Question Collection: Final Exam Prep 153 Questions 2020/2021 EDITION ALL ANSWERS 100% CORRECT AID GRADE A+ - $13.49   Add to cart

Looking for more study guides & notes to pass NUR3241? Find more study material on our NUR3241 overview page 

Exam (elaborations)

Question Collection: Final Exam Prep 153 Questions 2020/2021 EDITION ALL ANSWERS 100% CORRECT AID GRADE A+

In which instance may a surgeon operate without informed consent? a. Invasive procedures b. Emergency situations c. Procedures requiring sedation d. Radiologic procedures 2. The nurse is completing a preoperative assessment. The nurse notices the client is tearful and constantly wringing their hands. The client states, “I’m really nervous about this surgery. Do you think it will be ok?” What is the nurse’s best response? a. “You have nothing to worry about; you have the best surgical team.” b. “No one has ever died from the procedure you are having.” c. “What family support do you have after the surgery?” d. “What are your concerns?” 3. The nurse is educating a client scheduled for elective surgery. The client currently takes aspirin daily. What education should the nurse provide with regard to this medication? a. Continue to take the aspirin as ordered. b. Take half doses of the aspirin until 1 week after surgery. c. Aspirin should be increased until 3 days before surgery, then it should be discontinued until 3 days after surgery. d. Stop taking the aspirin 7 days before the surgery, unless otherwise directed by your physician. 4. What is the major purpose of withholding food and fluid before surgery? a. Prevent overhydration b. Decrease urine output c. Prevent aspiration d. Decrease risk of constipation 5. During the admission history the client reports to the nurse of taking the usual dose of warfarin the previous day. What is an appropriate nursing action? a. Notify the surgeon that the client took warfarin the day before surgery. b. No action is needed, because the client takes warfarin on a continuing basis. c. Put a note on the preoperative checklist before sending the client into surgery. d. Tell the client to inform the circulating nurse before the anesthesia is administered. 6. The nurse is aware that a religious group that refuses blood transfusions for religious reasons is: a. Catholics b. Jehovah's Witnesses c. Jews d. Methodists 7. The nurse is monitoring a presurgical patient for electrolyte imbalance. Which classification of medication may cause electrolyte imbalance? a. Corticosteroids b. Diuretics c. Phenothiazines d. Insulin 8. The nurse is aware that which of the following nutrients promotes normal blood clotting? a. Magnesium b. Vitamin C c. Zinc d. Vitamin K 9. A registered nurse who is responsible for coordinating and documenting client care in the operating room is a a. circulating nurse. b. scrub nurse. c. anesthetist. d. anesthesiologist. 10. The surgical unit nurse is developing a postoperative plan of care. In which client’s plan of care would the nurse document interventions of coughing and deep breathing, gastrointestinal assessment, and effective regulation of temperature? a. A client with gastrointestinal surgery and general anesthesia b. A client having a knee replacement and regional anesthesia c. A client having lower extremity muscle repair and spinal anesthesia d. A client with spinal stenosis and a regional nerve blockade 11. A nurse on the surgical team has been assigned the role of scrub nurse. What action by the scrub nurse is appropriate? a. Leading the surgical team in a debriefing session b. Keeping all records and adjusting lights c. Handing instruments to the surgeon and assistants d. Coordinating activities of other personnel 12. A patient is scheduled to have a heart valve replacement with a porcine valve. Which patient does the nurse understand may refuse the use of any porcine-based product? a. A patient of Catholic faith b. A patient of Jewish faith c. A patient of Baptist faith d. A patient of Lutheran faith 13. In which position would a client undergoing a lumbar puncture be placed? a. Supine b. Semi-Fowler's c. Side-lying, knees to chest d. Trendelenburg 14. It is important for the nurse to assist a postsurgical client to sit up and turn the head to one side when vomiting in order to a. maximize comfort. b. avoid dizziness. c. avoid aspiration. d. help eliminate inhaled anesthetics. 15. The client complains of weakness and dizziness as the nurse assists the client to sit on the side of the bed. The nurse recognizes the client is experiencing: a. acute pain b. anxiety c. incisional pain d. orthostatic hypotension 16. A client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceration. Which nursing action is the first priority? a. Applying a sterile, moist dressing b. Monitoring vital signs c. Inserting a nasogastric (NG) tube d. Putting the client on nothing-by-mouth (NPO) status 17. What intervention by the nurse is most effective for reducing hospital-acquired infections? a. Administration of prophylactic antibiotics b. Aseptic wound care c. Control of upper respiratory tract infections d. Proper hand-washing techniques 18. Which action should a nurse perform to prevent deep vein thrombosis when caring for a postsurgical client? a. Reinforce the need to perform leg exercises every hour when awake b. Massage the calves or thighs c. Instruct the client to cross the legs or prop a pillow under the knees d. Maintain bed rest 19. A client has undergone surgery to repair a hernia, with no complications. In the immediate postoperative period, which action by the nurse is most appropriate? a. Monitor vital signs every 15 minutes b. Measure arterial blood gas every 5 minutes c. Measure urinary output every 15 minutes d. Assess pupillary response every 5 minutes 20. Which of the following sets of clinical data would allow the nurse to conclude that the nursing actions taken to prevent postoperative pneumonia have been effective? a. Vital signs within normal limits; absence of chills and cough b. Alert and oriented; peripheral pulses present and strong c. Bladder non—distended; Foley catheter draining clear, yellow urine d. Bowel sounds present and active; denies nausea and vomiting 21. A client receiving moderate sedation for a minor surgical procedure begins to vomit. What should the nurse do first? a. Roll the client onto his or her side. b. Suction the mouth. c. Provide a basin. d. Administer an antiemetic medication. 22. A nurse is monitoring a client recovering from moderate sedation that was administered during a colonoscopy. Which finding requires the nurse's immediate attention? a. Heart rate of 84 beats/minute b. c. d. 23. Decreased cough and gag reflexes Blood-tinged stools The nurse is teaching the client about usual side effects associated with spinal anesthesia. Which of the following should the nurse include when teaching? a. Sore throat b. Itching c. Seizures d. Headache 24. The nurse understands that the purpose of the “time out” is to: a. verify all necessary supplies are available. b. identify the client’s allergies. c. clarify the roles of the OR personnel. d. maintain the safety of the client. 25. A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. The client is ready for rewarming procedures. Which action by the nurse is appropriate? a. Temporarily set the OR temperature to 30°C. b. Place warm damp drapes on the client, replacing them every 5 minutes. c. Administer IV fluids warmed to room temperature. d. Apply a warm air blanket, gradually increasing body temperature. 26. Which statement by the client indicates further teaching about epidural anesthesia is necessary? a. "I will become unconscious." b. "I will lose the ability to move my legs." c. "I will be able to hear the surgeon during the surgery." d. "A needle will deliver the anesthetic into the area around my spinal cord." 27. The nurse caring for a client receiving a

Preview 4 out of 37  pages

avatar-seller
Allan100

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 450,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

$ 13.49
  • (0)
  Add to cart