Test bank question &answers
An older client is hospitalized after an operation. When assessing the client for postoperative infection, the nurse places priority on which assessment?
a. Change in behavior
b. Daily white blood cell count
c. Presence of fever and chills
d. Tolerance of increa...
Test bank question &answers
An older client is hospitalized after an operation. When assessing the client for postoperative infection,
the nurse places priority on which assessment?
a. Change in behavior
b. Daily white blood cell count
c. Presence of fever and chills
d. Tolerance of increasing activity - correct Answera. 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?
a. Allergy to bee and wasp stings
b. History of lactose intolerance
c. No previous experience with surgery
d. Use of multiple herbs and supplements - correct Answerd. 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?
a. Married young adult who is the primary caregiver for children
b. Middle-aged client who is post knee replacement, needs physical therapy
c. Older adult who lives at home despite some memory loss
d. Young client who lives alone, has family and friends nearby - correct Answerc. 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?
,a. Assess the client for anxiety.
b. Break the information into smaller bits.
c. Give the client written information.
d. Review the information again. - correct Answera. 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?
a. Creatinine: 1.2 mg/dL
b. Hemoglobin: 14.8 mg/dL
c. Potassium: 2.9 mEq/L
d. Sodium: 134 mEq/L - correct Answerc. Potassium: 2.9 mEq/L
A potassium of 2.9 mEq/L is critically low and can affect cardiac and respiratory status.
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?
a. Answer the questions and document that teaching was done.
b. Do not have the client sign the consent and call the surgeon.
c. Have the client sign the consent, then call the surgeon.
d. Remind the client of what teaching the surgeon has done. - correct Answerb. 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?
a. Call the provider to request more analgesia.
b. Demonstrate how to splint the incision.
,c. Have the client take shallower breaths.
d. Tell the client a little pain is expected. - correct Answerb. 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?
a. After you wash the surgical site, shave that area with your own razor.
b. Be sure to wash the area where you will have surgery very thoroughly.
c. Use a washcloth to wash the surgical site; do not take a full shower or bath.
d. Wash the surgical site first, then shampoo and wash the rest of your body. - correct Answerb. Be sure
to 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?
a. Drainage from the surgical site is 30 mL less than yesterday.
b. There is no redness, warmth, or drainage at the insertion site.
c. The client reports adequate pain control with medications.
d. Urine is clear yellow and urine output is greater than 40 mL/hr. - correct Answerb. 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)?
a. Assess the clients anxiety.
b. Give the client a back rub.
c. Remind the client to turn.
d. Teach about postoperative care. - correct Answerb. 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?
a. Hydroxyzine (Atarax)
b. Lorazepam (Ativan)
c. Metoclopramide (Reglan)
d. Morphine sulfate - correct Answerc. Metoclopramide (Reglan)
A client in the preoperative holding room has received sedation and now needs to urinate. What action
by the nurse is best?
a. Allow the client to walk to the bathroom.
b. Delegate assisting the client to the nurses aide.
c. Give the client a bedpan or urinal to use.
d. Insert a urinary catheter now instead of waiting. - correct Answerc. 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?
a. A rapid heart rate requires more effort by the heart.
b. Anesthesia has bad effects if the client is tachycardic.
c. The client may have an undiagnosed heart condition.
d. When the heart rate goes up, the blood pressure does too. - correct Answera. 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?
a. Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met.
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