Chapter 23: perioperative nursing
Exam||Latest Exam Update with
Frequent Questions And
Answers||100% Guaranteed Pass
A client had an open cholecystectomy (gallbladder removal) 36 hours earlier, and the
nurse's assessment this morning confirms that the client has not yet had a bowel
movement since prior to surgery. How should the nurse best respond to this
assessment finding? -CORRECT ANSWER Monitor the client closely and promote fluid
intake.
A nurse from the ambulatory surgical center is preparing discharge instructions for a
client who has had pelvic surgery. Which criterion would the client need to demonstrate
to ensure that she is ready for discharge? -CORRECT ANSWER void normally
Which client would a nurse monitor most closely for postoperative respiratory
complications? -CORRECT ANSWER a 55-year-old client with a history of asthma who
had a colon resection
An elder adult client underwent a hip replacement and now states to the nurse, "My
parents are coming to visit me today. I need to mow the lawn and run errands." The
client is trying to get out of the bed. What does the nurse identify is occurring with this
client? -CORRECT ANSWER Delirium
The nurse is supervising a nursing student who is providing postoperative education to
a client with an abdominal incision. The nurse sees the student coaching the client to
perform coughing exercises, as pictured above. What is the nurse's best action? -
CORRECT ANSWER Instruct the student to provide the client with a pillow or folded
blanket to hug.
The nurse has entered the room of a client who is postoperative day 1 and finds the
client grimacing and guarding her incision. The client refuses the nurse's offer of p.r.n.
analgesia and, on discussion, states that this refusal is motivated by his fear of
becoming addicted to pain medications. How should the nurse respond to the client's
concerns? -CORRECT ANSWER "Research has shown that there is very little risk of
clients becoming addicted to painkillers after they have surgery."
The nurse recognizes the value of leg exercises in the prevention of postoperative
thrombophlebitis. When should the nurse teach the correct technique for leg exercises
to a client? -CORRECT ANSWER prior to surgery
, While reviewing the medical record of a client who has had abdominal surgery, the
nurse notes that the client has developed a paralytic ileus. The nurse interprets this
information as indicative of what? -CORRECT ANSWER Bowel functioning is
significantly decreased.
A nurse is caring for an older adult following hip surgery. Which serious complication
would the nurse attempt to avoid by encouraging use of the incentive spirometer? -
CORRECT ANSWER pneumonia
A nurse anesthetist administers regional anesthesia to a client being prepared for facial
surgery. Which type of regional anesthesia would be the appropriate choice for this
client? -CORRECT ANSWER Local infiltration with lidocaine
A 2-year-old toddler just underwent a tonsillectomy and adenoidectomy surgery. The
postanesthesia care unit (PACU) nurse is checking on him. What is the best course of
action regarding the developmental care of this child? -CORRECT ANSWER Allow the
parents into the PACU before the child wakes.
What is the nurse's role in the informed consent process for a surgical procedure? -
CORRECT ANSWER witnessing the signed informed consent document
The nurse is educating a client who is preparing for abdominal surgery tomorrow. A
teaching demonstration has just been completed by the nurse related to splinting the
incision site with a pillow. Which statement by the client best indicates the instructions
provided by the nurse were effective? -CORRECT ANSWER "I will put the pillow on the
incision then cough."
A nurse wraps a client with antiembolism stockings to help avoid thrombus formation.
Which action can the client take directly to prevent formation of thrombi? -CORRECT
ANSWER Drink plenty of fluids.
After conducting a preoperative health assessment, the nurse documents that the client
has physical assessments supporting the medical diagnosis of emphysema. Based on
this finding, which is the priority risk of complications in the postoperative period? -
CORRECT ANSWER Impaired gas exchange
Which client most likely requires special preoperative assessment and treatment as a
result of the existing medication regimen? -CORRECT ANSWER a woman who takes
daily anticoagulants to treat atrial fibrillation
A nurse is caring for a female client who will undergo a curative surgery for
cholecystectomy. Which precaution should the nurse take before surgery to prevent
venous stasis? -CORRECT ANSWER Recommend that the client wear antiembolism
stockings.
Exam||Latest Exam Update with
Frequent Questions And
Answers||100% Guaranteed Pass
A client had an open cholecystectomy (gallbladder removal) 36 hours earlier, and the
nurse's assessment this morning confirms that the client has not yet had a bowel
movement since prior to surgery. How should the nurse best respond to this
assessment finding? -CORRECT ANSWER Monitor the client closely and promote fluid
intake.
A nurse from the ambulatory surgical center is preparing discharge instructions for a
client who has had pelvic surgery. Which criterion would the client need to demonstrate
to ensure that she is ready for discharge? -CORRECT ANSWER void normally
Which client would a nurse monitor most closely for postoperative respiratory
complications? -CORRECT ANSWER a 55-year-old client with a history of asthma who
had a colon resection
An elder adult client underwent a hip replacement and now states to the nurse, "My
parents are coming to visit me today. I need to mow the lawn and run errands." The
client is trying to get out of the bed. What does the nurse identify is occurring with this
client? -CORRECT ANSWER Delirium
The nurse is supervising a nursing student who is providing postoperative education to
a client with an abdominal incision. The nurse sees the student coaching the client to
perform coughing exercises, as pictured above. What is the nurse's best action? -
CORRECT ANSWER Instruct the student to provide the client with a pillow or folded
blanket to hug.
The nurse has entered the room of a client who is postoperative day 1 and finds the
client grimacing and guarding her incision. The client refuses the nurse's offer of p.r.n.
analgesia and, on discussion, states that this refusal is motivated by his fear of
becoming addicted to pain medications. How should the nurse respond to the client's
concerns? -CORRECT ANSWER "Research has shown that there is very little risk of
clients becoming addicted to painkillers after they have surgery."
The nurse recognizes the value of leg exercises in the prevention of postoperative
thrombophlebitis. When should the nurse teach the correct technique for leg exercises
to a client? -CORRECT ANSWER prior to surgery
, While reviewing the medical record of a client who has had abdominal surgery, the
nurse notes that the client has developed a paralytic ileus. The nurse interprets this
information as indicative of what? -CORRECT ANSWER Bowel functioning is
significantly decreased.
A nurse is caring for an older adult following hip surgery. Which serious complication
would the nurse attempt to avoid by encouraging use of the incentive spirometer? -
CORRECT ANSWER pneumonia
A nurse anesthetist administers regional anesthesia to a client being prepared for facial
surgery. Which type of regional anesthesia would be the appropriate choice for this
client? -CORRECT ANSWER Local infiltration with lidocaine
A 2-year-old toddler just underwent a tonsillectomy and adenoidectomy surgery. The
postanesthesia care unit (PACU) nurse is checking on him. What is the best course of
action regarding the developmental care of this child? -CORRECT ANSWER Allow the
parents into the PACU before the child wakes.
What is the nurse's role in the informed consent process for a surgical procedure? -
CORRECT ANSWER witnessing the signed informed consent document
The nurse is educating a client who is preparing for abdominal surgery tomorrow. A
teaching demonstration has just been completed by the nurse related to splinting the
incision site with a pillow. Which statement by the client best indicates the instructions
provided by the nurse were effective? -CORRECT ANSWER "I will put the pillow on the
incision then cough."
A nurse wraps a client with antiembolism stockings to help avoid thrombus formation.
Which action can the client take directly to prevent formation of thrombi? -CORRECT
ANSWER Drink plenty of fluids.
After conducting a preoperative health assessment, the nurse documents that the client
has physical assessments supporting the medical diagnosis of emphysema. Based on
this finding, which is the priority risk of complications in the postoperative period? -
CORRECT ANSWER Impaired gas exchange
Which client most likely requires special preoperative assessment and treatment as a
result of the existing medication regimen? -CORRECT ANSWER a woman who takes
daily anticoagulants to treat atrial fibrillation
A nurse is caring for a female client who will undergo a curative surgery for
cholecystectomy. Which precaution should the nurse take before surgery to prevent
venous stasis? -CORRECT ANSWER Recommend that the client wear antiembolism
stockings.
