Chapter 29 Perioperative Nursing

Chapter 29  Perioperative Nursing

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is preparing to send a client to the operating room for an exploratory laparoscopy. The nurse recognizes that there is no informed consent for the procedure on the client’s chart. The nurse informs the physician who is performing the procedure. The physician asks the nurse to obtain the informed consent signature from the client. What is the nurse’s best action to the physician’s request?
A)
Inform the physician that it is his or her responsibility to obtain the signature.
B)
Obtain the signature and ask another nurse to cosign the signature.
C)
Inform the physician that the nurse manager will need to obtain the signature.
D)
Call the house officer to obtain the signature.
Ans:
A

Feedback:

The responsibility for securing informed consent from the client lies with the person who will perform the procedure. The nurse’s best action is to inform the physician that it is his or her responsibility to obtain the signature.

2.
Upon assessment, a client reports that he drinks five to six bottles of beer every evening after work. Based upon this information, the nurse is aware that the client may require which of the following?
A)
Larger doses of anesthetic agents and larger doses of postoperative analgesics
B)
Larger doses of anesthetic agents and lower doses of postoperative analgesics
C)
Lower doses of anesthetic agents and lower doses of postoperative analgesics
D)
Lower doses of anesthetic agents and larger doses of postoperative analgesics
Ans:
A

Feedback:

Clients with a large habitual intake of alcohol require larger doses of anesthetic agents and postoperative analgesics, increasing the risk for drug-related complications.

3.
The telemetry unit nurse is reviewing laboratory results for a client who is scheduled for an operative procedure later in the day. The nurse notes on the laboratory report that the client has a serum potassium level of 6.5 mEq/L, indicative of hyperkalemia. The nurse informs the physician of this laboratory result because the nurse recognizes hyperkalemia increases the client’s operative risk for which of the following?
A)
Cardiac problems
B)
Infection
C)
Bleeding and anemia
D)
Fluid imbalances
Ans:
A

Feedback:

Hyperkalemia or hypokalemia increases the client’s risk for cardiac problems. A decrease in the hematocrit and hemoglobin level may indicate the presence of anemia or bleeding. An elevated white blood cell count occurs in the presence of infection. Abnormal urine constituents may indicate infection or fluid imbalances.

4.
The nurse is providing education to a client regarding pain control after surgery. What time does the nurse inform the client is the best time to request pain medication?
A)
Before the pain becomes severe
B)
When the client experiences a pain rating of “10” on a 1-to-10 pain scale
C)
When there is no pain, but it is time for the medication to be administered
D)
After the pain becomes severe and relaxation techniques have failed
Ans:
A

Feedback:

If a pain medication is ordered p.r.n., the client should be instructed to ask for the medication before the pain becomes severe.

5.
A client returning to the floor after orthopedic surgery is complaining of nausea. The nurse is aware that an appropriate intervention is to do which of the following?
A)
Avoid strong smelling foods.
B)
Provide clear liquids with a straw.
C)
Avoid oral hygiene until the nausea subsides.
D)
Hold all medications.
Ans:
A

Feedback:

Nursing care for a xlient with nausea includes avoiding strong smelling foods, providing oral hygiene, administering prescribed medications (especially medications ordered for nausea and vomiting), and avoiding use of a straw.