Nursing 307 Med-Surg Perioperative
Nursing Test Review
Why should a nurse encourage ambulation as soon as possible after surgery?
-Ambulating stimulates peristalsis, which helps the bowels to move.
What is adequate hourly urine output for a patient with an indwelling urinary
catheter?
-2.0 mL/kg/h
At what rate should you report urine output of a patient with an indwelling urinary
catheter to the physician?
-<0.5 mL/kg/h
What is Stage 3 of General Anesthesia characterized by?
-Dilation and reaction of pupils
-Regular respirations
-Regular pulse rate
A patient receiving epidural Anesthesia will remain conscious during the
procedure.
True or False?
-True
With what kind of sedation can the patient maintain a patent airway, retain
protective airway reflexes, and respond to verbal and physical stimuli?
-Moderate sedation
How can you help to prevent/relieve a spinal headache in a patient who received
spinal anesthetic?
-Maintain a quiet environment
-Keep the patient lying flat
-Keep the patient well hydrated
What is Malignant Hyperthermia?
-An inherited disorder that occurs when body temperature, muscle metabolism, and
heat production increase rapidly, progressively, and uncontrollably in response to stress
and some anesthetic agents.
A client undergoing coronary artery bypass surgery is subjected to intentional
hypothermia. The client is ready for rewarming procedures. Which action by the
nurse is appropriate?
-Administer IV fluids warmed to room temperature.
OR
-Apply a warm air blanket, gradually increasing body temperature.
-Apply a warm air blanket, gradually increasing body temperature.
Why?: The body temperature should be increased gradually. A sudden increase in body
temperature could cause complications. IV fluids should be warmed to body
temperature, NOT room temperature.
Which body system should be monitored closely when a patient is receiving
depolarizing muscle relaxants?
-The Cardiovascular System
Why?: Depolarizing muscle relaxants can cause cardiac dysrhythmias.
, Pneumonia is one of the most common postoperative respiratory complications
in which group of patients?
-Elderly
Elderly patients in recovery following surgery are at greater risk for...
-Delirium, pneumonia, decline in functional ability, exacerbation of comorbid conditions,
pressure ulcers, decreased oral intake, GI disturbance, and falls.
In what type of healing does granulation tissue appear?
-Second-Intention healing
Describe granulation tissue in second-intention healing
-In second-intention healing, necrotic material gradually disintegrates and escapes, and
the abscess cavity fills with a red, soft, sensitive tissue that bleeds easily. This tissue is
composed of minute, thin-walled capillaries and buds that later form connective tissue.
These buds, called granulations, enlarge until they fill the area left by the destroyed
tissue.
How many days prior to surgery should Aspirin be stopped?
-7 to 10 days before surgery
What is usually the earliest sign of Malignant Hyperthermia?
-Tachycardia
What is usually a late sign of Malignant Hyperthermia?
-Pyrexia (Though once it occurs, temperature rises rapidly)
Which is a sign of Malignant Hyperthermia?
Hypotension or Hypertension?
-Hypotension
Which position would the patient receiving perineal surgery be placed in ?
-The Lithotomy position
What is the Scrub Nurse responsible for?
-Preparing the sterile instruments for the surgical procedure.
-Assists the surgeon during the procedure
What is the Circulating Nurse responsible for?
-Ensuring that the second verification of the surgical procedure and site takes place and
is documented.
-The circulating nurse works in collaboration with other members of the health care
team to plan the best course of action for each patient.
What must each member of the surgical team do before beginning surgery?
-Verifies the patient's name, procedure, and surgical site using objective documentation
and data before beginning the surgery.
Who does the Registered First Assistant Nurse practice directly under?
-The surgeon
What does Intraoperative care include?
-The entire surgical procedure
Who explains the details of the surgery before the patient signs a consent?
-The surgeon/physician
What are some symptoms that a postoperative patient might be in shock?
-Tachycardia
-Thready pulse
Nursing Test Review
Why should a nurse encourage ambulation as soon as possible after surgery?
-Ambulating stimulates peristalsis, which helps the bowels to move.
What is adequate hourly urine output for a patient with an indwelling urinary
catheter?
-2.0 mL/kg/h
At what rate should you report urine output of a patient with an indwelling urinary
catheter to the physician?
-<0.5 mL/kg/h
What is Stage 3 of General Anesthesia characterized by?
-Dilation and reaction of pupils
-Regular respirations
-Regular pulse rate
A patient receiving epidural Anesthesia will remain conscious during the
procedure.
True or False?
-True
With what kind of sedation can the patient maintain a patent airway, retain
protective airway reflexes, and respond to verbal and physical stimuli?
-Moderate sedation
How can you help to prevent/relieve a spinal headache in a patient who received
spinal anesthetic?
-Maintain a quiet environment
-Keep the patient lying flat
-Keep the patient well hydrated
What is Malignant Hyperthermia?
-An inherited disorder that occurs when body temperature, muscle metabolism, and
heat production increase rapidly, progressively, and uncontrollably in response to stress
and some anesthetic agents.
A client undergoing coronary artery bypass surgery is subjected to intentional
hypothermia. The client is ready for rewarming procedures. Which action by the
nurse is appropriate?
-Administer IV fluids warmed to room temperature.
OR
-Apply a warm air blanket, gradually increasing body temperature.
-Apply a warm air blanket, gradually increasing body temperature.
Why?: The body temperature should be increased gradually. A sudden increase in body
temperature could cause complications. IV fluids should be warmed to body
temperature, NOT room temperature.
Which body system should be monitored closely when a patient is receiving
depolarizing muscle relaxants?
-The Cardiovascular System
Why?: Depolarizing muscle relaxants can cause cardiac dysrhythmias.
, Pneumonia is one of the most common postoperative respiratory complications
in which group of patients?
-Elderly
Elderly patients in recovery following surgery are at greater risk for...
-Delirium, pneumonia, decline in functional ability, exacerbation of comorbid conditions,
pressure ulcers, decreased oral intake, GI disturbance, and falls.
In what type of healing does granulation tissue appear?
-Second-Intention healing
Describe granulation tissue in second-intention healing
-In second-intention healing, necrotic material gradually disintegrates and escapes, and
the abscess cavity fills with a red, soft, sensitive tissue that bleeds easily. This tissue is
composed of minute, thin-walled capillaries and buds that later form connective tissue.
These buds, called granulations, enlarge until they fill the area left by the destroyed
tissue.
How many days prior to surgery should Aspirin be stopped?
-7 to 10 days before surgery
What is usually the earliest sign of Malignant Hyperthermia?
-Tachycardia
What is usually a late sign of Malignant Hyperthermia?
-Pyrexia (Though once it occurs, temperature rises rapidly)
Which is a sign of Malignant Hyperthermia?
Hypotension or Hypertension?
-Hypotension
Which position would the patient receiving perineal surgery be placed in ?
-The Lithotomy position
What is the Scrub Nurse responsible for?
-Preparing the sterile instruments for the surgical procedure.
-Assists the surgeon during the procedure
What is the Circulating Nurse responsible for?
-Ensuring that the second verification of the surgical procedure and site takes place and
is documented.
-The circulating nurse works in collaboration with other members of the health care
team to plan the best course of action for each patient.
What must each member of the surgical team do before beginning surgery?
-Verifies the patient's name, procedure, and surgical site using objective documentation
and data before beginning the surgery.
Who does the Registered First Assistant Nurse practice directly under?
-The surgeon
What does Intraoperative care include?
-The entire surgical procedure
Who explains the details of the surgery before the patient signs a consent?
-The surgeon/physician
What are some symptoms that a postoperative patient might be in shock?
-Tachycardia
-Thready pulse
