FOUNDATIONS AND ADULT HEALTH NURSING
8TH EDITIONH
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"HYPERLINK
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"https://nursingtb.com/download/founda
tions-adult-health-nursing-8th-cooper-
test-bank/"COOPER TEST BANK
TEST BANK
, NURSINGTB.COM
CLICK HERE TO ACCESS FULL TEST BANK
,MULTIPLE
CHOICE
• 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. Postsurgicalanalgesia, because of its brief
application, does not usually produce a physical or a
psychological dependence.
DIF: Cognitive Level: Application REF: 34 OBJ: 13
TOP: Fear of addiction KEY: Nursing
Process Step: ImplementationMSC: NCLEX: Physiological
Integrity
• 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, orremoval of a growth and harmful
substance is performed.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 2
TOP: Types of surgeries KEY: Nursing
Process Step: Assessment MSC: NCLEX: Physiological
Integrity
• 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: 34 OBJ: 7
TOP: Anticoagulant therapy KEY: Nursing
Process Step: Assessment MSC: NCLEX: Physiological
Integrity
• Which circumstance could prevent the patient from signing
his informed consent for acholecystectomy?
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 influenceof 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: 23 OBJ: 7
TOP: Informed consent KEY: Nursing
Process Step: Assessment MSC: NCLEX: Physiological
Integrity
• The nurse anticipates that the patient will be given
anesthesia because of theextensive 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 stagesof anesthesia when the procedure requires
extensive tissue manipulation.
DIF: Cognitive Level: Knowledge REF: 34 OBJ: 9
8TH EDITIONH
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P
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:
s
i
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b
g
m
o
c
.
l
w
d
a
f
-
t
h
e
r
u
n
g
i
s
8
p
o
c
a
b
"HYPERLINK
/
k
"https://nursingtb.com/download/founda
tions-adult-health-nursing-8th-cooper-
test-bank/"COOPER TEST BANK
TEST BANK
, NURSINGTB.COM
CLICK HERE TO ACCESS FULL TEST BANK
,MULTIPLE
CHOICE
• 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. Postsurgicalanalgesia, because of its brief
application, does not usually produce a physical or a
psychological dependence.
DIF: Cognitive Level: Application REF: 34 OBJ: 13
TOP: Fear of addiction KEY: Nursing
Process Step: ImplementationMSC: NCLEX: Physiological
Integrity
• 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, orremoval of a growth and harmful
substance is performed.
DIF: Cognitive Level: Comprehension REF: 16 OBJ: 2
TOP: Types of surgeries KEY: Nursing
Process Step: Assessment MSC: NCLEX: Physiological
Integrity
• 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: 34 OBJ: 7
TOP: Anticoagulant therapy KEY: Nursing
Process Step: Assessment MSC: NCLEX: Physiological
Integrity
• Which circumstance could prevent the patient from signing
his informed consent for acholecystectomy?
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 influenceof 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: 23 OBJ: 7
TOP: Informed consent KEY: Nursing
Process Step: Assessment MSC: NCLEX: Physiological
Integrity
• The nurse anticipates that the patient will be given
anesthesia because of theextensive 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 stagesof anesthesia when the procedure requires
extensive tissue manipulation.
DIF: Cognitive Level: Knowledge REF: 34 OBJ: 9
