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NURS 309 Quiz 1 Preoperative Patients Questions and answers | Updated
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NURS 309 Quiz 1 Preoperative Patients Questions and answers | Updated
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NURS 309 Quiz 1 Preoperative PatientsQuestions and answers | Updated
A client was originally scheduled for surgery at noon. The surgeon is delayed, and the
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surgery has been rescheduled for 3:00 p.m. How will the nurse plan to administer the
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preoperative prophylactic antibiotic?
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A. Give at noon as originally prescribed.
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B. Cancel orders, preoperative prophylactic antibiotics are given optionally.
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C. Adjust the administration time to be given within 1 hour before surgery.
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D. Hold the preoperative antibiotic so it can be administered immediately following surgery.
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- C. Adjust the administration time to be given within 1 hour before surgery.
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Which assessment data finding for a client scheduled for total knee replacement surgery is
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most important for the nurse to communicate to the surgeon and the anesthesia provider
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before the procedure? SATA
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A. The oxygen saturation is 97%.
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B. The serum potassium level is 3.0 mEq/L (3.0 mmol/L)
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C. The client took a total of 1300 mg of aspirin yesterday.
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D. The client requests to talk with a registered dietitian about weight loss.
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E. The client took a regularly scheduled antihypertensive drug with a sip of water 2 hours
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ago.
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F. After receiving the preoperative medications, the client tells the nurses that he lied on
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the assessment form and that he really is a current smoker. - B. The serum potassium
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level is 3.0 mEq/L (3.0 mmol/L)
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C. The client took a total of 1300 mg of aspirin yesterday.
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F. After receiving the preoperative medications, the client tells the nurses that he lied on
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the assessment form and that he really is a current smoker.
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What client teaching will the nurse provide regarding postoperative leg exercises to
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minimize the risk for development of deep vein thrombosis after surgery?
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A. Only perform each exercise one time to prevent overuse.
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B. Begin exercises by sitting at a 90-degree angle on the side of the bed.
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C. Point toes of one foot toward bottom of bed; then point toes of same leg toward his or her
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face. Repeat several times; then switch legs.
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D. Bend knee and push heel of foot into the bed until the calf and thigh muscles contract.
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Repeat several times; then switch legs. - C. Point toes of one foot toward bottom of bed;
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then point toes of same leg toward his or her face. Repeat several times; then switch legs.
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The nurse is providing preoperative care for a client who will have an arthroscopy of the left
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knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what will the
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nurse be required to do?
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A. Ensure that the correct procedure is noted in the client's history.
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B. Remind the surgeon that the client will have a left knee arthroscopy.
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, C. Verify with the client that a left knee arthroscopy will be performed.
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D. Mark the left knee site with the client awake and the surgeon present. - D. Mark the left
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knee site with the client awake and the surgeon present.
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A preoperative client smokes a pack of cigarettes a day. What is the nurse's teaching
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priority for the best physical outcomes?
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A. Instruct the client to quit smoking.
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B. Teach about the dangers of tobacco.
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C. Teach the importance of incentive spirometry.
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D. Tell the client that smoking increases postoperative complications. - C. Teach the
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importance of incentive spirometry.
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The nurse is educating a client who is about to undergo cardiac surgery with general
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anesthesia. Which statement by the client indicates the need for further instruction?
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A. "I will wake up with a tube in my throat."
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B. "I will have a bandage on my chest."
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C. "My family will not be able to see me right away."
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D. "Pain medication will take away my pain." - D. "Pain medication will take away my pain."
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Which task would be best for the charge nurse to assign to the LPN/LVN working in the
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surgery admitting area?
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A. Provide preoperative teaching to a client who needs insertion of a tunneled central
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venous catheter.
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B. Insert a retention catheter in a client who requires a flap graft of a sacral pressure ulcer.
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C. Obtain the medical history from a client who is scheduled for a total hip replacement.
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D. Assess the client who is being admitted for an elective laparoscopic cholecystectomy. -
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B. Insert a retention catheter in a client who requires a flap graft of a sacral pressure ulcer.
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A client is being prepared for gastrointestinal surgery and undergoes a bowel preparation.
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This preoperative procedure is done to
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A. decrease expected blood loss during surgery.
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B. eliminate any risk of infection.
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C. ensure that the bowel is sterile.
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D. reduce the number of intestinal bacteria. - D. reduce the number of intestinal bacteria.
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As the nurse obtains informed consent, the client asks, "Now what exactly are they going
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to do to me?" What is the nurse's response?
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A. Contact the anesthesiologist.
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B. Contact the surgeon.
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C. Explain the procedure.
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D. Have the client sign the form. - B. Contact the surgeon.
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At 8:00 a.m., the registered nurse is admitting a client scheduled for sinus surgery to the
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outpatient surgery department. Which information given by the client is of most immediate
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concern to the nurse?
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A. An allergy to iodine and shellfish
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