NURS 1102-Chapter 29. Questions and Answers

NURS 1102-Chapter 29. Questions and Answers Question 1: (see full question) A nurse explains the effects of conscious sedation to a client undergoing a colonoscopy. Which of the following occurs with conscious sedation? You selected: total amnesia Incorrect Correct response: altered mood Explanation: Conscious sedation is a type of anesthesia used for short procedures; the intravenous administration of sedatives and analgesics raises the pain threshold and produces an altered m ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 857. Question 2: (see full question) Which client would a nurse monitor most closely for postoperative respiratory complications? You selected: an 8-year-old client with no medical problems who had a tonsillectomy Incorrect Correct response: a 55-year-old client with a history of asthma who had a colon resection Explanation: All of these clients have a potential for respiratory complications, which can occur with chest or abdominal surgery, preexisting cardiovascular or respiratory disease, and in olde ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 29: Perioperative Nursing, p. 859. Question 3: (see full question) A female client age 54 years has been scheduled for a bunionectomy (removal of bone tissue from the base of the great toe) which will be conducted on an ambulatory basis. Which characteristic applies to this type of surgery? You selected: The client will be admitted the day of surgery and return home the same day. Correct Explanation: Outpatient surgeries, also known as ambulatory surgeries, are conducted with admission and discharge on the same day. Such surgeries have become increasingly common in recent years ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 856. Question 4: (see full question) Which nursing action should the PACU nurse take to prevent postoperative complications in clients? You selected: Assist the client to do leg exercises to increase venous return. Correct Explanation: Leg exercises increase venous return in order to prevent the postoperative complication of clot formation in the lower extremities. Coughing, while splinting the incision, and deep ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed., Philadelphia: Wolters Kluwer Health, 2015, Chapter 29, Perioperative Nursing, pp. 874-875 Question 5: (see full question) 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? You selected: Allow the parents into the PACU before the child wakes. Correct Explanation: Toddlers are prone to separation anxiety. Allowing the child to be with the parents will lower anxiety levels for all members of the family. This will subsequently ease the care fo ... (more) Question 6: (see full question) Which statement, if made by an adolescent preparing for abdominal surgery, would indicate to the nurse that the client requires additional instruction? You selected: “I can have a hamburger and French fries as soon as I wake up.” Correct Explanation: Oral fluid and food may be withheld until intestinal motility resumes. Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, pp. 892-893. Question 7: (see full question) A client has arrived to the postanesthesia care unit (PACU) and is drowsy with a respiratory rate of 12 breaths per minute. Which of the following would be an accurate interpretation by the nurse? You selected: This is an expected finding in the immediate postoperative period. Correct Explanation: Having drowsiness and a respiratory rate of 12 breaths/minute are normal findings in the immediate postoperative period. The client needs to be monitored to ensure that there is no ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 29: Perioperative Nursing, pp. 874-875. Question 8: (see full question) A client has been taking aspirin since his heart attack in 1997. The client is at risk for: You selected: hemorrhage. Correct Explanation: Current medication use, especially use of medications that can affect coagulation status (warfarin, nonsteroidal anti-inflammatory drugs, aspirin) is important and should be report ... (more) Reference: Taylor, C., et al. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015, p. 888. Question 9: (see full question) Which nursing action will best promote pain management for a client in the postoperative phase? You selected: Performing relaxation techniques Correct Explanation: Performing relaxation techniques is the best nursing action to promote pain management for a client in the postoperative phase. Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 29: Perioperative Nursing, p. 867. Question 10: (see full question) Which surgical client does the nurse in the preoperative setting anticipate has the greatest potential for surgical complications? You selected: A 76-year-old client with a history of renal failure and chronic bronchitis Correct Explanation: The client who is elderly with renal and lung disease has the most risk factors preoperatively for surgery. This client will have concerns over administration of anesthesia and med ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 29: Perioperative Nursing, pp. 860-861. Question 11: (see full question) Which client in the postanesthesia care unit (PACU) requires the most immediate attention by the nurse? You selected: a 26-year-old client who is exhibiting a crowing sound Correct Explanation: A client with a crowing sound is exhibiting stridor, which is an indication of an airway obstruction and can be a respiratory emergency. This client needs immediate attention. The ... (more) Reference: Taylor, C.R. Fundamentals of Nursing, 8th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2015, Chapter 29: Perioperative Nursing, p. 875. Question 12: (see full question) The nurse is assessing clients for postoperative complications. What is the most commonly assessed postanesthesia recovery emergency? You selected: Respiratory obstruction Correct Explanation: Respiratory obstruction may occur as a result of secretion accumulation, obstruction by the tongue, laryngospasm (a sudden, violent contraction of the vocal cords), or laryngeal ed ... (more) Reference: Taylor, C.R. Fundamentals of Nursing,