Test Bank For deWit's Medical-Surgical Nursing 4th Edition By
Holly Stromberg 9780323608442 Chapter 1-49 Complete
Guide .
What patients are more at risk for undergoing surgery? - ANSWER: Older adults undergoing surgery
have higher morbidity and mortality rates than younger people
What patients tend to recover faster from surgery younger or older? - ANSWER: Younger
Older adults are more likely to experience what after surgery? - ANSWER: Disorientation because of
the administration of anesthetics
When should the nurse monitor the v/s after surgery? - ANSWER: Q15min for 1 hour, Q30min for 2
hours, Q1hr for 4hours, and then Q4hours
informed consent - ANSWER: the nurse clarifies what the physician has ALREADY explained to the
patient, reviews time of the surgery and witnesses the patient signing
Gastrointestinal preparation - ANSWER: allowing the patient to have clear liquids, a light meal, NO
MILK, NPO at midnight, bowel prep
Skin preparation before surgery - ANSWER: assess for skin impairment (bruising, lesions), shower with
antimicrobial solution the night before or day of surgery, and surgical antiseptic solutions (betadine
and chlorhexidine)
incentive spirometer - ANSWER: promotes deep breathing
purposes of surgery - ANSWER: Curative- surgery that cures the problem or condition
Ablative- excision or removal of diseases body part (amputation, etc)
perioperative nursing - ANSWER: preoperative, intraoperative, postoperative
medication reconciliation - ANSWER: anticoagulants, vitamins, hold meds? consult w/ anesthesiologist
how do you prevent respiratory complications after a surgery? - ANSWER: no coughing after head,
throat or spinal surgery
which medication do you administer to reverse opioid toxicity? - ANSWER: Nalaxone
When using Betadine on a patient before surgery what do you check for when using the pre operative
checklist? - ANSWER: Assess for allergies of Betadine
anesthesia - ANSWER: the absence of all sensation including pain
conscious sedation - ANSWER: the patient is given drugs that depresses the central nervous system or
provide analgesia to relieve anxiety or provide amnesia during surgical diagnostic procedures
medication reconciliation - ANSWER: process of comparing the patients current medication orders
with all the medication the patient currently takes?
non-pharmalogical intervention to prevent blood clots after surgery - ANSWER: SCD pump, leg
exercises and TED stockings
, indication that your patient has a thrombus in a leg vein - ANSWER: edema , lower extremity is
swollen
anastomosis - ANSWER: a surgical connection between two hollow or tubular structures
your patient has a wound evisceration, what is the initial intervention? - ANSWER: apply moist normal
saline dressing
s/sx of pulmonary embolism - ANSWER: sudden chest pain, dyspnea, cyanosis and tachycardia
-ectomy - ANSWER: surgical removal
what is the responsibility of the nurse for informed consent? - ANSWER: verify signature of the client
how would you teach a patient how to cough after surgery? - ANSWER: take 3 deep breaths and
cough from the chest
if the patient informs you of a latex allergy what is the first thing you should do? - ANSWER: medical
allergy band on patients wrist
lysis - ANSWER: destruction
prior to surgery it is important to check potassium levels to prevent? - ANSWER: arrhythmias related
to anesthesia
in order to minimize venous states in the patient who had a surgical procedure what is the best
intervention? - ANSWER: assist in early ambulation
a patient is post op, unconscious and has a temp of 94 degrees what should the nurse do? - ANSWER:
cover the patient with a warm blanket and continue to monitor
local anesthesia - ANSWER: like the dentist
-oscopy - ANSWER: diagnostic examination
should the patient who recently had a cerebral aneurysm repair that is now having signs of increased
intracranial pressure cough every two hours? - ANSWER: no
what kind of surgery is a BKA - ANSWER: ablative
regional anesthesia - ANSWER: epidural, nerve block, spinal
-ostomy - ANSWER: create an opening
what should the nurse say to a patient who has had a procedure and is worried about becoming
addicted to pain meds while using the PCA pump? - ANSWER: addiction rarely occurs during the post
surgery time period
nursing interventions for general anesthesia - ANSWER: oxygen, may need suctioning
the person who smoked would be at the greatest risk of developing which postoperative nursing
diagnosis? - ANSWER: infective airway clearance
-plasty - ANSWER: surgical repair
nurses role during surgery - ANSWER: insert IV, blankets
Holly Stromberg 9780323608442 Chapter 1-49 Complete
Guide .
What patients are more at risk for undergoing surgery? - ANSWER: Older adults undergoing surgery
have higher morbidity and mortality rates than younger people
What patients tend to recover faster from surgery younger or older? - ANSWER: Younger
Older adults are more likely to experience what after surgery? - ANSWER: Disorientation because of
the administration of anesthetics
When should the nurse monitor the v/s after surgery? - ANSWER: Q15min for 1 hour, Q30min for 2
hours, Q1hr for 4hours, and then Q4hours
informed consent - ANSWER: the nurse clarifies what the physician has ALREADY explained to the
patient, reviews time of the surgery and witnesses the patient signing
Gastrointestinal preparation - ANSWER: allowing the patient to have clear liquids, a light meal, NO
MILK, NPO at midnight, bowel prep
Skin preparation before surgery - ANSWER: assess for skin impairment (bruising, lesions), shower with
antimicrobial solution the night before or day of surgery, and surgical antiseptic solutions (betadine
and chlorhexidine)
incentive spirometer - ANSWER: promotes deep breathing
purposes of surgery - ANSWER: Curative- surgery that cures the problem or condition
Ablative- excision or removal of diseases body part (amputation, etc)
perioperative nursing - ANSWER: preoperative, intraoperative, postoperative
medication reconciliation - ANSWER: anticoagulants, vitamins, hold meds? consult w/ anesthesiologist
how do you prevent respiratory complications after a surgery? - ANSWER: no coughing after head,
throat or spinal surgery
which medication do you administer to reverse opioid toxicity? - ANSWER: Nalaxone
When using Betadine on a patient before surgery what do you check for when using the pre operative
checklist? - ANSWER: Assess for allergies of Betadine
anesthesia - ANSWER: the absence of all sensation including pain
conscious sedation - ANSWER: the patient is given drugs that depresses the central nervous system or
provide analgesia to relieve anxiety or provide amnesia during surgical diagnostic procedures
medication reconciliation - ANSWER: process of comparing the patients current medication orders
with all the medication the patient currently takes?
non-pharmalogical intervention to prevent blood clots after surgery - ANSWER: SCD pump, leg
exercises and TED stockings
, indication that your patient has a thrombus in a leg vein - ANSWER: edema , lower extremity is
swollen
anastomosis - ANSWER: a surgical connection between two hollow or tubular structures
your patient has a wound evisceration, what is the initial intervention? - ANSWER: apply moist normal
saline dressing
s/sx of pulmonary embolism - ANSWER: sudden chest pain, dyspnea, cyanosis and tachycardia
-ectomy - ANSWER: surgical removal
what is the responsibility of the nurse for informed consent? - ANSWER: verify signature of the client
how would you teach a patient how to cough after surgery? - ANSWER: take 3 deep breaths and
cough from the chest
if the patient informs you of a latex allergy what is the first thing you should do? - ANSWER: medical
allergy band on patients wrist
lysis - ANSWER: destruction
prior to surgery it is important to check potassium levels to prevent? - ANSWER: arrhythmias related
to anesthesia
in order to minimize venous states in the patient who had a surgical procedure what is the best
intervention? - ANSWER: assist in early ambulation
a patient is post op, unconscious and has a temp of 94 degrees what should the nurse do? - ANSWER:
cover the patient with a warm blanket and continue to monitor
local anesthesia - ANSWER: like the dentist
-oscopy - ANSWER: diagnostic examination
should the patient who recently had a cerebral aneurysm repair that is now having signs of increased
intracranial pressure cough every two hours? - ANSWER: no
what kind of surgery is a BKA - ANSWER: ablative
regional anesthesia - ANSWER: epidural, nerve block, spinal
-ostomy - ANSWER: create an opening
what should the nurse say to a patient who has had a procedure and is worried about becoming
addicted to pain meds while using the PCA pump? - ANSWER: addiction rarely occurs during the post
surgery time period
nursing interventions for general anesthesia - ANSWER: oxygen, may need suctioning
the person who smoked would be at the greatest risk of developing which postoperative nursing
diagnosis? - ANSWER: infective airway clearance
-plasty - ANSWER: surgical repair
nurses role during surgery - ANSWER: insert IV, blankets
