Perioperative Nursing: 25 items

Perioperative Nursing: 25 items

1. Appendectomy is classified as:
a. ablative
b. constructive
c. reconstructive
d. palliative

2. The worst of all fears among clients undergoing surgery is:
a. fear of financial burden
b. fear of death
c. fear of the unknown
d. fear of loss of job

3. The best time to provide preoperative teaching on deep breathing, coughing and turning exercises is:
a. before administration of preoperative medications
b. the afternoon or evening prior to surgery
c. several days prior to surgery
d. upon admission of the client in the recovery room

4. The following are the appropriate nursing actions before administration of preoperative medications except:
a. ascertain that consent has been signed
b. ensure that NPO has been maintained
c. several days prior to surgery
d. upon admission of the client in the recovery room

5. The patient has been observed pacing along the hallway, goes to the bathroom frequently and asks questions repeatedly during preoperative assessment. The most likely cause of the behavior is:
a. she is anxious about the surgical procedure
b. she is worried about separation from the family
c. she has urinary tract infection
d. she has an underlying emotional problem

6. Which of the following nursing actions would help the patient decrease anxiety during the preoperative period?
a. explaining all procedures thoroughly in chronological order
b. spending time listening to the patient and answering question
c. encouraging sleep and limiting interruptions
d. reassuring the patient that the surgical staff are competent professional

7. Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours before surgery?
a. to prevent malnutrition
b. to prevent electrolyte imbalance
c. to prevent aspiration pneumonia
d. to prevent intestinal obstruction

8. The following ensure validity of informed written consent except:
a. the pt. is o legal age with proper mental disposition
b. the consent has been secured within 24 hours before the surgery
c. if the pt. is unable to write, secure the consent from the relative
d. the consent is secured before administration of any medication that alter the level of consciousness

9. Which of the following drugs is administed to minimize respiratory secretions preop?
a. valium (diazepam)
b. nubain (nalbuphine HCL)
c. phenergan (promethazine)
d. atrophine sulfate

10. Which of the following is experienced by the patient who is under spinal anesthesia?
a. the pt. is unconscious
b. the pt. is awake
c. the pt. experience amnesia
d. the pt. experiences total loss of sensation

11. Which of the ff. is most dangerous complication during induction of spinal anesthesia?
a. tachycardia
b. hypotension
c. hyperthermia
d. bradypnea

12. Which type of surgery is most likely to predispose a pt. to postoperative atelectasis, pneumonia or respiratory failure?
a. upper abdominal surgery in an obese pt. with a long history of smoking
b. upper abdominal surgery on a pt. with normal pulmonary function
c. lower abdominal surgery on a young pt. with diabetes mellitus
d. surgery on the extremities of a nonsmoking football player

13. Which of the ff. characterizes excitement stage of anesthesia?
a. occurs from the administration of anesthesia to the loss of consciousness
b. extends from the loss of consciousness to the loss of lid reflex, characterized by struggling and talking
c. from the loss lid reflex to the loss of most reflex
d. from the loss of most reflexes to respiratory and circulatory failure

14. To prevent headache after spinal anesthesia the patient should be positioned:
a. semi-fowlers
b. flat on bed for 6-8 hrs.
c. prone position
d. modified trendelenburg

15. Which of the ff. nsg. actions should be given highest priority when admitting the pt. into the operating room?
a. level of consciousness
b. vital signs
c. pt. identification and correct operative consent
d. positioning and skin preparation

16. What is the primary reason for gradual change of position of the pt. after surgery?
a. to prevent muscle injury
b. to prevent sudden drop of BP
c. to prevent respiratory distress
d. to promote comfort

17. Which of the ff. assessment data is most important to determine when caring for a patient who has received spinal anesthesia?
a. the time of return of motion and sensation in the legs and toes
b. the character of respiration
c. level of consciousness
d. amount of wound drainage

18. Which of the following postop findings should the nurse report to the physician?
a. the pt. pushes out the oral cavity in his tongue
b. urine output is 20 ml./hr for the past 2 hours
c. VS are as follows: BP=110/70, PR=95, RR=19, TEMP=36.8C
d. wound drainage is serosanguinous

19. Which of the ff. is the earliest sign of poor respiratory function?
a. cyanosis
b. fast thread pulse
c. restlessness
d. faintness
20. If wound eviceration occurs, the immediate nsg. action is:
a. cover the wound with sterile gauze moistened with sterile NSS
b. cover the wound with water-soaked gauze
c. cover the wound with sterile dry gauze
d. leave the wound uncovered and pull the skin edges together

21. The pt. who has undergone TAHBSO complains of pain. Which of the ff. is an initial nursing action?
a. administer the PRN analgesic
b. instruct to do deep breathing exercises
c. assess the VS
d. change the pt's position

22. How frequent should the nurse monitor the VS of the pt. in the recovery room?
a. every 15 mins.
b. every 10 mins.
c. every 45 mins.
d. every 60 mins.

23. Which of the following drugs is given to relieve nausea and vomiting?
a. Mepivacaine
b. Aquamephyton
c. Nubain
d. Plasil

24. The most important factor in the prevention of postop infection is:
a. proper administration of antibiotics
b. fluid intake of 2-3L/day
c. practice of strict aseptic techniques
d. frequent changes of wound dressing

25. Which of the ff. primarily prevents postop complication?
a. adequate fluid intake
b. early ambulation
c. well-balanced diet
d.administration of antimicrobials