you are feeling." -
answerB
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