C HAPTER 50: P ERIOPERATIVE N URSING
C ARE
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. Which of the following statements made by a nurse reflects the greatest
insight into the responsibilit y an ambulatory care nurse has to the clients
famil y?
A. A clients famil y deserves the attention of the nursing staff.
B. Famil y is important to m y client, and so famil y is important to me.
C. I consider m yself as having several clients: the surgical client and
all the famil y thats present.
D. I am responsible for keeping the famil y informed of the status of
their loved one both during and after the procedure.
ANS: C
Famil y members attempt to provide support through their presence but
face many of the same stressors as the client. You need to effectivel y
communicate with the client and famil y; they are clients as well.
DIF: C REF: 1386 OBJ: Anal ysi s TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgical Procedures and Health Alterations
,2. Which of the following statements made by a nurse re flects the greatest
insight into the planning needs of a same -day surgical experience?
A. Time is a precious resource in same -day surgery units; being
organized allows for the best utilization of time.
B. Everything must be checked and verified as being ready be fore the
client is admitted into the surgical area.
C. With onl y a few hours from time of admission to the beginning of
the procedure, things have to be effectively organized.
D. I take the time to review the clients preadmission and preoperative
data in order to formulate the most individualized plan of care
possible.
ANS: D
Ambulatory and same-day surgical programs offer challenges in
gathering a complete assessment in a limited time. Clients are admitted
onl y hours before the surgical event, so it is importa nt for you to
organize and verify data obtained preoperativel y and implement a
perioperative plan of care. Although the remaining options are not
incorrect, they do not stress the importance of effective organization of
the clients plan of care.
DIF: C REF: 1378 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgical Procedures and Health Alterations
3. The perioperative nurse realizes that the most effective means of
evaluating the clients understanding of previous teaching is to:
A. Provide written material on the subject to be reviewed after
discharge
, B. Reinforce the material with famil y as the procedure is being
performed
C. Discuss it with the client and famil y in the immediate preoperative
period
D. Offer to answer any questions that the client or famil y have just
before discharge
ANS: C
In the immediate preoperative period, assess the clients understanding
of previous teaching. The other o ptions are not trul y evaluations of the
clients knowledge.
DIF: C REF: 1386 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgica l Procedures and Health Alterations
4. Which of the following preoperative assessment findings would most
likel y delay a planned procedure requiring general anesthetic?
A. A cough and low -grade fever
B. The pulse oximetry reading of 97% on room air
C. A blood pressur e that is 10 systolic points higher than baseline
D. The clients report of being so nervous about this procedure
ANS: A
Preoperative assessment occasionall y reveals an abnormalit y that
delays or cancels surgery. A client who presents with a cough and low -
grade fever on admission would require the nurse to notify the surgeon
, immediatel y. The other options do not necessaril y warrant delay or
cancellation of a procedure.
DIF: C REF: 1388 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan des ignation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgical Procedures and Health Alterations
5. A 74-year-old is accompanied by his daughter to the ambulatory surgery
department for the surgical removal of a suspicious skin lesion. The client
has experienced dysphasia since a cerebral vascular accident 3 years ago.
The most effective way for the nurse to secure the necessary preoperative
interview information is to:
A. Question the clients daughter
B. Review the clients past medical records
C. Present the questions in a simple format
D. Rel y on the clients preadmission survey
ANS: A
If a client is unable to relate all of the necessary information, rel y on
famil y members as resources. The remaining options are not reliab le,
effective methods of securing information regarding this client.
DIF: C REF: 1377 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgical Procedures and Health Alterations
C ARE
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. Which of the following statements made by a nurse reflects the greatest
insight into the responsibilit y an ambulatory care nurse has to the clients
famil y?
A. A clients famil y deserves the attention of the nursing staff.
B. Famil y is important to m y client, and so famil y is important to me.
C. I consider m yself as having several clients: the surgical client and
all the famil y thats present.
D. I am responsible for keeping the famil y informed of the status of
their loved one both during and after the procedure.
ANS: C
Famil y members attempt to provide support through their presence but
face many of the same stressors as the client. You need to effectivel y
communicate with the client and famil y; they are clients as well.
DIF: C REF: 1386 OBJ: Anal ysi s TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgical Procedures and Health Alterations
,2. Which of the following statements made by a nurse re flects the greatest
insight into the planning needs of a same -day surgical experience?
A. Time is a precious resource in same -day surgery units; being
organized allows for the best utilization of time.
B. Everything must be checked and verified as being ready be fore the
client is admitted into the surgical area.
C. With onl y a few hours from time of admission to the beginning of
the procedure, things have to be effectively organized.
D. I take the time to review the clients preadmission and preoperative
data in order to formulate the most individualized plan of care
possible.
ANS: D
Ambulatory and same-day surgical programs offer challenges in
gathering a complete assessment in a limited time. Clients are admitted
onl y hours before the surgical event, so it is importa nt for you to
organize and verify data obtained preoperativel y and implement a
perioperative plan of care. Although the remaining options are not
incorrect, they do not stress the importance of effective organization of
the clients plan of care.
DIF: C REF: 1378 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgical Procedures and Health Alterations
3. The perioperative nurse realizes that the most effective means of
evaluating the clients understanding of previous teaching is to:
A. Provide written material on the subject to be reviewed after
discharge
, B. Reinforce the material with famil y as the procedure is being
performed
C. Discuss it with the client and famil y in the immediate preoperative
period
D. Offer to answer any questions that the client or famil y have just
before discharge
ANS: C
In the immediate preoperative period, assess the clients understanding
of previous teaching. The other o ptions are not trul y evaluations of the
clients knowledge.
DIF: C REF: 1386 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgica l Procedures and Health Alterations
4. Which of the following preoperative assessment findings would most
likel y delay a planned procedure requiring general anesthetic?
A. A cough and low -grade fever
B. The pulse oximetry reading of 97% on room air
C. A blood pressur e that is 10 systolic points higher than baseline
D. The clients report of being so nervous about this procedure
ANS: A
Preoperative assessment occasionall y reveals an abnormalit y that
delays or cancels surgery. A client who presents with a cough and low -
grade fever on admission would require the nurse to notify the surgeon
, immediatel y. The other options do not necessaril y warrant delay or
cancellation of a procedure.
DIF: C REF: 1388 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan des ignation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgical Procedures and Health Alterations
5. A 74-year-old is accompanied by his daughter to the ambulatory surgery
department for the surgical removal of a suspicious skin lesion. The client
has experienced dysphasia since a cerebral vascular accident 3 years ago.
The most effective way for the nurse to secure the necessary preoperative
interview information is to:
A. Question the clients daughter
B. Review the clients past medical records
C. Present the questions in a simple format
D. Rel y on the clients preadmission survey
ANS: A
If a client is unable to relate all of the necessary information, rel y on
famil y members as resources. The remaining options are not reliab le,
effective methods of securing information regarding this client.
DIF: C REF: 1377 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Reduction of
Risk Potential/Monitoring Conscious Sedation/Potential for
Complications From Surgical Procedures and Health Alterations
