Chapter 17: SurgeryLinton: Medical-Surgical Nursing, 7th Edition questions with 100% correct answers Download for an A+

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-threatening complication that occurs in response to certain drugs. Susceptibility to this response is inherited. DIF: Cognitive Level: Application REF: p. 279 OBJ: 8 TOP: General Anesthesia KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Reduction of Risk 3. A patient who had a hysterectomy yesterday has not been allowed food or drink by mouth (NPO). The physician has now ordered the patient’s diet to be clear liquids. What should the nurse assess prior to providing this patient with clear liquids? a. Feelings of hunger b. Bowel sounds c. Positive Homans sign d. Gag reflex ANS: B The absence of bowel sounds would