Perioperative NCLEX questions & Answers.With Rationales. Rated A+. Document Content and Description Below

Perioperative NCLEX questions & Answers.With Rationales. Rated A+. Document Content and Description Below A 26-year old client comes into the clinic prior to a tonsillectomy. Which action is priority during this phase of surgery? a. Intraoperative consent signed b. Intraoperative medication c. Pr eoperative assessment d. Postoperative assessment - ☑☑-c. Preoperative assessment The client is in the preoperative phase of surgery and must be assessed and prepared for surgery. The client may have labs drawn, medication administered, and consent forms signed. The intraoperative phase is the actual surgery; the client is anesthetized, prepped, draped, and surgery performed. The postoperative phase is the recovery phase of surgery where the client continues to recover until maximum health is achieved. A 76-year old client is to undergo a hernia repair. The nurse knows that in order to aid in the healing process, the perioperative nurse must assist the client with which concept during what surgical phase? a. Perfusion therapy during the intraoperative phase b. Wound healing during the postoperative phase c. Wound healing during the preoperative and intraoperative phase d. Infection during the postoperative phase - ☑☑-c. Wound healing during the preoperative and intraoperative phase Inadequate control of stress and coping mechanisms can prolong the perioperative healing process and a client's prognosis. Perioperative care includes assessing client stress and coping mechanisms during the preoperative phase and reassessing following the procedure. Postoperative infections may occur as a result of improper wound care or hospital acquired infections may occur as a result of infection control protocols not being followed. Adequate perfusion enhances wound healing and perioperative recovery. Nurses providing intraoperative and postoperative care must follow infection protocols. A 65-year old client is having neck surgery. Which nursing diagnosis does the nurse include for this client? a. Risk for burns b. Risk for fluid volume: Deficient c. Ineffective pain control d. Risk for fluid volume: Excess - ☑☑-b. Risk for fluid volume: Deficient Risk for Fluid Volume: Deficient is related to any blood loss during the client's surgery and NPO status. Risk for Burns is unrelated; there is no indication for Fluid Volume: Excess or Ineffective Pain Control. An 18-year old client is admitted to the emergency room for an emergency appendectomy. The nurse knows that which assessment is priority with each perioperative phase a. Medication assessment b. Pain assessment c. History and physical d. Systems assessment - ☑☑-d. Systems assessment While the other assessments are important, a systems assessment is priority and can be completed with each perioperative phase, making sure the client remains at baseline throughout. A 43-year old client is undergoing a CABG. What priority understanding does the nurse have about perioperative documentation? a. If it was not written, it was not done b. It includes all steps of the nursing process c. It's a legal document subject to internal review d. It keeps the nurse and patient safe - ☑☑-b. It includes all steps of the nursing process All answers are correct; however, the priority understanding of perioperative documentation is that it includes all steps of the nursing process including assessment, diagnosis, identified outcomes, planning, implementation, and evaluation. A client diagnosed with gallbladder disease decides to undergo a laparoscopic cholecystectomy as opposed to an open procedure. The nurse realizes the client chose the laparoscopic surgery due to what reason? a. The laparoscopic surgery has a higher infection rate b. The laparoscopic surgery requires a shorter hospital stay and recovery c. The open surgery is more expensive d. The open surgery scars are less noticeable - ☑☑-b. The laparoscopic surgery requires a shorter hospital stay and recovery Laparoscopic surgeries are less invasive and usually require a shorter hospital stay and recovery. Also, due to the small incision sites the patient is at a lower risk for acquiring a surgical site infection (SSI) and experiences less blood loss. Open procedures usually require a longer hospital stay and longer recovery period. Open procedures also place the client at a higher risk for blood loss. Larger incisions place