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Nursing 120 Med Surg 1 Quiz 1 Questions and Answers-
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Nursing 120 Med Surg 1 Quiz 1 Questions and Answers-
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An overweight patient is scheduled for a laparoscopic cholecystectomy at
an outpatient surgery setting. The nurse knows that
a. surgery will involved multiple lacerations
b. this setting is not appropriate for this procedure
c. surgery will involve removing a part of the liver
d. the patient will need special preparation because of obesity - a. surgery will involve
multiple small incisions
The patient tells the nurse in the preoperative setting that she has noticed she has a
reaction when wearing rubber gloves. What is the most appropriate reaction?
a. notify the surgeon so that surgery can be cancelled
b. ask additional questions to assess for a possible latex allergy
c. notify the OR staff at once so they can use latex-free supplies
d. no action is needed because the patient's rubber sensitivity has no bearing on surgery
- b. ask additional questions to assess for a possible latex allergy
A 59-year old man scheduled for a herniorrhaphy in 2 days reports that he takes ginkgo
daily. What is the priority intervention?
a. inform the surgeon, since the procedure may have to be rescheduled
b. notify the anesthesia care provider, since this herb interferes with anesthetics
c. ask the patient if he has noticed any side effects from taking this herbal supplement
d. tell the patient to continue to take the herbal supplement up to the day before surgery -
a. inform the surgeon
a 17-year old patient with a leg fracture who is scheduled for surgery is an emancipated
minor. She has a statement from the court for verification. Which intervention is most
appropriate?
a. witness the permit after the surgeon obtains consent
b. call a parent or legal guardian to sign the permit since the patient is under 18
c. notify the hospital attorney that an emancipated minor is consenting for surgery
d. obtain verbal consent since written consent is not necessary for emancipated minors -
a. witness the permit after the surgeon obtains consent
A priority nursing intervention to aid a preoperative patient in coping with fear of
postoperative pain would be to
a. inform the patient that pain medication will be available
b. teach the patient to use guided imagery to help manage pain
c. describe the type of pain expected with the patient's particular surgery
d. explain the pain management plan, including the use of a pain rating scale - d. explain
the pain management plain, including the use of a pain rating scale
A patient is scheduled for surgery requiring general anesthesia at an ambulatory surgical
center. The nurse asks him when he ate last. He replies that he had a light breakfast a
couple of hours before coming to the surgery center. What should the nurse do first?
a. tell the patient to com back tomorrow, since he ate a meal.
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b. have the patient vid before giving any preoperative medications
c. proceed with the preoperative checklist, including site identification
d. notify the anesthesia care provider of when and what the patient last ate - d. notify the
anesthesia care provider of when and what the patient last ate
a patient who normally takes 40 units of glargine insulin (long-acting insulin) at bedtime
asks the nurse what to do about her dose the night before surgery. The best response
would be to have her
a. skin her insulin altogether the night before surgery
b. get instructions from her surgeon or HCP on any insulin adjustments
c. take her usual dose at bedtime and eat a light breakfast in the morning
d. eat a moderate meal before bedtime and then take half her usual insulin dose - b. get
instructions from surgeon or HCP
Preoperative considerations for older adults include (select all that apply)
a. using only large-print educational brochures
b. speaking louder for patients with hearing aids
c. recognizing that sensory deficits may be present
d. providing warm blankets to prevent hypothermia
e. teaching important information early in the morning - c. recognizing that sensory
deficits may be present
d. providing warm blankets to prevent hypothermia
Penrose drain - a surgical device placed in a wound, cavity or infected area to drain fluid
OPEN draining system
drains by gravity
always use surgical aseptic technique
use a drain sponge- never gauze
K levels - 3.5-5
INR levels - 0.7-1.8
Na levels - 135*-145 mEq/L
also 136-145
BUN levels - 10-20
notify provider if urine output is - less than 30 mL/hr
Who's responsible for explaining the risks and benefits of procedure and obtain informed
consent? - Surgeon or HCP
Notify surgeon when BP drops how much above or below the baseline? - 25%
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