Care of Preoperative Patients (Concepts for
Interprofessional Collaborative Care College Test
, Care of Preoperative Patients (Concepts for
Interprofessional Collaborative Care College Test
Chapter 14: Care of Preoperative Patients
MULTIPLE CHOICE
1. An older client is hospitalized after an operation. When assessing the client for postoperative infection, the
nurse places priority on which assessment?
a. Change in behavior
b. Daily white blood cell count
c. Presence of fever and chills
d. Tolerance of increasing activity
ANS: A
Older people have an age-related decrease in immune system functioning and may not show classic signs of
infection such as increased white blood cell count, fever and chills, or obvious localized signs of infection. A
change in behavior often signals an infection or onset of other illness in the older client.
2. A preoperative nurse is assessing a client prior to surgery. Which information would be most important for
the nurse to relay to the surgical team?
a. Allergy to bee and wasp stings
b. History of lactose intolerance
c. No previous experience with surgery
d. Use of multiple herbs and supplements
ANS: D
Some herbs and supplements can interact w i t hN m
U eRdSi IcNa tGi oTnBs ., Cs Oo M
this information needs to be reported as the
priority. An allergy to bee and wasp stings should not affect the client during surgery. Lactose intolerance
should also not affect the client during surgery but will need to be noted before a postoperative diet is ordered.
Lack of experience with surgery may increase anxiety and may require higher teaching needs, but is not the
priority over client safety.
3. A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which
one has the greatest need for the nurse to consult other members of the health care team for post-discharge
care?
a. Married young adult who is the primary caregiver for children
b. Middle-aged client who is post knee replacement, needs physical therapy
c. Older adult who lives at home despite some memory loss
d. Young client who lives alone, has family and friends nearby
ANS: C
The older adult has the most potentially complex discharge needs. With memory loss, the client may not be
able to follow the prescribed home regimen. The clients physical abilities may be limited by chronic illness.
This client has several safety needs that should be assessed. The other clients all have evidence of a support
system and no known potential for serious safety issues.
Interprofessional Collaborative Care College Test
, Care of Preoperative Patients (Concepts for
Interprofessional Collaborative Care College Test
Chapter 14: Care of Preoperative Patients
MULTIPLE CHOICE
1. An older client is hospitalized after an operation. When assessing the client for postoperative infection, the
nurse places priority on which assessment?
a. Change in behavior
b. Daily white blood cell count
c. Presence of fever and chills
d. Tolerance of increasing activity
ANS: A
Older people have an age-related decrease in immune system functioning and may not show classic signs of
infection such as increased white blood cell count, fever and chills, or obvious localized signs of infection. A
change in behavior often signals an infection or onset of other illness in the older client.
2. A preoperative nurse is assessing a client prior to surgery. Which information would be most important for
the nurse to relay to the surgical team?
a. Allergy to bee and wasp stings
b. History of lactose intolerance
c. No previous experience with surgery
d. Use of multiple herbs and supplements
ANS: D
Some herbs and supplements can interact w i t hN m
U eRdSi IcNa tGi oTnBs ., Cs Oo M
this information needs to be reported as the
priority. An allergy to bee and wasp stings should not affect the client during surgery. Lactose intolerance
should also not affect the client during surgery but will need to be noted before a postoperative diet is ordered.
Lack of experience with surgery may increase anxiety and may require higher teaching needs, but is not the
priority over client safety.
3. A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which
one has the greatest need for the nurse to consult other members of the health care team for post-discharge
care?
a. Married young adult who is the primary caregiver for children
b. Middle-aged client who is post knee replacement, needs physical therapy
c. Older adult who lives at home despite some memory loss
d. Young client who lives alone, has family and friends nearby
ANS: C
The older adult has the most potentially complex discharge needs. With memory loss, the client may not be
able to follow the prescribed home regimen. The clients physical abilities may be limited by chronic illness.
This client has several safety needs that should be assessed. The other clients all have evidence of a support
system and no known potential for serious safety issues.
