Ch. 29 Perioperative Nursing – Flashcards

perioperative nursing

The perioperative phases

3 stages of postoperative phase

Which nursing action will best promote pain management for a client in the postoperative phase? a) Providing food and medication b) Breathing into a paper bag c) Dimming the lights d) Performing relaxation techniques

The nurse recognizes the value of leg exercises in the prevention of postoperative thrombophlebitis. When should the nurse teach the correct technique for leg exercises to a client? a) upon transfer from postanesthesia care unit (PACU) to the postoperative unit b) in postanesthesia recovery c) when early signs of venous stasis are evident d) prior to surgery

A nurse is reinforcing wound edges and applying a blinder to the separated incisions of a client after a surgery. Which postoperative complication has the client developed? a) Shock b) Dehiscence c) Hypoxemia d) Evisceration

The nurse has entered the room of a client who is postoperative day 1 and finds the client grimacing and guarding her incision. The client refuses the nurse's offer of p.r.n. analgesia and, on discussion, states that this refusal is motivated by his fear of becoming addicted to pain medications. How should the nurse respond to the client's concerns? a) "The hospital has excellent resources for dealing with any addiction that might result from the medications you take to control your pain." b) "Actually, people who are not addicted to drugs before their surgery never develop a tolerance or addiction during their recovery." c) "Research has shown that there is very little risk of clients becoming addicted to painkillers after they have surgery." d) "You should remind yourself that treating your pain is important now, and that dealing with any resulting dependency can come later."

Which client would a nurse monitor most closely for postoperative respiratory complications? a) a 55-year-old client with a history of asthma who had a colon resection b) a 75-year-old client with a history of hypertension who had a colonoscopy c) a 31-year-old client with no medical problems who had an appendectomy d) an 8-year-old client with no medical problems who had a tonsillectomy

Which client most likely requires special preoperative assessment and treatment as a result of the existing medication regimen? a) a man who takes an angiotensin-converting enzyme (ACE) inhibitor because he has hypertension b) a woman who takes daily thyroid supplements to treat her longstanding hypothyroidism c) a man who regularly treats his rheumatoid arthritis with over-the-counter nonsteriodal anti-inflammatory drugs (NSAIDs) d) a woman who takes daily anticoagulants to treat atrial fibrillation

A nurse is assigned to be the circulating nurse during a surgical procedure. The nurse would be responsible for which activity? a) Preparing the sterile tables in the operating room before surgery b) Providing sponges and drains to the surgical team in the operating room c) Coordinating care activity d) Anticipating the needs of other members of the surgical team

A client has been taking aspirin since his heart attack in 1997. The client is at risk for: a) hemorrhage. b) thrombophlebitis. c) blood clots. d) infection.

A nurse caring for patients in a PACU assesses a patient who is displaying signs and symptoms of shock. What is the priority nursing intervention for this patient? a) Place the patient in the prone position. b) Place the patient in a flat position with legs elevated 45 degrees. c) Remove extra coverings on the patient to keep temperature down. d) Do not administer any further medication.

A nurse is discussing a surgical procedure with a client who needs to sign his informed consent. Which of these tasks is part of the nursing role? a) describing how the client will benefit from the surgical procedure b) explaining to the client about potential risks of having the surgery c) witnessing the client signature with their consent for surgery d) determining for the client what other treatment options exist

The nurse recognizes that palliative surgery is performed for what purpose? a) to restore function to tissue that is traumatized b) to make or confirm a diagnosis c) to remove a part of the body that is diseased d) to lessen the intensity of an illness

Which measure would the nurse implement for prevention of deep vein thrombosis (DVT) in a postoperative client? a) Educate the client about the use of incentive spirometer. b) Encourage the client to elevate the head of bed. c) Place graduated compression stockings on the client. d) Elevate bilateral legs when client is lying in bed.

A client is undergoing surgery for an appendectomy. This would be considered what type of surgery? a) Diagnostic surgery b) Elective surgery c) Palliative surgery d) Emergency surgery

Which statement, if made by an adolescent preparing for abdominal surgery, would indicate to the nurse that the client requires additional instruction? a) "The better I eat before surgery, the more likely I will heal." b) "I can have a hamburger and French fries as soon as I wake up." c) "I might be sick to my stomach and throw up after surgery." d) "When I can eat again, the best meal would be steak and orange juice."

The nurse knows the term perioperative phase refers to care given to the client: a) from the start of surgery until its conclusion. b) before, during, and after the operative phase. c) immediately after the operative phase. d) immediately before an operative procedure.

A client is being prepared for discharge home from the postanesthesia care unit (PACU). What action is essential for the nurse to take? a) Confirm the client has been in the PACU for at least four hours. b) Check that the client is able to drink liquids without nausea. c) Determine if the client is able to drive home or can ride the bus. d) Ensure a client that is dizzy has help at home to prevent falls.