Galen- Fundamentals I Chp. 37 Perioperative Nursing
Questions With Complete Solutions
A client in the postanesthesia care unit is to have suction applied
through a nasogastric tube. When documenting, the nurse should
include which information?
Standard Text: Select all that apply.
1. The time suction was started
2. Characteristics of wound drainage
3. Pressure on the suction
4. Integrity of the surgical dressing
5. Color and consistency of drainage Correct Answer 1, 3, 5
Rationale 1: For the nasogastric tube placed to suction, the nurse
should document the time suction was started.
Rationale 2: The characteristics of the wound drainage are not
related to the nasogastric tube suction.
Rationale 3: For the nasogastric tube placed to suction, the nurse
should document the pressure on the suction.
Rationale 4: The integrity of the surgical dressing is not related
to the nasogastric tube suction.
Rationale 5: For the nasogastric tube placed to suction, the nurse
should document the color and consistency of the drainage.
Nursing Process: Implementation
A client is anxious about receiving general anesthesia for a
surgical procedure. What should the nurse explain are the
advantages of having this type of anesthesia?
Standard Text: Select all that apply.
1. The client remains conscious.
,2. Respiratory rate can be regulated easily.
3. It is used for minor surgical procedures.
4. The anesthesia can be adjusted to the length of the operation.
5. It focuses on a single nerve or nerve group. Correct Answer :
2, 4
Rationale 1: The clients remaining conscious is an advantage of
regional anesthesia.
Rationale 2: An advantage of general anesthesia is that the
respiratory rate can be regulated easily.
Rationale 3: Regional anesthesia is used for minor surgical
procedures.
Rationale 4: An advantage of general anesthesia is that the
anesthesia can be adjusted to the length of the procedure.
Rationale 5: A nerve block focuses on a single nerve or nerve
group
Nursing Process: Implementation
A client is scheduled for a cholecystectomy. The nurse realizes
that the purpose for this surgery is
1. diagnostic.
2. palliative.
3. ablative.
4. constructive. Correct Answer 3
Rationale 1: A diagnostic surgery is done to confirm or establish
a diagnosis.
Rationale 2: Palliative surgery is done to relieve or reduce pain
or symptoms of a disease. The surgery does not cure an illness.
Rationale 3: When the purpose of surgery is ablative, the
diseased body part is removed.
, Rationale 4: Constructive surgery restores function or
appearance that has been lost or reduced
Nursing Process: Assessment
A client is scheduled for lung resection surgery. What should the
nurse keep in mind when determining this clients degree of risk
for this major surgical procedure?
Standard Text: Select all that apply.
1. Age
2. Medications
3. General health
4. Blood pressure
5. Nutritional status Correct Answer 1, 2, 3, 5
Rationale 1: The degree of risk involved in a surgical procedure
is affected by the clients age.
Rationale 2: The degree of risk involved in a surgical procedure
is affected by the clients use of medications.
Rationale 3: The degree of risk involved in a surgical procedure
is affected by the clients general health.
Rationale 4: Blood pressure is not identified as specifically
impacting the degree of risk when having a surgical procedure.
Rationale 5: The degree of risk involved in a surgical procedure
is affected by the clients nutritional status.
Nursing Process: Assessment
A client recovering from surgery asks the nurse why turning,
deep breathing, and coughing exercises need to be done. What
should the nurse respond?
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