CHAPTER 37 PERIOPERATIVE NURSING CARE EXAM QUESTIONS AND ANSWERS.

The nurse is caring for a patient scheduled for a breast reduction to decrease pain in her back. How is this operation classified according to the degree of urgency? a. Urgent b. Emergency c. Emergent d. Elective Elective The postanesthesia care recovery unit (PACU) nurse is concerned about postoperative hemorrhage. Which clinical manifestation alerts the nurse to this problem? a. Incisional pain b. Elevated blood pressure c. Increased heart rate d. Bradypnea Increased heart rate What is the role of the nurse in securing an informed consent for a surgical procedure? a. Ensuring that the patient signs the informed consent document b. Signing the consent form as a witness c. Ensuring that the patient does not refuse treatment d. Refusing to participate based on legal guidelines Signing the consent form as a witness The nurse provided preoperative teaching about pain management to a patient scheduled for surgery. Which postoperative activity by the patient indicates the effectiveness of teaching? a. Doing something enjoyable such as relaxing and reading a book b. Requesting pain medication when no longer able to tolerate the pain c. Removing the postoperative dressing to see the surgical incision d. Refusing to wear anti-embolism stockings while still on bed rest Doing something enjoyable such as relaxing and reading a book A 55-year-old male is scheduled to have a bowel resection for a diagnosis of colon cancer. He is very nervous about the surgery. How can the nurse help decrease his anxiety? a. Ask him if he is concerned the cancer has spread to other areas of his body. b. Talk to him to find out what is causing his anxiety. c. Question him to find out what the surgeon has told him about the surgery. d. Give him a preoperative medication to help him relax. Talk to him to find out what is causing his anxiety. A nurse is providing care to a patient scheduled to have surgery. Which patient data alert the nurse to an increased risk of surgical complications? (Select all that apply.) a. Daily use of multivitamins b. Five pounds overweight c. Anticoagulation medication d. Uncomplicated family history of previous operations e. Blood pressure of 170/98 Anticoagulation medication Blood pressure of 170/98 How does malnutrition compromise wound healing? a. There is increased stress on the wound. b. Blood supply to the wound is increased. c. It causes patients to be energized and overexert. d. It can increase the risk of infection. It can increase the risk of infection. Which set of patient data assists the nurse in determining whether the nursing actions taken to prevent airway obstruction have been effective? a. Temperature 97.8 F, breathing regular and unlabored, no cough b. Intake equals output, denies pain or chest discomfort c. O2 sat 91%, shortness of breath (SOB), R 26 d. O2 sat 89%, breathing shallow and regular, R 24 Temperature 97.8 F, breathing regular and unlabored, no cough A PACU nurse received a patient from the operating room. During surgery, the patient had a loss of consciousness and skeletal muscle relaxation, and the patient does not remember the procedure. When assessing this patient, the nurse should conclude the patient received which type of anesthesia? a. General anesthesia b. Regional anesthesia c. Local anesthesia d. Nerve block General anesthesia While conducting a preoperative health assessment, the nurse is informed about a patient's preexisting heart problem. What postoperative interventions should be included in the plan of care for this patient? a. Perform a systematic head-to-toe assessment every 4 hours. b. Monitor breath sounds and oxygen saturation. c. Administer pain medications as needed. d. Monitor the electrocardiogram (ECG), apical pulse, and capillary refill. Monitor the electrocardiogram (ECG), apical pulse, and capillary refill. A patient is having a conversation with a surgeon. Which perioperative phase should the nurse anticipate will begin once the patient has agreed to have surgery? a. Postoperative b. Preoperative c. Intraoperative d. Interoperative Preoperative