Med Surg: Perioperative Care – TestBank
Questions and answers.
1. A patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
will die in surgery like my mother did!" Which initial response by the nurse is approp
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
riate? gt
a. "Surgical techniques have improved in recent years."
gt gt gt gt gt gt gt gt
b. "Tell me more about what happened to your mother."
gt gt gt gt gt gt gt gt gt gt
c. "You will receive medication to reduce your anxiety."
gt gt gt gt gt gt gt gt gt
d. "You should talk to the doctor again about the surgery." - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
b. "Tell me more about what happened to your mother."
gtgt gt gt gt gt gt gt gt gt gt
2. A patient arrives at the outpatient surgical center for a scheduled laparoscopy und
gt gt gt gt gt gt gt gt gt gt gt gt gt
er general anesthesia. Which information requires the nurse's preoperative intervent
gt gt gt gt gt gt gt gt gt
ion to maintain patient safety?
gt gt gt gt gt
a. The patient has never had general anesthesia.
gt gt gt gt gt gt gt gt
b. The patient is planning to drive home after surgery.
gt gt gt gt gt gt gt gt gt gt
c. The patient had a sip of water 4 hours before arriving.
gt gt gt gt gt gt gt gt gt gt gt gt
d. The patient's insurance does not cover outpatient surgery. - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt
b. The patient is planning to drive home after surgery.
gtgt gt gt gt gt gt gt gt gt gt
3. A 38-yr- gt gt
old woman is admitted for an elective surgical procedure. Which information obtaine
gt gt gt gt gt gt gt gt gt gt gt
d by the nurse during the preoperative assessment is most important to communicat
gt gt gt gt gt gt gt gt gt gt gt gt
e to the anesthesiologist and surgeon before surgery?
gt gt gt gt gt gt gt gt
a. The patient's lack of knowledge about postoperative pain control
gt gt gt gt gt gt gt gt gt gt
b. The patient's history of an infection following a cholecystectomy
gt gt gt gt gt gt gt gt gt gt
c. The patient's report that her last menstrual period was 8 weeks ago
gt gt gt gt gt gt gt gt gt gt gt gt gt
d. The patient's concern about being able to resume lifting heavy items -
gt gt gt gt gt gt gt gt gt gt gt gt
(correct answer) -
gt gt gt
c. The patient's report that her last menstrual period was 8 weeks ago
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt
-
This statement suggests that the patient may be pregnant and pregnancy testing is
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
needed before administration of anesthetic agents. Although the other data may als
gt gt gt gt gt gt gt gt gt gt gt
,o be communicated with the surgeon and anesthesiologist, they will affect postopera
gt gt gt gt gt gt gt gt gt gt gt
tive care and do not indicate a need for further assessment before surgery.
gt gt gt gt gt gt gt gt gt gt gt gt
4. A patient who has not had any prior surgeries tells the nurse doing the preoperativ
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
e assessment about allergies to avocados and bananas. Which action is most import
gt gt gt gt gt gt gt gt gt gt gt gt
ant for the nurse to take?
gt gt gt gt gt gt
a. Notify the dietitian about the specific food allergies.
gt gt gt gt gt gt gt gt gt
b. Alert the surgery center about a possible latex allergy.
gt gt gt gt gt gt gt gt gt gt
c. Reassure the patient that all allergies are noted on the health record.
gt gt gt gt gt gt gt gt gt gt gt gt gt
d. Ask whether the patient uses antihistamines to reduce allergic reactions. -
gt gt gt gt gt gt gt gt gt gt gt
(correct answer) - b. Alert the surgery center about a possible latex allergy.
gt gt gt gtgt gt gt gt gt gt gt gt gt gt gt
-
Certain food allergies (e.g., eggs, avocados, bananas, chestnuts, potatoes, peaches)
gt gt gt gt gt gt gt gt gt gt
are related to latex allergies. When a patient is allergic to latex, special nonlatex ma
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
terials are used during surgical procedures. The staff will need to know about the alle
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
rgy in advance to obtain appropriate nonlatex materials and have them available dur
gt gt gt gt gt gt gt gt gt gt gt gt
ing surgery. The other actions also may be appropriate, but prevention of allergic rea
gt gt gt gt gt gt gt gt gt gt gt gt gt
ction during surgery is the most important action.
gt gt gt gt gt gt gt
5. A patient who is scheduled for a therapeutic abortion tells the nurse, "Having an a
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
bortion is wrong." Which functional health pattern should the nurse further assess?
gt gt gt gt gt gt gt gt gt gt gt gt
a. Value-belief
gt
b. Cognitive-perceptual
gt
c. Sexuality-reproductive
gt gt
d. Coping-stress tolerance - (correct answer) - a. Value-belief
gt gt gt gt gt gt gtgt gt
6. A patient undergoing an emergency appendectomy has been using St. John's wort
gt gt gt gt gt gt gt gt gt gt gt gt gt
to prevent depression. Which complication would the nurse expect in the postanesth
gt gt gt gt gt gt gt gt gt gt gt
esia care unit? gt gt gt
a. Increased discomfort
gt gt gt
b. Increased blood pressure
gt gt gt gt
c. Increased anesthesia recovery time
gt gt gt gt gt
d. Increased postoperative wound bleeding - (correct answer) -
gt gt gt gt gt gt gt gt
c. Increased anesthesia recovery time
gtgt gt gt gt gt gt
-
St. John's wort may prolong the effects of anesthetic agents and increase the time to
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
waken completely after surgery. It is not associated with increased bleeding risk, hy
gt gt gt gt gt gt gt gt gt gt gt gt gt
pertension, or increased pain gt gt gt
, 7. The surgical unit nurse has just received a patient with a history of smoking from t
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
he postanesthesia care unit. Which action is most important at this time?
gt gt gt gt gt gt gt gt gt gt gt gt
a. Auscultate for adventitious breath sounds.
gt gt gt gt gt gt
b. Obtain the blood pressure and temperature.
gt gt gt gt gt gt gt
c. Remind the patient about harmful effects of smoking.
gt gt gt gt gt gt gt gt gt
d. Ask the health care provider to prescribe a nicotine patch. - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
a. Auscultate for adventitious breath sounds.
gtgt gt gt gt gt gt
8. The nurse obtains a health history from a patient who is scheduled for elective hip
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
surgery in 1 week. The patient reports use of garlic and ginkgo biloba. Which action b
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
y the nurse is most appropriate?
gt gt gt gt gt gt
a. Teach the patient that these products may be continued preoperatively.
gt gt gt gt gt gt gt gt gt gt gt
b. Advise the patient to stop the use of herbs and supplements at this time.
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
c. Discuss the herb and supplement use with the patient's health care provider.
gt gt gt gt gt gt gt gt gt gt gt gt gt
d. Reassure the patient that there will be no interactions with anesthetic agents. -
gt gt gt gt gt gt gt gt gt gt gt gt gt
(correct answer) -
gt gt gt
c. Discuss the herb and supplement use with the patient's health care provider.
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt
-
Both garlic and ginkgo biloba increase the risk for bleeding. The nurse should discus
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
s the herb and supplement use with the patient's health care provider. The nurse sho
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
uld not advise the patient to stop the supplements or to continue them without cons
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ulting with the health care provider and the anesthesia care provider.
gt gt gt gt gt gt gt gt gt gt
9. The nurse is preparing to witness the patient signing the operative consent form w
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
hen the patient says, "I don't understand what the doctor said about the surgery." W
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
hich action should the nurse take next?
gt gt gt gt gt gt gt
a. Provide a thorough explanation of the planned surgical procedure.
gt gt gt gt gt gt gt gt gt gt
b. Notify the surgeon that the informed consent process is not complete.
gt gt gt gt gt gt gt gt gt gt gt gt
c. Give the prescribed preoperative antibiotics and withhold sedative medications.
gt gt gt gt gt gt gt gt gt gt
d. Notify the operating room nurse to give a more complete explanation of the proce
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
dure. - (correct answer) - gt gt gt gt
b. Notify the surgeon that the informed consent process is not complete.
gtgt gt gt gt gt gt gt gt gt gt gt gt
10. Which topic is most important for the nurse to discuss preoperatively with a patie
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
nt who is scheduled for an open cholecystectomy?
gt gt gt gt gt gt gt gt
a. Care for the surgical incision
gt gt gt gt gt gt
b. Deep breathing and coughing
gt gt gt gt gt
c. Oral antibiotic therapy after discharge
gt gt gt gt gt gt
Questions and answers.
1. A patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
will die in surgery like my mother did!" Which initial response by the nurse is approp
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
riate? gt
a. "Surgical techniques have improved in recent years."
gt gt gt gt gt gt gt gt
b. "Tell me more about what happened to your mother."
gt gt gt gt gt gt gt gt gt gt
c. "You will receive medication to reduce your anxiety."
gt gt gt gt gt gt gt gt gt
d. "You should talk to the doctor again about the surgery." - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
b. "Tell me more about what happened to your mother."
gtgt gt gt gt gt gt gt gt gt gt
2. A patient arrives at the outpatient surgical center for a scheduled laparoscopy und
gt gt gt gt gt gt gt gt gt gt gt gt gt
er general anesthesia. Which information requires the nurse's preoperative intervent
gt gt gt gt gt gt gt gt gt
ion to maintain patient safety?
gt gt gt gt gt
a. The patient has never had general anesthesia.
gt gt gt gt gt gt gt gt
b. The patient is planning to drive home after surgery.
gt gt gt gt gt gt gt gt gt gt
c. The patient had a sip of water 4 hours before arriving.
gt gt gt gt gt gt gt gt gt gt gt gt
d. The patient's insurance does not cover outpatient surgery. - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt
b. The patient is planning to drive home after surgery.
gtgt gt gt gt gt gt gt gt gt gt
3. A 38-yr- gt gt
old woman is admitted for an elective surgical procedure. Which information obtaine
gt gt gt gt gt gt gt gt gt gt gt
d by the nurse during the preoperative assessment is most important to communicat
gt gt gt gt gt gt gt gt gt gt gt gt
e to the anesthesiologist and surgeon before surgery?
gt gt gt gt gt gt gt gt
a. The patient's lack of knowledge about postoperative pain control
gt gt gt gt gt gt gt gt gt gt
b. The patient's history of an infection following a cholecystectomy
gt gt gt gt gt gt gt gt gt gt
c. The patient's report that her last menstrual period was 8 weeks ago
gt gt gt gt gt gt gt gt gt gt gt gt gt
d. The patient's concern about being able to resume lifting heavy items -
gt gt gt gt gt gt gt gt gt gt gt gt
(correct answer) -
gt gt gt
c. The patient's report that her last menstrual period was 8 weeks ago
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt
-
This statement suggests that the patient may be pregnant and pregnancy testing is
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
needed before administration of anesthetic agents. Although the other data may als
gt gt gt gt gt gt gt gt gt gt gt
,o be communicated with the surgeon and anesthesiologist, they will affect postopera
gt gt gt gt gt gt gt gt gt gt gt
tive care and do not indicate a need for further assessment before surgery.
gt gt gt gt gt gt gt gt gt gt gt gt
4. A patient who has not had any prior surgeries tells the nurse doing the preoperativ
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
e assessment about allergies to avocados and bananas. Which action is most import
gt gt gt gt gt gt gt gt gt gt gt gt
ant for the nurse to take?
gt gt gt gt gt gt
a. Notify the dietitian about the specific food allergies.
gt gt gt gt gt gt gt gt gt
b. Alert the surgery center about a possible latex allergy.
gt gt gt gt gt gt gt gt gt gt
c. Reassure the patient that all allergies are noted on the health record.
gt gt gt gt gt gt gt gt gt gt gt gt gt
d. Ask whether the patient uses antihistamines to reduce allergic reactions. -
gt gt gt gt gt gt gt gt gt gt gt
(correct answer) - b. Alert the surgery center about a possible latex allergy.
gt gt gt gtgt gt gt gt gt gt gt gt gt gt gt
-
Certain food allergies (e.g., eggs, avocados, bananas, chestnuts, potatoes, peaches)
gt gt gt gt gt gt gt gt gt gt
are related to latex allergies. When a patient is allergic to latex, special nonlatex ma
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
terials are used during surgical procedures. The staff will need to know about the alle
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
rgy in advance to obtain appropriate nonlatex materials and have them available dur
gt gt gt gt gt gt gt gt gt gt gt gt
ing surgery. The other actions also may be appropriate, but prevention of allergic rea
gt gt gt gt gt gt gt gt gt gt gt gt gt
ction during surgery is the most important action.
gt gt gt gt gt gt gt
5. A patient who is scheduled for a therapeutic abortion tells the nurse, "Having an a
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
bortion is wrong." Which functional health pattern should the nurse further assess?
gt gt gt gt gt gt gt gt gt gt gt gt
a. Value-belief
gt
b. Cognitive-perceptual
gt
c. Sexuality-reproductive
gt gt
d. Coping-stress tolerance - (correct answer) - a. Value-belief
gt gt gt gt gt gt gtgt gt
6. A patient undergoing an emergency appendectomy has been using St. John's wort
gt gt gt gt gt gt gt gt gt gt gt gt gt
to prevent depression. Which complication would the nurse expect in the postanesth
gt gt gt gt gt gt gt gt gt gt gt
esia care unit? gt gt gt
a. Increased discomfort
gt gt gt
b. Increased blood pressure
gt gt gt gt
c. Increased anesthesia recovery time
gt gt gt gt gt
d. Increased postoperative wound bleeding - (correct answer) -
gt gt gt gt gt gt gt gt
c. Increased anesthesia recovery time
gtgt gt gt gt gt gt
-
St. John's wort may prolong the effects of anesthetic agents and increase the time to
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
waken completely after surgery. It is not associated with increased bleeding risk, hy
gt gt gt gt gt gt gt gt gt gt gt gt gt
pertension, or increased pain gt gt gt
, 7. The surgical unit nurse has just received a patient with a history of smoking from t
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
he postanesthesia care unit. Which action is most important at this time?
gt gt gt gt gt gt gt gt gt gt gt gt
a. Auscultate for adventitious breath sounds.
gt gt gt gt gt gt
b. Obtain the blood pressure and temperature.
gt gt gt gt gt gt gt
c. Remind the patient about harmful effects of smoking.
gt gt gt gt gt gt gt gt gt
d. Ask the health care provider to prescribe a nicotine patch. - (correct answer) -
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
a. Auscultate for adventitious breath sounds.
gtgt gt gt gt gt gt
8. The nurse obtains a health history from a patient who is scheduled for elective hip
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
surgery in 1 week. The patient reports use of garlic and ginkgo biloba. Which action b
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
y the nurse is most appropriate?
gt gt gt gt gt gt
a. Teach the patient that these products may be continued preoperatively.
gt gt gt gt gt gt gt gt gt gt gt
b. Advise the patient to stop the use of herbs and supplements at this time.
gt gt gt gt gt gt gt gt gt gt gt gt gt gt gt
c. Discuss the herb and supplement use with the patient's health care provider.
gt gt gt gt gt gt gt gt gt gt gt gt gt
d. Reassure the patient that there will be no interactions with anesthetic agents. -
gt gt gt gt gt gt gt gt gt gt gt gt gt
(correct answer) -
gt gt gt
c. Discuss the herb and supplement use with the patient's health care provider.
gtgt gt gt gt gt gt gt gt gt gt gt gt gt gt
-
Both garlic and ginkgo biloba increase the risk for bleeding. The nurse should discus
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
s the herb and supplement use with the patient's health care provider. The nurse sho
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
uld not advise the patient to stop the supplements or to continue them without cons
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
ulting with the health care provider and the anesthesia care provider.
gt gt gt gt gt gt gt gt gt gt
9. The nurse is preparing to witness the patient signing the operative consent form w
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
hen the patient says, "I don't understand what the doctor said about the surgery." W
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
hich action should the nurse take next?
gt gt gt gt gt gt gt
a. Provide a thorough explanation of the planned surgical procedure.
gt gt gt gt gt gt gt gt gt gt
b. Notify the surgeon that the informed consent process is not complete.
gt gt gt gt gt gt gt gt gt gt gt gt
c. Give the prescribed preoperative antibiotics and withhold sedative medications.
gt gt gt gt gt gt gt gt gt gt
d. Notify the operating room nurse to give a more complete explanation of the proce
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
dure. - (correct answer) - gt gt gt gt
b. Notify the surgeon that the informed consent process is not complete.
gtgt gt gt gt gt gt gt gt gt gt gt gt
10. Which topic is most important for the nurse to discuss preoperatively with a patie
gt gt gt gt gt gt gt gt gt gt gt gt gt gt
nt who is scheduled for an open cholecystectomy?
gt gt gt gt gt gt gt gt
a. Care for the surgical incision
gt gt gt gt gt gt
b. Deep breathing and coughing
gt gt gt gt gt
c. Oral antibiotic therapy after discharge
gt gt gt gt gt gt
