STUDY FOR FINAL surgery and endo Flashcards
18-20 AND 49-51 (43 cards)
- A patient with obesity (BMI 42.1 kg/m2) is scheduled for a laparoscopic cholecystectomy in an outpatient surgery setting. Which information would the nurse include in the plan of care?
a. The patient will be in the hospital for several days.
b. Surgery will involve removing a part of the liver.
c. The setting is not appropriate for the planned procedure.
d. Special equipment may be needed for the patient’s care.
d. Special equipment may be needed for the patient’s care.
- The patient reports that she has noticed a skin reaction when wearing disposable gloves. Which action would the nurse take?
a. Notify the surgeon so that the surgery can be canceled.
b. Ask further questions to assess for a possible latex allergy.
c. Notify the OR staff at once so they can use latex-free supplies.
d. No action is needed because the patient’s reaction has no bearing on surgery.
b. Ask further questions to assess for a possible latex allergy.
- A 59-year-old man scheduled for a herniorrhaphy in 2 days reports that he takes an anticoagulant agent daily. Which action would the nurse take?
a. Inform the surgeon since the procedure may have to be rescheduled.
b. Tell the patient to continue to take the drug up to the day before surgery.
c. Ask the patient if he has any side effects from taking this drug supplement.
d. Notify the anesthesia care provider since this drug may interfere with anesthetics.
a. Inform the surgeon since the procedure may have to be rescheduled.
- Which intervention would the nurse prioritize to aid a preoperative patient in coping with the fear of postoperative pain?
a. Inform the patient that pain medication will be available.
b. Teach the patient to use guided imagery to help manage pain.
c. Describe the type of pain expected after the patient’s surgery.
d. Explain the pain management plan and the use of a pain rating scale.
d. Explain the pain management plan and the use of a pain rating scale.
- A 17-year-old patient with a leg fracture who is scheduled for surgery is an emancipated minor. She has a statement from the court for verification. Which action would the nurse take?
a. Witness the patient signing the permit after the surgeon obtains consent.
b. Call a parent or legal guardian to sign the permit since the patient is under 18.
c. Notify the hospital attorney that an emancipated minor is consenting for surgery.
d. Obtain verbal consent since written consent is not necessary for emancipated minors.
a. Witness the patient signing the permit after the surgeon obtains consent.
- A patient is scheduled for surgery requiring general anesthesia at an ambulatory surgical center. The nurse asks him when he ate last. He replies that he had a light breakfast a couple of hours before coming to the surgery center. Which action would the nurse take?
a. Tell the patient to come back tomorrow since he ate a meal.
b. Have the patient void before giving any preoperative medication.
c. Proceed with the preoperative checklist, including site identification.
d. Notify the anesthesia care provider of when and what the patient last ate
d. Notify the anesthesia care provider of when and what the patient last ate
- A patient who takes metformin 500 mg every morning for control of type 2 diabetes asks if she should take her medication the day of surgery. Which recommendation would the nurse make?
a. Skip her medication the day of surgery.
b. Get instructions from the surgeon about medication adjustments.
c. Take her usual morning dose at bedtime the night before surgery.
d. Take her medication as usual with a sip of water in the morning.
b. Get instructions from the surgeon about medication adjustments.
- Which preoperative considerations would the nurse plan for the care of an older adult? (Select all that apply.)
a. Using only large-print educational materials.
b. Speaking louder for patients with hearing aids.
c. Recognizing that sensory deficits may be present.
d. Providing warm blankets to prevent hypothermia.
e. Teaching important information early in the morning.
c. Recognizing that sensory deficits may be present.
d. Providing warm blankets to prevent hypothermia.
- Which items would the nurse wear for proper attire in the semirestricted area of the surgery department?
a. Street clothing
b. Surgical attire and head cover
c. Street clothing and shoe covers
d. Surgical attire, head cover, shoe covers
d. Surgical attire, head cover, shoe covers
- Which activities might the nurse perform in the role of a scrub nurse during surgery? (select all that apply)
a. Checking electrical equipment
b. Preparing the instrument table
c. Assisting with draping the patient
d. Passing instruments to the surgeon and assistants
e. Documenting activities occurring in the operating room
b. Preparing the instrument table
c. Assisting with draping the patient
d. Passing instruments to the surgeon and assistants
- The nurse is caring for a patient undergoing surgery for a knee replacement. Which factors are critical to the patient’s safety during the procedure? (select all that apply)
a. Universal protocol is followed.
b. The ACP is an anesthesiologist.
c. The patient has adequate health insurance.
d. The patient’s family is in the surgery waiting area.
e. The patient’s allergies are conveyed to the surgical team.
a. Universal protocol is followed.
e. The patient’s allergies are conveyed to the surgical team.
- Which action is the nurse’s primary responsibility for the care of the patient undergoing surgery?
a. Developing a patient-centered plan of nursing care
b. Carrying out tasks related to surgical policies and procedure
c. Ensuring that the patient has been assessed for safe administration of anesthesia
d. Performing a preoperative history and physical assessment to identify patient needs
a. Developing a patient-centered plan of nursing care
- Which action would the nurse take when scrubbing at the scrub sink?
a. Scrub from elbows to hands
b. Scrub without mechanical friction
c. Scrub for a minimum of 10 minutes
d. Hold the hands higher than the elbows
d. Hold the hands higher than the elbows
- Which factors in positioning a patient for surgery increase the risk of patient injury? (select all that apply)
a. Loss of pain perception
b. Incorrect musculoskeletal alignment
c. Vasoconstriction of the peripheral vessels
d. Hypovolemia contributing to decreased perfusion
e. Inability to sense pressure over bony prominences
a. Loss of pain perception
b. Incorrect musculoskeletal alignment
d. Hypovolemia contributing to decreased perfusion
e. Inability to sense pressure over bony prominences
- Why is IV induction for general anesthesia the method of choice for most patients?
a. The patient is not intubated.
b. The agents are nonexplosive.
c. Induction is rapid and controlled.
d. Emergence is longer but with fewer complications.
c. Induction is rapid and controlled.
- After admitting a postoperative patient to the clinical unit, which assessment data require attention first?
a. O2 saturation of 85%
b. Respiratory rate of 13/min
c. Temperature of 100.4°F (38°C)
d. Blood pressure of 90/60 mm Hg
a. O2 saturation of 85%
- Which actions would the nurse prioritize when admitting a patient to the PACU?
a. Assess the surgical site, noting presence and character of drainage.
b. Assess the amount of urine output and the presence of bladder distention.
c. Assess for airway patency and quality of respirations and obtain vital signs.
d. Review results of intraoperative laboratory values and medications received.
c. Assess for airway patency and quality of respirations and obtain vital signs.
- A patient is admitted to the PACU after major abdominal surgery. During the initial assessment the patient tells the nurse, “I think I am going to throw up.” Which is the priority intervention?
a. Increase the rate of the IV fluids.
b. Give antiemetic medication as ordered.
c. Obtain vital signs, including O2 saturation.
d. Position patient in lateral recovery position.
d. Position patient in lateral recovery position.
- Which factors would the nurse include in discharge criteria for a Phase II patient? (select all that apply)
a. Nausea and vomiting controlled.
b. Ability to drive themselves home.
c. No respiratory depression present.
d. Written discharge instructions understood.
e. Opioid pain medication given 45 minutes ago.
a. Nausea and vomiting controlled.
c. No respiratory depression present.
d. Written discharge instructions understood.
e. Opioid pain medication given 45 minutes ago.
- A 70-kg postoperative patient has an average urine output of 25 mL/hr during the first 8 hours. Which interventions would the nurse prioritize? (Select all that apply.)
a. Obtain a bladder ultrasound scan.
b. Perform a straight catheterization.
c. Continue to monitor this normal finding.
d. Evaluate the patient’s fluid volume status.
a. Obtain a bladder ultrasound scan.
d. Evaluate the patient’s fluid volume status.
- A characteristic common to all hormones is that they
a. circulate in the blood bound to plasma proteins.
b. influence cellular activity of specific target tissues.
c. accelerate the metabolic processes of all body cells.
d. enter a cell and change the cell’s metabolism or gene expression.
b. influence cellular activity of specific target tissues.
- A patient is receiving radiation therapy for renal cancer. The nurse monitors the patient for signs and symptoms of damage to the
a. pancreas.
b. thyroid gland.
c. adrenal glands.
d. posterior pituitary gland.
c. adrenal glands.
- When obtaining subjective data from a patient during assessment of the endocrine system, the nurse asks specifically about
a. energy level.
b. intake of vitamin C.
c. employment history.
d. frequency of sexual intercourse.
a. energy level.
- A patient has a serum sodium level of 152 mEq/L (152 mmol/L). The normal hormonal response to this situation is
a. release of ADH.
b. release of ACTH.
c. secretion of aldosterone.
d. secretion of corticotropin-releasing hormone.
a. release of ADH.
