NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY,
COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK
WITH VERIFIED ANSWERS 9TH EDITION WITH VERIFIED ANSWERS 9TH EDITION
1. The nurse is caring for a surgical patient, when the family member asks what perioperative
nursing means. How should the nurse respond? ANS: C
a. Perioperative nursing occurs in preadmission testing.
Perioperative nursing care occurs before, during, and after surgery. Preadmission testing occurs
b. Perioperative nursing occurs primarily in the
before surgeryand is considered preoperative. Nursing care provided during the surgical
postanesthesia care unit. Perioperative nursing
procedure is considered intraoperative, and in the postanesthesia care unit, it is considered
includes activities before, during, and after
postoperative. All of these are parts of the perioperative phase, but each individual phase does
not explain the term completely.
c. surgery.
Perioperative nursing includes activities only during the surgical 2. The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse
d. procedure.
is completingan assessment and reviews the patient’s laboratory tests and allergies and
prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
ANS: B
Reviewing the patient’s laboratory tests and allergies is done before surgery in the preoperative
phase. Perioperative means before, during, and after surgery. Intraoperative means during the
surgical procedure in the operating suite; postoperative means after the surgery and could occur
in the postanesthesia care unit, in the ambulatory surgical area, or on the hospital unit.
3. The nurse is caring for a patient in the postanesthesia care unit. The patient has developed
profuse bleeding from the surgical site, and the surgeon has determined the need to return to the
operative area. How will the nurse classify this procedure?
a. Major
, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY,
COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK
WITH VERIFIED ANSWERS 9TH EDITION WITH VERIFIED ANSWERS 9TH EDITION
ANS: C
b. Urgent An ASA III rating is a patient with a severe systemic disease, such as poorly controlled
c. Elective hypertension with an implanted pacemaker. ASA I is a normal healthy patient with no major
illnesses or conditions. ASA II is a patient with mild systemic disease. ASA V is a moribund
d. Emergency patient who is not expected to survive without the operation and includes patients with ruptured
abdominal/thoracic aneurysm or massive trauma.
ANS: D
An emergency procedure must be done immediately to save a life or preserve the function of a
body part. An example would be repair of a perforated appendix, repair of a traumatic
amputation, or control of internal hemorrhaging. An urgent procedure is necessary for a patient’s
health and often prevents additional problems from developing. An example would be excision
of a cancerous tumor, removal of a gallbladder for stones, or vascular repair for an obstructed
artery. An elective procedure is performed on the basis of the patient’s choice; it is not essential
and is not always necessary for health. An example would be a bunionectomy, plastic surgery, or
hernia reconstruction. A major procedure involves extensive reconstruction or alteration in body
parts; it poses great risks to well-being. An example would be a coronary artery bypass or colon
resection.
4. The nurse is caring for a patient in preadmission testing. The patient has been assigned a
physical status classification by the American Society of Anesthesiologists of ASA III. Which
assessment will support this classification?
a. Normal, healthy patient
b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY,
COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK
WITH VERIFIED ANSWERS 9TH EDITION WITH VERIFIED ANSWERS 9TH EDITION
5. The patient has presented to the ambulatory surgery center to have a colonoscopy. The d. Left toes cool to touch and slightly cyanotic
patient is scheduled to receive moderate sedation (conscious sedation) during the procedure. ANS: A
How will the nurse interpret this information?
Induction of regional anesthesia results in loss of sensation in an area of the body—in this case,
a. The procedure results in loss of sensation in an area of the body.
the left leg. The peripheral nerve block influences the portions of sensory pathways that are
anesthetized in the targeted area of the body. Decreased pulse, toes cool to touch, and cyanosis
are indications of decreased blood flow and are not expected findings. Reports of pain in the left
b. The procedure requires a depressed level of consciousness. foot may indicate that the block is not working or is subsiding and is not an expected finding in
c. The procedure will be performed on an outpatient basis. the immediate postoperative period.
7. The nurse is preparing a patient for surgery. Which goal is a priority for assessing the
d. The procedure necessitates the patient to be immobile. patient before surgery?
a. Plan for care after the procedure.
ANS: B
Moderate sedation (conscious sedation) is used routinely for procedures that do not require
complete anesthesia but rather a depressed level of consciousness. Not all patients who are b. Establish a patient’s baseline of normal function.
treated on an outpatient basis receive moderate sedation. Regional anesthesia such as local c. Educate the patient and family about the procedure.
anesthesia provides loss of sensation in an area of the body. General anesthesia is used for
patients who need to be immobile and to not remember the surgical procedure.
d. Gather appropriate equipment for the patient’s needs.
6. The nurse is caring for a patient in the postanesthesia care unit who has undergone a left
ANS: B
total knee arthroplasty. The anesthesia provider has indicated that the patient received a left
femoral peripheral nerve block. Which assessment will be an expected finding for this The goal of the preoperative assessment is to identify a patient’s normal preoperative function and
patient? the presence of any risks to recognize, prevent, and minimize possible postoperative
a. Sensation decreased in the left leg complications. Gathering appropriate equipment, planning care, and educating the patient and
family are all important interventions that must be provided for the surgical patient; they are part
of the nursing process but are not the priority reason/goal for completing an assessment of the
surgical patient.
b. Patient report of pain in the left foot
c. Pulse decreased at the left posterior tibia 8. The nurse is completing a medication history for the surgical patient in preadmission
, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY,
COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK
WITH VERIFIED ANSWERS 9TH EDITION WITH VERIFIED ANSWERS 9TH EDITION
testing. Which medication should the nurse instruct the patient to hold (discontinue) in
preparation for surgery according toprotocol?
a. Warfarin
c. Prednisone
b. Vitamin C d. Acetaminophen
ANS: A
Medications such as warfarin or aspirin alter normal clotting factors and thus increase the risk
of hemorrhaging. Discontinue at least 48 hours before surgery. Acetaminophen is a pain
reliever that has no special implications for surgery. Vitamin C actually assists in wound
healing and has no special implications for surgery. Prednisone is a corticosteroid, and dosages
are often temporarily increased rather than held.
9. The nurse is prescreening a surgical patient in the preadmission testing unit. The
medication history indicates that the patient is currently taking an anticoagulant. Which
action should the nurse take when consulting with the health care provider?
a. Ask for a radiological examination of the chest.
b. Ask for an international normalized ratio (INR).
c. Ask for a blood urea nitrogen (BUN).
d. Ask for a serum sodium (Na).
ANS: B
INR, PT (prothrombin time), APTT (activated partial thromboplastin time), and platelet counts
reveal the clotting ability of the blood. Anticoagulants can be utilized for different conditions, but
its action is to increase the time it takes for the blood to clot. This action can put the surgical
COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK
WITH VERIFIED ANSWERS 9TH EDITION WITH VERIFIED ANSWERS 9TH EDITION
1. The nurse is caring for a surgical patient, when the family member asks what perioperative
nursing means. How should the nurse respond? ANS: C
a. Perioperative nursing occurs in preadmission testing.
Perioperative nursing care occurs before, during, and after surgery. Preadmission testing occurs
b. Perioperative nursing occurs primarily in the
before surgeryand is considered preoperative. Nursing care provided during the surgical
postanesthesia care unit. Perioperative nursing
procedure is considered intraoperative, and in the postanesthesia care unit, it is considered
includes activities before, during, and after
postoperative. All of these are parts of the perioperative phase, but each individual phase does
not explain the term completely.
c. surgery.
Perioperative nursing includes activities only during the surgical 2. The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse
d. procedure.
is completingan assessment and reviews the patient’s laboratory tests and allergies and
prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
ANS: B
Reviewing the patient’s laboratory tests and allergies is done before surgery in the preoperative
phase. Perioperative means before, during, and after surgery. Intraoperative means during the
surgical procedure in the operating suite; postoperative means after the surgery and could occur
in the postanesthesia care unit, in the ambulatory surgical area, or on the hospital unit.
3. The nurse is caring for a patient in the postanesthesia care unit. The patient has developed
profuse bleeding from the surgical site, and the surgeon has determined the need to return to the
operative area. How will the nurse classify this procedure?
a. Major
, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY,
COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK
WITH VERIFIED ANSWERS 9TH EDITION WITH VERIFIED ANSWERS 9TH EDITION
ANS: C
b. Urgent An ASA III rating is a patient with a severe systemic disease, such as poorly controlled
c. Elective hypertension with an implanted pacemaker. ASA I is a normal healthy patient with no major
illnesses or conditions. ASA II is a patient with mild systemic disease. ASA V is a moribund
d. Emergency patient who is not expected to survive without the operation and includes patients with ruptured
abdominal/thoracic aneurysm or massive trauma.
ANS: D
An emergency procedure must be done immediately to save a life or preserve the function of a
body part. An example would be repair of a perforated appendix, repair of a traumatic
amputation, or control of internal hemorrhaging. An urgent procedure is necessary for a patient’s
health and often prevents additional problems from developing. An example would be excision
of a cancerous tumor, removal of a gallbladder for stones, or vascular repair for an obstructed
artery. An elective procedure is performed on the basis of the patient’s choice; it is not essential
and is not always necessary for health. An example would be a bunionectomy, plastic surgery, or
hernia reconstruction. A major procedure involves extensive reconstruction or alteration in body
parts; it poses great risks to well-being. An example would be a coronary artery bypass or colon
resection.
4. The nurse is caring for a patient in preadmission testing. The patient has been assigned a
physical status classification by the American Society of Anesthesiologists of ASA III. Which
assessment will support this classification?
a. Normal, healthy patient
b. Denial of any major illnesses or conditions
c. Poorly controlled hypertension with implanted pacemaker
d. Moribund patient not expected to survive without the operation
, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY,
COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK
WITH VERIFIED ANSWERS 9TH EDITION WITH VERIFIED ANSWERS 9TH EDITION
5. The patient has presented to the ambulatory surgery center to have a colonoscopy. The d. Left toes cool to touch and slightly cyanotic
patient is scheduled to receive moderate sedation (conscious sedation) during the procedure. ANS: A
How will the nurse interpret this information?
Induction of regional anesthesia results in loss of sensation in an area of the body—in this case,
a. The procedure results in loss of sensation in an area of the body.
the left leg. The peripheral nerve block influences the portions of sensory pathways that are
anesthetized in the targeted area of the body. Decreased pulse, toes cool to touch, and cyanosis
are indications of decreased blood flow and are not expected findings. Reports of pain in the left
b. The procedure requires a depressed level of consciousness. foot may indicate that the block is not working or is subsiding and is not an expected finding in
c. The procedure will be performed on an outpatient basis. the immediate postoperative period.
7. The nurse is preparing a patient for surgery. Which goal is a priority for assessing the
d. The procedure necessitates the patient to be immobile. patient before surgery?
a. Plan for care after the procedure.
ANS: B
Moderate sedation (conscious sedation) is used routinely for procedures that do not require
complete anesthesia but rather a depressed level of consciousness. Not all patients who are b. Establish a patient’s baseline of normal function.
treated on an outpatient basis receive moderate sedation. Regional anesthesia such as local c. Educate the patient and family about the procedure.
anesthesia provides loss of sensation in an area of the body. General anesthesia is used for
patients who need to be immobile and to not remember the surgical procedure.
d. Gather appropriate equipment for the patient’s needs.
6. The nurse is caring for a patient in the postanesthesia care unit who has undergone a left
ANS: B
total knee arthroplasty. The anesthesia provider has indicated that the patient received a left
femoral peripheral nerve block. Which assessment will be an expected finding for this The goal of the preoperative assessment is to identify a patient’s normal preoperative function and
patient? the presence of any risks to recognize, prevent, and minimize possible postoperative
a. Sensation decreased in the left leg complications. Gathering appropriate equipment, planning care, and educating the patient and
family are all important interventions that must be provided for the surgical patient; they are part
of the nursing process but are not the priority reason/goal for completing an assessment of the
surgical patient.
b. Patient report of pain in the left foot
c. Pulse decreased at the left posterior tibia 8. The nurse is completing a medication history for the surgical patient in preadmission
, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY, NURSING 311: CARE OF OLDER ADULTS: CULTURE, SPIRITUALITY,
COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK COMMUNICATION,SEXUALITY, INFECTION CONTROL TEST BANK
WITH VERIFIED ANSWERS 9TH EDITION WITH VERIFIED ANSWERS 9TH EDITION
testing. Which medication should the nurse instruct the patient to hold (discontinue) in
preparation for surgery according toprotocol?
a. Warfarin
c. Prednisone
b. Vitamin C d. Acetaminophen
ANS: A
Medications such as warfarin or aspirin alter normal clotting factors and thus increase the risk
of hemorrhaging. Discontinue at least 48 hours before surgery. Acetaminophen is a pain
reliever that has no special implications for surgery. Vitamin C actually assists in wound
healing and has no special implications for surgery. Prednisone is a corticosteroid, and dosages
are often temporarily increased rather than held.
9. The nurse is prescreening a surgical patient in the preadmission testing unit. The
medication history indicates that the patient is currently taking an anticoagulant. Which
action should the nurse take when consulting with the health care provider?
a. Ask for a radiological examination of the chest.
b. Ask for an international normalized ratio (INR).
c. Ask for a blood urea nitrogen (BUN).
d. Ask for a serum sodium (Na).
ANS: B
INR, PT (prothrombin time), APTT (activated partial thromboplastin time), and platelet counts
reveal the clotting ability of the blood. Anticoagulants can be utilized for different conditions, but
its action is to increase the time it takes for the blood to clot. This action can put the surgical
