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1. A 68-year-old male scheduled for hernia repair at an ambulatory surgical
center expresses concern that he will not have enough care at home and asks
if he can stay in the hospital after the surgery. The best response by the nurse
is:
A. "Who is available to help you at home after the surgery?"
B. "I'm sure you will be able to manage at home after surgery. It is a simple
procedure."
C. "We will teach you everything you need to know to be able to care for
yourself after surgery."
D. "Your health insurance will pay for inpatient care only if complications
develop during surgery.": A. "Who is available to help you at home after the
surgery?"
2. You are preparing a patient for surgery and have asked her to verify her
information on her patient identification band. She tells you that the birth date
is incorrect on her identification band. The most appropriate action by the
nurse at this time is which of the following?
A. Cross out the birth date and put the correct one in its place with the nurse's
initials.
B. Ask the family members to validate the patient's birth date.
C. Call the surgeon's office to validate the birth date.
D. Ask the admissions office to please send a corrected identification band.: D.
Ask the admissions office to please send a corrected identification band.
3. The nurse should report the following findings from a patient's history as
an increased risk for DVTs postoperatively. Select all that apply.
A. History of smoking
B. Age
C. History of DVTs with previous pregnancy
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D. Borderline hypertension
E. Allergies: A. Hx smoking
C. Hx DVTs with previous pregnancy
D. Borderline HTN
4. During admission of the patient to the holding area or operating room before
surgery, the perioperative nurse must:
A. Assess the patient's understanding of the risks of surgery.
B. Ensure the patient's identity with a formal identification process.
C. Prepare the skin by scrubbing the surgical site with an antimicrobial agent.
D. Perform a preoperative assessment with a patient history and physical
examination: B. Ensure the patient's identity with a formal identification process.
5. A patient is undergoing a 12 hour surgery in the dorsal recumbent position.
Which of the following is this patient at greatest risk for?
A. Brachial plexus injury.
B. Skin breakdown on the cheeks.
C. Malnutrition and dehydration.
D. Skin breakdown at the scapulae.: D. Skin breakdown at the scapulae.
6. A patient becomes restless and agitated in the post-anesthesia care unit
(PACU) as he begins to regain consciousness. The first action the nurse
should take is to:
A. Turn the patient to a lateral position.
B. Orient the patient and tell him surgery is over.
C. Give the ordered postoperative pain medication.
D. Check the patient's oxygen saturation with pulse oximetry.: D. Check the
patient's oxygen saturation with pulse oximetry.
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