Chapter 17: SurgeryLinton: Medical-Surgical Nursing, 7th Edition

Chapter 17: Surgery Linton: Medical-Surgical Nursing, 7th Edition MULTIPLE CHOICE 1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? a. Assess for the presence of bowel sounds. b. Assess pupillary reaction. c. Ask the patient’s family if she is having pain. d. Determine when the patient last received pain medication. ANS: D Verifying the time of the last dose decreases the risk of a dose of medication being given too soon. DIF: Cognitive Level: Application REF: p. 289 OBJ: 8 TOP: Acute Pain KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 2. A nurse is caring for a postoperative patient. What should the nurse ask when assessing for the complication of malignant hyperthermia? a. “Do you think you might have a fever?” b. “Do you currently have an infection?” c. “Has anyone in your family ever had problems with general anesthesia?” d. “Have you ever had any type of malignancy?” ANS: C Malignant hyperthermia is a life-threat