Perioperative Nursing (Test Bank)
Questions With 100% Complete
Solutions| Latest Update
ANS: A
For patients who have had eye, intracranial, or spinal surgery, coughing
may be contraindicated because of the potential increase in intraocular
or intracranial pressure. The nurse will need to see this patient first to
control the cough and intraocular pressure. All the rest are normal
postoperative patients. Leg exercise should not be performed on the
operative leg with vascular surgery. A patient after knee surgery should
receive heparin and be wearing intermittent pneumatic compression
devices; while the nurse will check on the patient, it does not have to
be first. Monitoring vital signs after surgery is required and this is the
standard schedule. - CORRECT ANSWER-38. The nurse is caring for a
group of patients. Which patient will the nurse see first?
a. A patient who had cataract surgery is coughing.
b. A patient who had vascular repair of the right leg is not doing right
leg exercises.
c. A patient after knee surgery is wearing intermittent pneumatic
compression devices and receiving heparin.
d. A patient after surgery has vital signs taken every 15 minutes twice,
every 30 minutes twice, hourly for 2 hours then every 4 hours.
,ANS: A
The sequence of exercises is leg exercises, turning, breathing, and
coughing. - CORRECT ANSWER-39. The nurse demonstrates
postoperative exercises for a patient. In which order will the nurse
instruct the patient to perform the exercises?
1. Turning
2. Breathing
3. Coughing
4. Leg exercises
a. 4, 1, 2, 3
b. 1, 2, 3, 4
c. 2, 3, 4, 1
d. 3, 1, 4, 2
ANS: A, B, C
A time-out is performed just before starting the procedure for final
verification of the correct patient, procedure, site, and any implants.
The marking and time-out most commonly occur in the holding area,
just before the patient enters the OR. The individual performing surgery
,and who is accountable for it must personally mark the site, and the
patient must be involved if possible. - CORRECT ANSWER-1. The nurse is
participating in a "time-out." In which activities will the nurse be
involved? (Select all that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
e. Perform the actual marking of the operative site.
ANS: B, D, E
Evidence suggests that pre-warming for a minimum of 30 minutes may
reduce the occurrence of hypothermia. Prevention of hypothermia
(core temperature < 36° C) helps to reduce complications such as
shivering, cardiac arrest, blood loss, SSI, pressure ulcers, and mortality. -
CORRECT ANSWER-2. The nurse is using a forced air warmer for a
surgical patient preoperatively. Which goals is the nurse trying to
achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
, c. Induce pressure ulcers.
d. Reduce cardiac arrests.
e. Reduce surgical site infection.
ANS: A, E
Performing hand hygiene before and after contact with the patient
helps to decrease the number of microorganisms and break the chain of
infection. Maintaining blood glucose levels at less than 150 mg/dL has
resulted in decreased wound infection. Removing unwanted hair by
clipping instead of shaving decreases the numbers of nicks and cuts
caused by a razor and the potential for the introduction of microbes.
The patient is postoperative; administration of an antibiotic 60 minutes
before the surgical incision supports the defense against infection
preoperatively. Providing a bath and linen change daily is positive but is
not necessarily important for infection control. Many surgeons prefer to
change surgical dressings the first time so they can inspect the incisional
area, but this is done before 2 days postoperatively. - CORRECT
ANSWER-3. The nurse is caring for a postoperative patient with an
incision. Which actions will the nurse take to decrease wound
infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
Questions With 100% Complete
Solutions| Latest Update
ANS: A
For patients who have had eye, intracranial, or spinal surgery, coughing
may be contraindicated because of the potential increase in intraocular
or intracranial pressure. The nurse will need to see this patient first to
control the cough and intraocular pressure. All the rest are normal
postoperative patients. Leg exercise should not be performed on the
operative leg with vascular surgery. A patient after knee surgery should
receive heparin and be wearing intermittent pneumatic compression
devices; while the nurse will check on the patient, it does not have to
be first. Monitoring vital signs after surgery is required and this is the
standard schedule. - CORRECT ANSWER-38. The nurse is caring for a
group of patients. Which patient will the nurse see first?
a. A patient who had cataract surgery is coughing.
b. A patient who had vascular repair of the right leg is not doing right
leg exercises.
c. A patient after knee surgery is wearing intermittent pneumatic
compression devices and receiving heparin.
d. A patient after surgery has vital signs taken every 15 minutes twice,
every 30 minutes twice, hourly for 2 hours then every 4 hours.
,ANS: A
The sequence of exercises is leg exercises, turning, breathing, and
coughing. - CORRECT ANSWER-39. The nurse demonstrates
postoperative exercises for a patient. In which order will the nurse
instruct the patient to perform the exercises?
1. Turning
2. Breathing
3. Coughing
4. Leg exercises
a. 4, 1, 2, 3
b. 1, 2, 3, 4
c. 2, 3, 4, 1
d. 3, 1, 4, 2
ANS: A, B, C
A time-out is performed just before starting the procedure for final
verification of the correct patient, procedure, site, and any implants.
The marking and time-out most commonly occur in the holding area,
just before the patient enters the OR. The individual performing surgery
,and who is accountable for it must personally mark the site, and the
patient must be involved if possible. - CORRECT ANSWER-1. The nurse is
participating in a "time-out." In which activities will the nurse be
involved? (Select all that apply.)
a. Verify the correct site.
b. Verify the correct patient.
c. Verify the correct procedure.
d. Perform "time-out" after surgery.
e. Perform the actual marking of the operative site.
ANS: B, D, E
Evidence suggests that pre-warming for a minimum of 30 minutes may
reduce the occurrence of hypothermia. Prevention of hypothermia
(core temperature < 36° C) helps to reduce complications such as
shivering, cardiac arrest, blood loss, SSI, pressure ulcers, and mortality. -
CORRECT ANSWER-2. The nurse is using a forced air warmer for a
surgical patient preoperatively. Which goals is the nurse trying to
achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
, c. Induce pressure ulcers.
d. Reduce cardiac arrests.
e. Reduce surgical site infection.
ANS: A, E
Performing hand hygiene before and after contact with the patient
helps to decrease the number of microorganisms and break the chain of
infection. Maintaining blood glucose levels at less than 150 mg/dL has
resulted in decreased wound infection. Removing unwanted hair by
clipping instead of shaving decreases the numbers of nicks and cuts
caused by a razor and the potential for the introduction of microbes.
The patient is postoperative; administration of an antibiotic 60 minutes
before the surgical incision supports the defense against infection
preoperatively. Providing a bath and linen change daily is positive but is
not necessarily important for infection control. Many surgeons prefer to
change surgical dressings the first time so they can inspect the incisional
area, but this is done before 2 days postoperatively. - CORRECT
ANSWER-3. The nurse is caring for a postoperative patient with an
incision. Which actions will the nurse take to decrease wound
infections? (Select all that apply.)
a. Maintain normoglycemia.
b. Use a straight razor to remove hair.
c. Provide bath and linen change daily.
