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What should be included as part of the psychological nursing assessment?
a) Anxiety, temperature, and religious beliefs
b) Anxiety, temperature, and cultural practices
c) Cultural beliefs, perception of surgery, and religious beliefs
d) Cultural practice, religious beliefs, and age - ANSWER-c
During a preoperative interview, a patient reports that a surgical prep solution made him
breakout in hives after a previous surgical procedure. What action should the perioperative RN
take?
a) Alert the surgeon and discuss the selection of preoperative skin antiseptic.
b) Ask the surgeon for an antihistamine to be administered preoperatively
c) Monitor the patient more closely after administrating preoperative sedation
d) Notify the anesthesia professional of a potential interaction with anesthetic agents -
ANSWER-a
During the preoperative interview, the perioperative RN should ask the patient's about their use
of:
a) Alcohol
b) Herbal preparations
c) Recreational Drugs
d) Tobacco products
e) All of the above - ANSWER-e
The PRIMARY purpose of conducting a preoperative assessment is to:
,a) Define the patient's risk factors and develop a plan of care
b) Determine the length of the procedure and needed supplies
c) Introduce the patient to the surgical team
d) Provide information necessary for discharge - ANSWER-a
Which of the following sensory assessment findings is common among elderly patients?
a) Decrease in vision including color and depth perception
b) Decreased ability to understand explanations
c) Increased perception of pain
d) Memory impairment - ANSWER-a
A child in which of the following age groups can be described as "likes to socialize and can
interpret terms"?
a) 1 to 12 months
b) 1 to 3 years
c) 3 to 6 years
d) 6 to 12 years - ANSWER-c
Which of the following statements is true?
a) Blood pressure remains constant with age
b) Body temperature increases with increasing age
c) Heart rate increases with increasing age
d) Lung capacity decreases with increasing age - ANSWER-d
Which of the following factors make geriatric patients more sensitive to injury and cold?
a) Decrease in subcutaneous fat
,b) Lung capacity decreases with age
c) Bilirubin and hemoglobin shift
d) Medication absorption is decreased - ANSWER-a
A preoperative nursing assessment should be conducted by a perioperative RN at what point?
a) Prior to discharge
b) Before the surgery
c) In the surgeon's office
d) Before the surgical consent is signed - ANSWER-b
In relation to transcultural needs of the patient, it is important to include _______________
needs in the nursing assessment.
a) Medical
b) Activities of daily living
c) Pharmacological
d) Spiritual - ANSWER-d
A directive interview is:
a) Open-ended and unstructured
b) Structured with predetermined questions
c) Used to determine personality traits
d) An observation of the patient's nonverbal behavior - ANSWER-b
Factors that may affect postoperative pain are? Select all that apply.
a) The surgical site
b) The nature and intended purpose of the surgery
, c) The patient's fears regarding anesthesia or surgery
d) The level of anxiety of the patient's family members - ANSWER-a, b, c
Which of the following BEST illustrates the purpose of perioperative patient and family
education?
a) To convey genuine caring for the patient's well-being
b) To increase patient and family adherence to the plan of care
c) To increase the patient's and family's satisfaction with the quality of care
d) To support legal, ethical, and regulatory mandates - ANSWER-b
Sally is a 43-year-old female scheduled for a laparoscopic cholecystectomy. The perioperative
RN should provide preoperative education to Sally and her family, including:
a) Detailed information about the surgical procedure, including risks and benefits
b) Obtaining informed consent from Sally and suspending any DNR orders
c) Verification of financial resources
d) Wound care and pain management - ANSWER-d
Which of the following practices violates a patient's ethical right to self-determination?
a) Automatic intraoperative suspension of a do-not-resuscitate decision
b) Including family members in the education process
c) Performing emergency surgery without informed consent
d) Providing information about the scientific evidence for planned care - ANSWER-a
Obtaining informed consent is a two-step process of:
a) Weighing the benefits and burdens of tx options
b) Communicating information and documenting the decision
c) Determining patient competency and authenticity of the signature