A 36-year-old male presents to the operating room for repair of a fractured right
medial malleolus. He weighs 85 kg, does not smoke, and does not take any
medications at home. Which of the following characteristics increases the patient's risk
of developing venous thromboembolism (VTE)?
A. His age
B. His injury
C. His weight
D. His smoking status
Give this one a try later!
, B. His injury
Procedure-related VTE risk factors include ankle fracture. The patient is less
than 40-years, does not smoke, and is not obese.
When using a medical interpreter to speak with a patient, the perioperative nurse
should:
A. Maintain eye contact with the interpreter
B. Speak loudly to ensure understanding
C. Talk directly to the patient
D. Smile at the interpreter for reassurance
Give this one a try later!
C. Talk directly to the patient
Speaking directly to the patient shows respect for the patient and allows
the perioperative nurse to view body language and facial expression. The
perioperative nurse should also speak slowly, use simple language, avoid
raising their voice, and obtain verbal feedback to be certain the patient
understands.
Preoperative teaching is most effective when patients have a readiness to learn and
the perioperative nurse teaches from ________ different levels.
A. Two
B. Three
C. Four
D. Five
Give this one a try later!
, B. Three
There are three different levels of preoperative teaching: information,
psychosocial support, and skill training. Information should include
explanations of procedure and what to expect throughout the phases of
perioperative care. Psychosocial support includes encouraging the patient
to share anxiety and supporting coping mechanisms. Skill training allows
the patient to learn the skills required to function after the procedure and
provides confidence and understanding.
Joey is a 4-year-old scheduled to have surgery. During preoperative teaching, the
perioperative nurse knows that Joey's age-specific needs can best be met by:
A. Allowing his parent or caregiver to explain what will happen
B. Providing him privacy whenever possible
C. Allowing him to handle the oxygen mask and ride in the wagon that will later take
him to the OR
D. Giving him a thorough explanation of everything that will happen
Give this one a try later!
C. Allowing him to handle the oxygen mask and ride in the wagon that will
later take him to the OR
The preschooler needs to explore and interact with his environment.
Allowing him to familiarize himself ahead of time with some objects he may
encounter can help ease anxiety.
What technique is the safest to use when securing the arms at the patient's sides?
A. Drawing a sheet under the arms, over the patient, and using non-penetrating
clamps to secure it to the opposite side
B. Drawing a sheet over the arm and then sliding it between the mattress and the bed
C. Drawing a sheet over the arm and tucking it between the patient and the mattress
, D. Wrapping the patient's arm with padding and securing it to the body with a safety
strap
Give this one a try later!
C. Drawing a sheet over the arm and tucking it between the patient and the
mattress
A safe and effective way to prevent nerve injury of the upper extremities is
to secure the patient's arms by smoothly wrapping the draw sheet over the
arm and then tucking it under the patient's body to prevent arm slippage
during surgery.
Which of the following helps determine a patient's discharge destination?
A. Written discharge instructions from anesthesiology and medical staff
B. Risk of postoperative complications
C. Standardized pain scoring
D. General condition and readiness for discharge
Give this one a try later!
B. Risk of postoperative complications
The choice of discharge site is based on patient acuity, access to follow-up
care, and the potential for postoperative complications.
Ventricular fibrillation is characterized by:
A. An ectopic focus in the ventricles, causing the heart to beat prematurely
B. A rapid heartbeat caused by ventricular ischemia or irritability
C. An impulse originating in the ventricles and traveling to the rest of the myocardium
D. A total disorganization of ventricular activity
medial malleolus. He weighs 85 kg, does not smoke, and does not take any
medications at home. Which of the following characteristics increases the patient's risk
of developing venous thromboembolism (VTE)?
A. His age
B. His injury
C. His weight
D. His smoking status
Give this one a try later!
, B. His injury
Procedure-related VTE risk factors include ankle fracture. The patient is less
than 40-years, does not smoke, and is not obese.
When using a medical interpreter to speak with a patient, the perioperative nurse
should:
A. Maintain eye contact with the interpreter
B. Speak loudly to ensure understanding
C. Talk directly to the patient
D. Smile at the interpreter for reassurance
Give this one a try later!
C. Talk directly to the patient
Speaking directly to the patient shows respect for the patient and allows
the perioperative nurse to view body language and facial expression. The
perioperative nurse should also speak slowly, use simple language, avoid
raising their voice, and obtain verbal feedback to be certain the patient
understands.
Preoperative teaching is most effective when patients have a readiness to learn and
the perioperative nurse teaches from ________ different levels.
A. Two
B. Three
C. Four
D. Five
Give this one a try later!
, B. Three
There are three different levels of preoperative teaching: information,
psychosocial support, and skill training. Information should include
explanations of procedure and what to expect throughout the phases of
perioperative care. Psychosocial support includes encouraging the patient
to share anxiety and supporting coping mechanisms. Skill training allows
the patient to learn the skills required to function after the procedure and
provides confidence and understanding.
Joey is a 4-year-old scheduled to have surgery. During preoperative teaching, the
perioperative nurse knows that Joey's age-specific needs can best be met by:
A. Allowing his parent or caregiver to explain what will happen
B. Providing him privacy whenever possible
C. Allowing him to handle the oxygen mask and ride in the wagon that will later take
him to the OR
D. Giving him a thorough explanation of everything that will happen
Give this one a try later!
C. Allowing him to handle the oxygen mask and ride in the wagon that will
later take him to the OR
The preschooler needs to explore and interact with his environment.
Allowing him to familiarize himself ahead of time with some objects he may
encounter can help ease anxiety.
What technique is the safest to use when securing the arms at the patient's sides?
A. Drawing a sheet under the arms, over the patient, and using non-penetrating
clamps to secure it to the opposite side
B. Drawing a sheet over the arm and then sliding it between the mattress and the bed
C. Drawing a sheet over the arm and tucking it between the patient and the mattress
, D. Wrapping the patient's arm with padding and securing it to the body with a safety
strap
Give this one a try later!
C. Drawing a sheet over the arm and tucking it between the patient and the
mattress
A safe and effective way to prevent nerve injury of the upper extremities is
to secure the patient's arms by smoothly wrapping the draw sheet over the
arm and then tucking it under the patient's body to prevent arm slippage
during surgery.
Which of the following helps determine a patient's discharge destination?
A. Written discharge instructions from anesthesiology and medical staff
B. Risk of postoperative complications
C. Standardized pain scoring
D. General condition and readiness for discharge
Give this one a try later!
B. Risk of postoperative complications
The choice of discharge site is based on patient acuity, access to follow-up
care, and the potential for postoperative complications.
Ventricular fibrillation is characterized by:
A. An ectopic focus in the ventricles, causing the heart to beat prematurely
B. A rapid heartbeat caused by ventricular ischemia or irritability
C. An impulse originating in the ventricles and traveling to the rest of the myocardium
D. A total disorganization of ventricular activity
