MS Perioperative quiz 100% solution 2023//2024

MS Perioperative quiz 100% solution 2023//2024 A client who experiences sudden and severe chest pain 2—3 days after surgery with general anesthesia has most likely developed a) wound dehiscence b) hemorrhage c) a pulmonary embolism d) a wound infection - ANSWER a pulmonary embolism The nurse is assessing a postoperative patient. Which of the following findings would the nurse correctly evaluate as being the earliest indicator of hemorrhage or shock that should be reported to the physician? a) nausea b) polyuria c) fever d) tachycardia - ANSWER tachycardia During surgery, a patient develops malignant hyperthermia. Which of the following is done to treat this condition? a) Immediately cease anesthesia and surgery, and administer dantrolene sodium b) Administer oxygen, and continue anesthesia and surgery c) Warm the patient, and then continue surgery d) Switch to a different type of anesthetic agent to continue surgery - ANSWER Immediately cease anesthesia and surgery, and administer dantrolene sodium Which of these patients would the nurse recognize as in the best condition for surgery and at lowest risk for complications? a) A 55-year-old morbidly obese patient b) A 66-year-old patient who is a marathon runner c) A 23-year-old patient 30 lb less than ideal weight d) A 40-year-old patient who plans to quit smoking after surgery - ANSWER A 66-yearold patient who is a marathon runner A nephrectomy (performed for renal cancer that has not spread beyond the kidney) is an example of which category of surgical procedures? a) Diagnostic b) Palliative c) Curative d) Exploratory - ANSWER Curative The PACU nurse is caring for a patient who has arrived from the OR. During the initial assessment, the nurse observes that the patient's skin has become blue and dusky. The nurse looks, listens, and feels for breathing, and determines the patient is not breathing. What is the priority intervention? a) Treat the possible airway obstruction by tilting the head back and pushing forward on the angle of the lower jaw. b) Reintubate the patient. c) Assess the arterial pulses, and place the patient in the Trendelenburg position. d) Check the patient's oxygen saturation level, continue to monitor for apnea, and perform a focused assessment. - ANSWER Treat the possible airway obstruction by tilting the head back and pushing forward on the angle of the lower jaw. Which method of wound healing is one in which wound edges are not surgically approximated and integumentary continuity is restored by granulation? a) First-intention healing b) Second-intention healing c) Primary-intention healing d) Third-intention healing - ANSWER Second-intention healing Which of the following would be included as a responsibility of the scrub nurse? a) Coordinating activities of other personnel b) Obtaining and opening wrapped sterile equipment c) Handing instruments to the surgeon and assistants d) Keeping all records and adjusting lights - ANSWER Handing instruments to the surgeon and assistants Which stage of anesthesia is termed surgical anesthesia? a) I b) IV c) III d) II - ANSWER III Which of the following is a classic sign of hypovolemic shock? a) High blood pressure b) Dilute urine c) Bradypnea d) Pallor - ANSWER Pallor An adult patient is in the recovery room following a nephrectomy performed for the treatment of renal cell carcinoma. The patient's vital signs and level of consciousness stabilized, but the patient then complains of severe nausea and begins to retch. What should the nurse do next? a) Turn the patient completely to one side. b) Administer a dose of IV analgesic. c) Offer the patient a small amount of ice chips. d) Apply a cool cloth to the patient's forehead. - ANSWER Turn the patient completely to one side. A client just entered the post anesthesia care unit following abdominal surgery. The client is showing frank, increased bleeding, and his blood pressure is plummeting. Which of the following interventions will the nurse perform to manage and minimize hemorrhage and shock? a) Providing back rub b) Elevating the head of bed c) Encouraging deep breathing d) Reinforcing dressing and applying pressure - ANSWER Reinforcing dressing and applying pressure Your client required reversal drugs after surgery. What nursing intervention is required when caring for a client who is treated with reversal drugs? a) Help the client slowly move to an upright or standing position. b) Instruct the client to lie flat. c) Emphasize the dietary restriction. d) Observe the client for an extended period. - ANSWER Observe the client for an extended period