Exam (elaborations)

Preoperative Nursing Management Questions And Answers Latest Top Score.

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Preoperative Nursing management

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Preoperative Nursing Management

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preoperative nursing management questions and

Institution Preoperative Nursing management
Course Preoperative Nursing management

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Preoperative Nursing Management
Questions And Answers Latest Top Score.

A patient is admitted to the ED complaining of severe abdominal pain, stating that he
has been vomiting
coffee-ground like emesis. The patient is diagnosed with a perforated gastric ulcer and
is informed that
he needs surgery. When can the patient most likely anticipate that the surgery will be
scheduled?
A) Within 24 hours
B) Within the next week
C) Without delay because the bleed is emergent
D) As soon as all the days elective surgeries have been completed - correct answer.
Ans: C
Feedback:
Emergency surgeries are unplanned and occur with little time for preparation for the
patient or the
perioperative team. An active bleed is considered an emergency, and the patient
requires immediate
attention because the disorder may be life threatening. The surgery would not likely be
deferred until
after elective surgeries have been completed.

The nurse is performing a preoperative assessment on a patient going to surgery. The
patient informs the
nurse that he drinks approximately two bottles of wine each day and has for the last
several years. What
postoperative difficulties can the nurse anticipate for this patient?
A) Alcohol withdrawal syndrome immediately following surgery

,B) Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink
C) Alcohol withdrawal syndrome upon administration of general anesthesia
D) Alcohol withdrawal syndrome 1 week after his last alcohol drink - correct answer.
Ans: B
Feedback:
Alcohol withdrawal syndrome may be anticipated between 48 and 96 hours after alcohol
withdrawal and
is associated with a significant mortality rate when it occurs postoperatively.

In anticipation of a patients scheduled surgery, the nurse is teaching her to perform
deep breathing and
coughing to use postoperatively. What action should the nurse teach the patient?
A) The patient should take three deep breaths and cough hard three times, at least
every 15 minutes for
the immediately postoperative period.
B) The patient should take three deep breaths and exhale forcefully and then take a
quick short breath
and cough from deep in the lungs.
C) The patient should take a deep breath in through the mouth and exhale through the
mouth, take a
short breath, and cough from deep in the lungs.
D) The patient should rapidly inhale, hold for 30 seconds or as long as possible, and
exhale slowly. - correct answer. Ans: C
Feedback:
The patient assumes a sitting position to enhance lung expansion. The nurse then
demonstrates how to
take a deep, slow breath and how to exhale slowly. After practicing deep breathing
several times, the
patient is instructed to breathe deeply, exhale through the mouth, take a short breath,
and cough from
deep in the lungs.

The nurse is preparing a patient for surgery prior to her hysterectomy without
oophorectomy. The nurse
is witnessing the patients signature on a consent form. Which comment by the patient
would best
indicate informed consent?
A) I know Ill be fine because the physician said he has done this procedure hundreds of
times.
B) I know Ill have pain after the surgery but theyll do their best to keep it to a minimum.
C) The physician is going to remove my uterus and told me about the risk of bleeding.
D) Because the physician isnt taking my ovaries, Ill still be able to have children. -
correct answer. Ans: C
Feedback:
The surgeon must inform the patient of the benefits, alternatives, possible risks,
complications,

, disfigurement, disability, and removal of body parts as well as what to expect in the
early and late
postoperative periods. The nurse clarifies the information provided, and, if the patient
requests additional
information, the nurse notifies the physician. In the correct response, the patient is able
to tell the nurse
what will occur during the procedure and the associated risks. This indicates the patient
has a sufficient
understanding of the procedure to provide informed consent. Clarification of information
given may be
necessary, but no additional information should be given. The other listed statements do
not reflect an
understanding of the surgery to be performed.

The nurse is planning patient teaching for a patient who is scheduled for an open
hemicolectomy. The
nurse intends to address the topics of incision splinting and leg exercises during this
teaching session. When is the best time for the nurse to provide teaching?
A) Upon the patients admission to the postanesthesia care unit (PACU)
B) When the patient returns from the PACU
C) During the intraoperative period
D) As soon as possible before the surgical procedure - correct answer. Ans: D
Feedback:
Teaching is most effective when provided before surgery. Preoperative teaching is
initiated as soon as
possible, beginning in the physicians office, clinic, or at the time of preadmission testing
when
diagnostic tests are performed. Upon admission to the PACU, the patient is usually
drowsy, making this
an inopportune time for teaching. Upon the patients return from the PACU, the patient
may remain
drowsy. During the intraoperative period, anesthesia alters the patients mental status,
rendering teaching
ineffective.

6. The nurse is caring for a hospice patient who is scheduled for a surgical procedure to
reduce the size of
his spinal tumor in an effort to relieve his pain. The nurse should plan this patient care
with the
knowledge that his surgical procedure is classified as which of the following?
A) Diagnostic
B) Laparoscopic
C) Curative
D) Palliative - correct answer. Ans: D
Feedback:

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