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Angela DeVarso

Angela DeVarso

Perioperative Nursing 0011.) Which of the following is most dangerouscomplication during induction of spinalanesthesia?

A.)ach!cardia".)#!potension$.)#!perthermiaD.)"rad!pnea

Ans% "&.) Which t!pe of surger! is most l i'el! topredispose a patient to postoperativeatelectasis( pneumonia or respirator!failure?

A.)pper a*dominal surger! on an o*esepatient with a long histor! of smo'ing".)pper a*dominal surger! on a patientwith normal pulmonar! function$.)+ower a*dominal surger! on a !oungpatient with dia*etes mell itusD.),urger! on the e-tremit ies of anonsmo'ing foot*all pla!er

Ans% A.) Which of the following characteri/ese-citement stage of anesthesia

A.) ccurs from the administrat ion of

anesthesia to the loss of consciousness".) -tends from the loss of consciousnessto the loss of l id ref le-( characteri/ed *!struggling and tal'ing$.) 2rom the loss of l id ref le- to the loss ofmost ref le-esD.) 2rom the loss of most ref le-es torespirator! and circulator! failure

Ans% "3.) o prevent headache after spinal

anesthesia the patient should *e posit ioned%A.) ,emi4fowler 5s".) 2lat on *ed for 6 to 7 hours$.) Prone posit ionD.) 8odif ied trendelen*urg

Ans% "9.) Which of the following nursing actionsshould *e given highest priorit! whenadmitt ing the patient into the operatingroom?

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A.) +evel of consciousness".) Vital signs$.) Patient identif ication and correctoperative consentD.) Posit ioning and s'in preparation

Ans% $

6.) What is the primar! reason for the gradualchange of posit ion of the patient aftersurger!?

A.) o prevent muscle in:ur!".) o prevent sudden drop of "P$.) o prevent respirator! distressD.) o promote comfort

Ans% ";.) Which of the following assessment data ismost important to determine when caring fora patient who has received spinalanesthesia?

A.) he time of return of motion andsensation in the legs and toes".) he character of respirat ion$.) +evel of consciousnessD.) Amount of wound drainage

Ans% A7.) Which of the following postop f indingsshould the nurse report to the 8.D.?

A.) he patient pushes out the oral airwa! wit

h his tounge".) rine output is &0ml

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$.) $over the wound with steri le dr! gau/eD.) +eave the wound uncovered and pull thes'in edges together

Ans% A11.) Appendectom! is classif ie d as

A.) A* lative

".) $onstructive$.) econstructiveD.) Pall iat ive

Ans% A1&.) he worst of all fears among clien tsundergoing surger! is%

A.) 2ear of f inancial *urden".) 2ear of death$.) 2ear of the un'nownD.) 2ear of loss of :o*

Ans% $1.) he *est t ime to provide preoperativeteaching on deep *reathing( coughing andturning e-ercises is%

A.) "efore administration of preoperativemedications".) he afternoon or evening prior to surger !$.) ,everal da!s prior to surger!D.) pon admission of the client in therecover! room

Ans% "

13.) he following are the appropriatenursing actions *efore administrat ion ofpreoperative medications B$P%

A.) Ascertain the consent has *een signed".) nsure that NP has *een maintained$.) nstruct patient to empt! his *ladderD.) ,have the s'in at the site o f surger!

Ans% D19.) he patient has *een o*served pacingalong the hallwa!( goes to the *athroom

freCuentl! and as's Cuestions repeatedl!during preoperative assessment. he mostli'el! cause of the *ehavior is%

A.) ,he is an-ious a*out the surgicalprocedure".) ,he is worried a*out separation from thefamil!$.) ,he has urinar! tract infectionD.) ,he has an underl!ing emotional pro*lem

Ans% A

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16.) Which of the following nursing actionswould help the patient decrease an-iet!during the preoperative period?

A.) -plaining all procedures thoroughl! inchronological order".) ,pending t ime listening to the patient and

answering Cuestions$.) ncouraging sleep and l imit inginterruptionsD.) eassuring the patient that the surgicalstaff are competent professional

Ans% "1;.) Which of the following is the primar!purpose of maintaining NP for 6 to 7 hours*efore surger!?

A.) o prevent malnutrit ion".) o prevent electrol!te im*alance$.) o prevent aspirat ion pneumoniaD.) o prevent intestinal o*struction

Ans% $17.) he following ensure validit! of informedwritten consent B$P%

A.) he patient is of legal age with propermental disposit ion".) he consent has *een secured within &3hours *efore the surger!$.) f the patient is una*le to write( secure the

consent from a relat iveD.) he consent is secured *eforeadministrat ion of an! medication that alterthe level of consciousness

Ans% $1@.) Which of the following drugs isadministered to minimi/e respirator!secretions preop?

A.) Valium Dia/epam)".) Nu*ain Nal*uphine #$+)

$.) Phenergan Prometha/ine)D.) Atropine ,ulfate

Ans% D&0.) Which of the following is e-perienced *!the patient who is under spinal anesthesia?

A.) he patient is unconscious".) he patient is awa'e$.) he patient e-periences amnesiaD.) he patient e-periences total loss ofsensation

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Ans% "&1.) he patient who has undergone A#",complains of pain. Which of the following isan init ial nursing action?

A.) Administer the PN analgesics".) nstruct to do deep *reathing e-ercises

$.) Assess the V,D.) $hange the patient5s posit ionAns% $&&.) #ow freCuent should the nurse monitorthe V, of the patient in the recover! room?

A.) ver! 19 minutes".) ver! 0 mins$.) ver! 39 minsD.) ver! 60 mins

Ans% A&.) Which of the following drugs is given torelieve nausea and vomit ing?

A.) 8epivacaine".) ACuameph!ton$.) Nu*ainD.) Plasil

Ans% D&3.) he most important factor in theprevention of postop infection is%

A.) Proper administrat ion of anti*iot ics".) 2luid inta'e of &4+

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A.) Deep *reathing and coughing e-ercise".) urning to sides$.) 2oot and leg e-ercisesD.) reassuring her that narcotics wil l *egiven ever! 3 hours round the cloc' unti l sheis discharged

Ans% D&;.) he client gave her consent for thesurger!. o ensure the legalit! of theconsent( the following condit ions must *emet B$P%

A.) ,he gave her consent freel!".) ,he must understand the nature of thesurger!$.) he consent must *e signed *! a witnessD.) ,igning should *e done after theadministrat ion of pre4anesthesia meds

Ans% D&7.) he s'in is shaved prior to surger! inorder to%

A.) 2aci l i tate s'in incision".) ndicate the site to *e draped$.) o prevent wound infectionD.) educe post op scarring

Ans% $&@.) he important nursing intervention priorto administrat ion of pre4anesthetic

medication is%A.) As' patient to empt! the *ladder".) Do deep *reathing and coughinge-ercises$.) egulate V2 accuratel!D.) ,have the s'in

Ans% A0.) mmediatel! following spinal anesthesia(the greatest r is' is%

A.) ,evere hemorrhage

".) ,evere #!potension$.) ,evere #!pogl!cemiaD.) #!pertensive crisis

Ans% "1.) Nursing measures to promote theclient5s respirator! function during recover!from anesthesia are the following B$P%

A.) ncourages deep *reathing andcoughing e-ercises".) Administer #umidif ied o-!gen

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$.) Place in semi4fowlers posit ionD.) Place in supine posit ion with head turnedto the side without pil low support

Ans% $&.) Which of the following criteria must *emet *efore the client is released from the

to the unit.A.) "reathes with ease( coughs freel!".) #as regained consciousness$.) Vital signs f luctuates erraticall!D.) A*le to move four e-tremit ies

Ans% $.) arl! signs of poor respirator! functioninclude which of the following

A.) $!anosis".) #!potension$.) +oss of consciousnessD.) estlessness

Ans% D3.) Post operativel!( the client must *eencouraged to turn( cough and deep *reathe%

A.) ver! 14& hours".) ver! 3 hours$.) ver! 0 8insD.) ver! 7 hours

Ans% A9.) A client in shoc' must *e placed in%

A.) #igh4fowlers posit ion".) ,im5s posit ion$.) 8odif ied trendelen*urgD.) Prone posit ion

Ans% $6.) he most important factor in theprevention of post op wound infection is%

A.) AdeCuate f luid inta'e".) Proper administrat ion of anti*iot ics $.) Practice of str ict aseptic techniCueD.) 2reCuent cleaning of the wound

Ans% $;.) When the patient vomits( the mostimportant nursing o*:ective is to prevent%

A.) Deh!dration".) Aspirat ion$.) upture of suture l ineD.) 8et. Al'alosis

Ans% "7.) Post operativel!( a patient is e-pected tovoid after%

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A.) 647 hours".) &43 hours$.) 1&4&3 hoursD.) 1041& hours

Ans% A@.) #eadache after spinal anesthesia is due

to%A.) Paral!sis of vasomotor nerves".) raction placed on structures withina*domen$.) +oss of $,2 through dural holeD.) Administrat ion of large amounts andheav! concentration of anesthetic agents

Ans% $30.) Nursing measures for post4opthrom*ophle*it is include the followingB$P%

A.) 8aintain *edrest".) levate affected leg with pil low support$.) 8assage the painful e-tremit iesD.) Appl! antiem*olic stoc'ings

Ans% $31.) Nursing measures to relieve hiccupsinclude the follo wing B$P%

A.) -hale and inhale through a paper *ag".) Appl! pressure over the e!e*a ll throughclosed e!e l ids

$.) #old *reath while ta'ing a large pulp ofwaterD.) Administer high concentration of o-!gen

Ans% D3&.) 8odif ied radical mastectom! involves%

A.) emoval of the entire *reast( a-il lar!l!mph nodes( pectoralis muscle".) emoval of the lump of the *reast$.) emoval of the entire *reast( a-il lar! andnec' l!mph nodes( including pectoralis

musclesD.) emoval of the entire *reast *ut nippleremains intact

Ans% A3.) Which of the following is not appropriatenursing intervention after modif ied radicalmastectom!?

A.) Place in semi fowler 5s posit ion andelevate arm on the affected side with pil lowsupport

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".) $hec' *ehind the client for *leeding$.) 8onitor output from wound suctiondrainageD.) mmo*il i/e the arm on affected side i nadduction

Ans% D

33.) A f luid challenge is *egun with a post4opgastric surger! client. Which assessment wil lgive the *est indication of client response tothis treatment?

A.) $VP readings and hourl! urine output".) "lood pressure and apical rate chec's$.) +ung sounds and arterial *lood gasesD.) lectrol!tes( "N( creatinine results

Ans% A39.) A client is scheduled for a su*totalgastrectom!. n anticipation of clarif!inginformation for client education( the nurse'nows that vagotom! is done as part of thesurgical treatment for peptic ulcers in orderto

A.) Decrease secretion of h!drochloric acid".) mprove the tone of the E muscles$.) ncrease *lood suppl! to the :e:unumD.) Prevent the transmission of painimpulses

Ans% A

36.) Which of the following facts *este-plains wh! the duodenum is not removedduring a su*total gastrectom!?

A.) he head of the pancreas is adherent tothe duodenal wall".) he common *ile duct empties into theduodenal lumen$.) he wall of the :e:unum contains nointestinal vi l l iD.) he :e:unum receives its *lood suppl!

through the duodenumAns% "3;.) During the immediate postoperativeperiod following gastric surger!( wh! mustthe nurse *e part icularl! conscientiousa*out encouraging a client to cough anddeep4*reathe at regular intervals?

A.) 8ar'ed changes in intrathoracic pressurewill st imulate gastric drainage".) he high a*dominal incision wil l lead to

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shallow *reathing to avoid pain$.) he phrenic nerve wil l have *eenpermanentl! damaged during the surgicalprocedureD.) Deep4*reathing wil l prevent post opvomit ing and intestinal distention

Ans% "37.) Prior to having a su*total gastrectom!( aclient is told a*out the dumping s!ndrome.he nurse e-plains that it is%

A.) he *od!5s a*sorption of to-ins produced*! l iCuefaction of dead t issue".) 2ormation of an ulcer at the margin of thegastro:e:unal anastomosis$.) *struction of venous f low from thestomach into the portal s!stemD.) apid empt!ing of food and f luid from thestomach into the :e:unum

Ans% D3@.) Which of the following statements *! aclient recovering from a su*totalgastrectom! would indicate a need foraddit ional teaching a*out the diet protocolfor dumping s!ndrome?

A.) F plan to eat a diet low in car*oh!dratesand high in protein and fatG".) F plan to eat a diet high in $# and low

in $#N and fatG$.) F wil l eat slowl! and avoid drin'ing f luidsduring mealsGD.) F wil l tr! to assume a recum*e nt posit ionafter meals for 0 mins to 1 hour to enhancedigestion and relieve s!mptoms

Ans% "90.) A 30 !

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