Nursing Fundamentals NURS108 Exam 3 (Final) – Comprehensive Practice Questions and
Answers Study Guide
Identify high-risk surgical clients. (3) - correct answer ✔✔-older adults
-obese patients
-people with disabilities
Identify high-risk home medications for the surgical client. (10) - correct answer ✔✔-
Corticosteroids
-Diuretics
-Phenothiazines
-Tranquilizers
-Insulins
-Anticoagulants
-Anticonvulsants
-Thyroid Hormone
-Opioids
-Herbal supplements
c. Identify the pre-operative needs for a client having surgery. - correct answer ✔✔-patient
education
-psychological interventions (reduce anxiety/ fear, religious needs...)
-maintain pt safety
-manage nutrition/ fluids
-prepare bowel if needed
-prepare skin
,d. Identify the pre-operative needs of a client having emergency surgery. - correct answer ✔✔-
lots of calm and effective communication
-ask about allergies if able
-support
-as much info as possible from pt or family
e. Identify the client safety precautions in the preoperative area. - correct answer ✔✔-removal
of jewelry
-secure pt's valuables
-take care of bathroom needs PRIOR to meds
-skin preparation
f. Describe the surgical risks associated with nutritional deficits. - correct answer
✔✔deficiencies in nutrients effect efficiency and rate of wound healing after surgery (specifics-
Table 14-2 pg 404)
g. Discuss the nursing considerations related to geriatric clients after surgery. - correct answer
✔✔↓ cardiac reserve
↓ renal and hepatic function
↓ subcutaneous fat = temp and pressure issues
-different education and communication needs
-increased likelihood of post-op confusion/ delirium
h. Identify the nursing responsibilities related to complication of a surgical incision. - correct
answer ✔✔-preoperative bathing
-hair removal
-monitor vital signs
-wound assessment for swelling, look, warmth, tenderness or discharge
, -monitor WBCs
-watch for increasing pain
i. Identify the cause of postoperative blood pressure changes. - correct answer ✔✔-blood loss
-position changes
-pooling of blood in extremities
-medications/ anesthesia
-pain
-hypoxia/ hypoventilation
-stimulation of sympathetic nervous system
j. Identify nursing responsibilities related to a client's refusal of treatment. - correct answer ✔✔-
clarifies info provided
-verifies patients signature/ sign as witness
-notifies physician about any other patient questions
-confirms consent is signed before psychoactive drugs
k. Identify the nursing responsibilities of low urine output. - correct answer ✔✔-note amount of
urine voided
-palpate suprapubic region for distension/ tenderness
-use of therapeutic techniques to encourage voiding
-possible bladder scan to see residual volume
-possible catheterization after all other attempts have been made
l. Identify the assessment findings related to infection. - correct answer ✔✔-↑ WBCs
-↑ HR
-↑ temp
Answers Study Guide
Identify high-risk surgical clients. (3) - correct answer ✔✔-older adults
-obese patients
-people with disabilities
Identify high-risk home medications for the surgical client. (10) - correct answer ✔✔-
Corticosteroids
-Diuretics
-Phenothiazines
-Tranquilizers
-Insulins
-Anticoagulants
-Anticonvulsants
-Thyroid Hormone
-Opioids
-Herbal supplements
c. Identify the pre-operative needs for a client having surgery. - correct answer ✔✔-patient
education
-psychological interventions (reduce anxiety/ fear, religious needs...)
-maintain pt safety
-manage nutrition/ fluids
-prepare bowel if needed
-prepare skin
,d. Identify the pre-operative needs of a client having emergency surgery. - correct answer ✔✔-
lots of calm and effective communication
-ask about allergies if able
-support
-as much info as possible from pt or family
e. Identify the client safety precautions in the preoperative area. - correct answer ✔✔-removal
of jewelry
-secure pt's valuables
-take care of bathroom needs PRIOR to meds
-skin preparation
f. Describe the surgical risks associated with nutritional deficits. - correct answer
✔✔deficiencies in nutrients effect efficiency and rate of wound healing after surgery (specifics-
Table 14-2 pg 404)
g. Discuss the nursing considerations related to geriatric clients after surgery. - correct answer
✔✔↓ cardiac reserve
↓ renal and hepatic function
↓ subcutaneous fat = temp and pressure issues
-different education and communication needs
-increased likelihood of post-op confusion/ delirium
h. Identify the nursing responsibilities related to complication of a surgical incision. - correct
answer ✔✔-preoperative bathing
-hair removal
-monitor vital signs
-wound assessment for swelling, look, warmth, tenderness or discharge
, -monitor WBCs
-watch for increasing pain
i. Identify the cause of postoperative blood pressure changes. - correct answer ✔✔-blood loss
-position changes
-pooling of blood in extremities
-medications/ anesthesia
-pain
-hypoxia/ hypoventilation
-stimulation of sympathetic nervous system
j. Identify nursing responsibilities related to a client's refusal of treatment. - correct answer ✔✔-
clarifies info provided
-verifies patients signature/ sign as witness
-notifies physician about any other patient questions
-confirms consent is signed before psychoactive drugs
k. Identify the nursing responsibilities of low urine output. - correct answer ✔✔-note amount of
urine voided
-palpate suprapubic region for distension/ tenderness
-use of therapeutic techniques to encourage voiding
-possible bladder scan to see residual volume
-possible catheterization after all other attempts have been made
l. Identify the assessment findings related to infection. - correct answer ✔✔-↑ WBCs
-↑ HR
-↑ temp
