Exam (elaborations)
Chapter 2: Care of the Surgical Patient
- Institution
- Chapter 2: Care Of The Surgical Patient
Chapter 2: Care of the Surgical Patient Adult Health Care 7th edition By Cooper - Test Bank
[Show more]
Content preview
Chapter 2: Care of the Surgical PatientMULTIPLE CHOICE
1. The patient who had a nephrectomy yesterday has not used the patient-controlled analgesia
(PCA) delivery system but admits to being in pain but fearful of addiction. What is the nurse’s
best response?
a. “Modern analgesic drugs do not cause addiction.”
b. “Pain relief is worth a short period of addiction.”
c. “Addiction rarely occurs in the brief time postsurgical analgesia is required.”
d. “Addiction could be a real concern.”
ANS: C
Addiction rarely occurs in the short time that it is required after surgery. Postsurgical
analgesia, because of its brief application, does not usually produce a physical or a
psychological dependence.
DIF: Cognitive Level: Application REF: Page 34 OBJ: 13
TOP: Fear of addiction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. A 73-year-old patient with diabetes was admitted for below-the-knee amputation of his right
leg. Removal of his right leg is an example of which type of surgery?
a. Palliative
b. Diagnostic
c. Reconstructive
d. Ablative
ANS: D
Ablative is a type of surgery where an amputation, excision of any part of the body, or
removal of a growth and harmful substance is performed.
DIF: Cognitive Level: Comprehension REF: Page 16, Table 2-1
OBJ: 2 TOP: Types of surgeries
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
3. In which situation might surgery be delayed?
a. The patient has taken Dilantin today.
b. An illegible signature is on the consent form..
c. The patient is still taking anticoagulants.
d. The admission office is unable to confirm insurance coverage.
ANS: C
All medications should be cancelled before surgery, except for drugs such as phenytoin
(Dilantin). Anticoagulant therapy increases the threat of hemorrhage and may be a cause for
delay.
DIF: Cognitive Level: Knowledge REF: Page 34, Page 36 Table 2-6
OBJ: 7 TOP: Anticoagulant therapy
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
, 4. Which circumstance could prevent the patient from signing his informed consent for a
cholecystectomy?
a. The patient complains of pain radiating to the scapula.
b. The patient received an injection of Demerol, 75 mg IM, 1 hour ago.
c. The patient is 85 years of age.
d. The patient is concerned over his lack of insurance coverage.
ANS: B
Informed consent should not be obtained if the patient is disoriented and under the influence
of sedatives. Age, illegibility, and lack of insurance coverage do not prevent signing the
consent. Pain into the scapula is a symptom of colitis.
DIF: Cognitive Level: Application REF: Page 23 OBJ: 7
TOP: Informed consent KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. The nurse anticipates that the patient will be given ______________anesthesia because of the
extensive tissue manipulation involved in a hysterectomy.
a. general
b. regional
c. specific
d. preoperative
ANS: A
An anesthesiologist gives general anesthetics by IV and inhalation routes through four stages
of anesthesia when the procedure requires extensive tissue manipulation.
DIF: Cognitive Level: Knowledge REF: Page 34 OBJ: 9
TOP: Anesthesia KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
6. The nurse caring for a patient who had an epidural block for a vaginal repair should be alert
for:
a. a flushing of the face and torso.
b. numbness of the perineum.
c. complaint of thirst.
d. a sudden drop in blood pressure.
ANS: D
Epidural anesthesia may cause a sudden drop in blood pressure or respiratory difficulty as the
anesthetic agent moves up in the spinal cord. Elevating the patient’s torso may prevent
respiratory paralysis.
DIF: Cognitive Level: Comprehension REF: Page 37 OBJ: 9
TOP: Epidural block KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
7. Why might the older adult patient not respond to surgical treatment as well as a younger adult
patient?
a. Poor skin turgor
b. Fear of the unknown
c. Response to physiological changes
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamsExpert. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £2.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75057 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now