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Exam (elaborations)

NURS 320 Quiz 1 Questions with Verified Answers

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NURS 320 Quiz 1 Questions with Verified Answers

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NURS 320 Quiz 1 Questions with
Verified Answers

A client is scheduled for surgery in the morning. Preoperative orders have been
written. What is the most important to do before surgery?
A.
Remove all jewelries or tape wedding ring
B.
Verify that all laboratory work is complete
C.
Inform family or next of kin
D.
Have all consent forms signed - ANSWER-D

The nurse is caring for a first day postoperative surgical client. Prioritize the patient's
desired dietary progression. Arrange in sequence the dietary progression from 1 to
4: 1. Full liquid; 2. NPO; 3. Clear liquid; 4. Soft
Discuss
A.
1, 2, 3, 4
B.
2, 3, 1, 4
C.
2, 1, 4, 3
D.
4, 3, 2, 1 - ANSWER-B

A postoperative client receives a dinner tray with gelatin, pudding, and vanilla ice
cream. Based on the foods on the client's tray, what would the nurse anticipate the
client's current diet order to be:
A.
Bland diet
B.
Soft diet
C.
Full liquid diet
D.
Regular diet - ANSWER-C

The nurse is preparing the preoperative client for surgery. The following statements
that indicate the client is knowledgeable about his impending surgery, except:
Discuss
A.
"After surgery, I will need to wear the pneumatic compression device while sitting in
the chair"
B.

,"The skin prep area is going to be longer and wider than the anticipated incision"
C.
"I cannot have anything to drink or eat after midnight on the night before the surgery"
D.
"To ensure my safety, a 'time out' will be conducted in the operating room" -
ANSWER-A

Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours
before surgery?
Discuss
A.
To prevent malnutrition
B.
To prevent electrolyte imbalance
C.
To prevent aspiration pneumonia
D.
To prevent intestinal obstruction - ANSWER-C

The nurse will provide preoperative teaching on deep breathing, coughing and
turning exercises. When is the best time to provide the preoperative teachings?
Discuss
A.
Before administration of preoperative medications
B.
The afternoon or evening prior to surgery
C.
Several days prior to surgery
D.
Upon admission of the client in the recovery room - ANSWER-B

Which of the following factors ensure validity of informed written consent, except:
Discuss
A.
The patient is of legal age with proper mental disposition
B.
If the patient is a child, secure consent from the parents or legal guardian
C.
The consent is secured before administration of preoperative medications
D.
If the patient is unable to write, the nurse signs the consent for the patient -
ANSWER-D

Which of the following drugs is administered to minimize respiratory secretions
preoperatively?
A.
Valium (diazepam)
B.
Phenergan (promethazine)
C.

, Atropine sulfate
D.
Demerol (Meperidine) - ANSWER-C

Which of the following is experienced by the patient who is under general
anesthesia?
Discuss
A.
The patient is unconscious
B.
The patient is awake
C.
The patient experiences slight pain
D.
The patient experiences loss of sensation in the lower half of the body - ANSWER-A

Which of the following is most dangerous complication during induction of spinal
anesthesia?
A.
Cardiac arrest
B.
Hypotension
C.
Hyperthermia
D.
Respiratory paralysis - ANSWER-B

Which of the following postoperative patients is at risk for respiratory complications?
A.
The obese patient with long history of smoking who had undergone upper abdominal
surgery
B.
The patient with normal pulmonary function who had undergone upper abdominal
surgery
C.
An adolescent patient with diabetes mellitus who had undergone cholecystectomy
D.
A football player who had undergone knee replacement surgery - ANSWER-A

The patient had undergone spinal anesthesia for appendectomy. To prevent spinal
headache, the nurse should place the patient in which of the following positions?
Discuss
A.
Semi-Fowler's
B.
Flat on bed for 6 to 8 hours
C.
Prone position
D.
Modified Trendelenburg position - ANSWER-B

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