Med surg adult 1 exam 3 questions with correct answers
An older client is hospitalized after an operation. When assessing the client for postoperative infection, the nurse places priority on which assessment? CORRECT
ANSWER-change in behavior
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team? CORRECT ANSWER-use of multiple herbs and supplements
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for post-discharge care? CORRECT ANSWER-older adult who lives at home despite some memory loss
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best? CORRECT ANSWER-assess the client for anxiety
A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. Which result warrants immediate communication with the surgical team? CORRECT ANSWER-potassium 2.9 mEq/L
an inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best? CORRECT ANSWER-do not have the client sign the consent and call the surgeon A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best? CORRECT ANSWER-demonstrate how to splint the incision
A nurse is giving a client instructions for showering with special antimicrobial soap the night before surgery. What instruction is most appropriate? CORRECT ANSWER-be sure wash the area where you will have surgery very thoroughly
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met? CORRECT ANSWER-there is no redness, warmth, or drainage at the insertion site
a client waiting for surgery is very anxious. What intervention can the nurse delegate to the unlicensed assistive personnel (UAP)? CORRECT ANSWER-give the client a back rub
A client who collapsed during dinner in a restaurant arrives in the emergency department. The client is going to surgery to repair an abdominal aortic aneurysm. What medication does the nurse prepare to administer as a priority for this client? CORRECT ANSWER-metoclopramide
A client in the preoperative holding room has received sedation and now needs to urinate. What action by the nurse is best? CORRECT ANSWER-give the client a bedpan or urinal to use
A student is caring for clients in the preoperative area. The nurse contacts the surgeon about a client whose heart rate is 120 beats/min. After consulting with the surgeon, the nurse administers a beta blocker to the client. The student asks why this was needed. What response by the nurse is best? CORRECT ANSWER-a rapid heart rate requires more effort by the heart The perioperative nurse manager and the postoperative unit manager are concerned
about the increasing number of surgical infections in their hospital. What action by
the managers is best? CORRECT ANSWER-aduit charts to see if the Surgial Care Improvement Project (SCIP) outcomes were met
A nurse assesses a client in the preoperative holding area and finds brittle nails and
hair, dry skin turgor, and muscle wasting. What action by the nurse is best? CORRECT ANSWER-consult the surgeon about a postoperative dietitian referral
a nurse is concerned that a preoperative client has a great deal of anxiety about the upcoming procedure. What action by the nurse is best? CORRECT ANSWER-ask the client to describe current feelings
A client has been given hydroxyzine (Atarax) in the preoperative holding area. What action by the nurse is most important for this client? CORRECT ANSWER-
raise the siderails on the bed
A client is on the phone when the nurse brings a preoperative antibiotic before scheduled surgery. The circulating nurse has requested the antibiotic be started. The client wants the nurse to wait before starting it. What response by the nurse is most appropriate? CORRECT ANSWER-explain the rationale for giving the medicine now
A nurse is giving a preoperative client a dose of ranitidine (Zantac). The client asks
why the nurse is giving this drug when the client has no history of ulcers. What response by the nurse is best? CORRECT ANSWER-it helps prevent ulcers from the stress of the surgery
A new perioperative nurse is receiving orientation to the surgical area and learns about the Surgical Care Improvement Project (SCIP) goals. What major areas do
An older client is hospitalized after an operation. When assessing the client for postoperative infection, the nurse places priority on which assessment? CORRECT
ANSWER-change in behavior
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team? CORRECT ANSWER-use of multiple herbs and supplements
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for post-discharge care? CORRECT ANSWER-older adult who lives at home despite some memory loss
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best? CORRECT ANSWER-assess the client for anxiety
A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. Which result warrants immediate communication with the surgical team? CORRECT ANSWER-potassium 2.9 mEq/L
an inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best? CORRECT ANSWER-do not have the client sign the consent and call the surgeon A client has a great deal of pain when coughing and deep breathing after abdominal surgery despite having pain medication. What action by the nurse is best? CORRECT ANSWER-demonstrate how to splint the incision
A nurse is giving a client instructions for showering with special antimicrobial soap the night before surgery. What instruction is most appropriate? CORRECT ANSWER-be sure wash the area where you will have surgery very thoroughly
A postoperative client has an abdominal drain. What assessment by the nurse indicates that goals for the priority client problems related to the drain are being met? CORRECT ANSWER-there is no redness, warmth, or drainage at the insertion site
a client waiting for surgery is very anxious. What intervention can the nurse delegate to the unlicensed assistive personnel (UAP)? CORRECT ANSWER-give the client a back rub
A client who collapsed during dinner in a restaurant arrives in the emergency department. The client is going to surgery to repair an abdominal aortic aneurysm. What medication does the nurse prepare to administer as a priority for this client? CORRECT ANSWER-metoclopramide
A client in the preoperative holding room has received sedation and now needs to urinate. What action by the nurse is best? CORRECT ANSWER-give the client a bedpan or urinal to use
A student is caring for clients in the preoperative area. The nurse contacts the surgeon about a client whose heart rate is 120 beats/min. After consulting with the surgeon, the nurse administers a beta blocker to the client. The student asks why this was needed. What response by the nurse is best? CORRECT ANSWER-a rapid heart rate requires more effort by the heart The perioperative nurse manager and the postoperative unit manager are concerned
about the increasing number of surgical infections in their hospital. What action by
the managers is best? CORRECT ANSWER-aduit charts to see if the Surgial Care Improvement Project (SCIP) outcomes were met
A nurse assesses a client in the preoperative holding area and finds brittle nails and
hair, dry skin turgor, and muscle wasting. What action by the nurse is best? CORRECT ANSWER-consult the surgeon about a postoperative dietitian referral
a nurse is concerned that a preoperative client has a great deal of anxiety about the upcoming procedure. What action by the nurse is best? CORRECT ANSWER-ask the client to describe current feelings
A client has been given hydroxyzine (Atarax) in the preoperative holding area. What action by the nurse is most important for this client? CORRECT ANSWER-
raise the siderails on the bed
A client is on the phone when the nurse brings a preoperative antibiotic before scheduled surgery. The circulating nurse has requested the antibiotic be started. The client wants the nurse to wait before starting it. What response by the nurse is most appropriate? CORRECT ANSWER-explain the rationale for giving the medicine now
A nurse is giving a preoperative client a dose of ranitidine (Zantac). The client asks
why the nurse is giving this drug when the client has no history of ulcers. What response by the nurse is best? CORRECT ANSWER-it helps prevent ulcers from the stress of the surgery
A new perioperative nurse is receiving orientation to the surgical area and learns about the Surgical Care Improvement Project (SCIP) goals. What major areas do
