The Surgical Client Flashcards
(25 cards)
a client is having surgery on their hand and tells the nurse that they understand that anesthesia will be administered so that they will have a temporary loss of feeling in their arm. Which of the following types of anesthesia is the client describing?
General
Local
Regional
Epidural
Regional
a nurse is reviewing the medical record of a post op client. Which of the following findings in the client’s history are risk factors for poor wound healing?
select all that apply
Type 2 diabetes mellitus
BMI 28
Married
Current smoker
Corticosteroid use
68 years old
Type 2 diabetes mellitus
Current smoker
Corticosteroid use
68 years old
a nurse is caring for a client who is scheduled for surgery and it as risk for postop venous thromboembolism. Which of the following Rx should the nurse anticipate to reduce the risk of VTE?
Incentive spirometer
Antibiotic therapy
Antihypertensive medication
Sequential compression devices
Sequential compression devices
a nurse is caring for a client who has dementia and is scheduled for surgery. Which of the following creates a risk for the client to develop a postop complication?
Use of probiotics
Prescribed antibiotics
Prescribed anticholinergics
Use of antiseptic skin cleanser
Prescribed anticholinergics
a nurse is collecting data from a client who is preop for a surgical procedure. Which of the following information should the nurse document in the clients medical record?
Allergies
Discontinued medications
Alcohol use
Spiritual beliefs
Financial status
Allergies
Alcohol use
Spiritual beliefs
a nurse is preparing a client for surgery and needs to scrub the surgical site. Identify the sequence the nurse should follow.
start at the center and move to the area away from the site.
drape the client.
scrub the surgical site in a circular fashion with an antiseptic.
repeat with a new sponge.
scrubs the outer edge and discard the sponge.
- Scrub the surgical site in a circular fashion with an antiseptic
- Start at the center and move to the area away from the site
- Scrub the outer edge and discard the sponge
- Repeat with a new sponge
- Drape the client
a nurse is assisting in developing a plan to mange a client perioperative pain. Which of the following interventions should the nurse include in the plan?
select all that apply
Ask the client what interventions they prefer.
Limit medications to one type of analgesic.
Determine how the client has responded to analgesics in the past.
Include the use of a placebo for pain management.
Include nonpharmacological methods to reduce pain.
Ask the client what interventions they prefer.
Determine how the client has responded to analgesics in the past.
Include non pharmacological methods to reduce pain.
a nurse is monitoring a postsurgical client for dysphagia. Which of the following factors puts the client at risk?
History of foot surgery
Parkinson’s disease
Leukemia
History of a total abdominal hysterectomy
Parkinson’s disease
a nurse is collecting date on a client who is preparing for discharge following surgery. Which of the following findings should be the nurse’s priority concern?
The client lives alone.
The client cares for a pet.
The client takes medications that cause dizziness.
The client takes medications that cause heartburn
The client takes medications that cause dizziness
a nurse is reinforcing teaching provided to a client about postop complications. Which of the following should the nurse identify as creating a risk for the client to develop pneumonia?
Diarrhea
Aspiration
Pain
Pruritis
Aspiration
a nurse is caring for a client who is 2 days postop following abdominal surgery and reports discomfort and nausea. The nurse notes minimal bowl sounds on auscultation. The nurse should anticipate that the client may have which of the following conditions?
An ileus
Dehiscence
Irritable bowel syndrome
Hemorrhoids
An ileus
a nurse is assisting with teaching a newly licensed nurse about preop teaching. Which of the following statements should the nurse include?
“Preoperative teaching can reduce the length of the client’s hospital stay.”
“Preoperative teaching results in an increase in client anxiety.”
“Preoperative teaching results in a decrease in clients’ participation in their health care plan.”
“Preoperative teaching can cause an increase in the cost of health care.”
“Preoperative teaching can reduce the length of the client’s hospital stay.”
a nurse is caring fora client who is preop and reports a history of regular tobacco use. The nurse should identify that the client is at the great risk of ____?
Blood Clots
A nurse is collecting data on a client who is postoperative following abdominal surgery. What finding is a manifestation of infection?
Redness around the incision site
a nurse is planning care for a client who has a distended bladder and has not voided 8hrs after surgery. Which of the following interventions should the nurse plan to take?
Instruct the client to perform pelvic muscle exercises.
Restrict the client’s fluid intake.
Insert a straight urinary catheter into the client.
Administer an anticholinergic medication to the client.
Insert a straight urinary catheter into the client.
a nurse is discussing the time-out procedure with a newly licensed nurse. The nurse should include that a time-out is performed at which of the following times?
Once at the beginning of the procedure
Several times throughout the procedure
Once at the end of the procedure
After anesthesia has been administered
Several times throughout the procedure
a nurse is assisting in planning postop care for a client who is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Reposition the client every hour.
Have the client cough and deep breathe every 4 hr.
Instruct the client to perform ankle pump exercises once a day.
Reinforce with the client that they should use an incentive spirometer every 2 hr.
Reposition the client every hour.
a nurse is planning postoperative care for a client. Which of the following actions should be the nurse’s priority?
Monitor the client’s oxygen saturation.
Check the client’s bowel sounds.
Administer analgesics to the client.
Measure the client’s intake and output.
Monitor the client’s oxygen saturation.
a nurse is collecting data on the surgical wound of a postop client. Which of the following information should the nurse include in the documentation of the wound?
select all that apply
The client states the wound is painful.
The client’s blood pressure is 115/72 mm Hg.
The edges of the wound are red.
The client is ambulating frequently.
The client has a fever.
The client states that the wound is painful
The edges of the wound are red
The client has a fever
a nurse is collecting data on a client who is postop following a hip arthriplasty. Which of the following findings is a possible manifestation of bleeding?
Oxygen saturation 97% on room air
Respiratory rate 14/min
Heart rate 72/min
Blood pressure 88/60 mm Hg
Blood pressure 88/60 mm Hg
surgical attire for the surgical suite consist of which of the following?
select all that apply
Belt
Cap
Shoe covers
Gown
Mask
Gloves
Cap
Shoe covers
Gown
Mask
Gloves
which of the following members of the surgical team is responsible for ensuring that the necessary tools are sterile and ready to use?
Circulating nurse
Anesthesiologist
Certified surgical technologist
Surgeon
Certified surgical technologist
a nurse is reinforcing teaching with a newly licensed nurse about informed consent. The nurse should include that which of the following is the nurse’s responsibility when obtaining informed consent from a client?
select all that apply
Verify the client has signed the consent.
Describe the procedure to the client.
Check that the client is of legal age to provide consent.
Explain alternatives to the procedure to the client.
Confirm the client is competent.
Check that the client is of legal age to provide consent.
Verify the client has signed the consent.
Confirm the client is competent.
a nurse is caring for a client who is postop following a demur fracture repair. The client suddenly reports chest pain and is experiencing SOB. Which of the following conditions should the nurse suspect?
Deep vein thrombosis
Thrombotic stroke
Hypovolemic shock
A pulmonary embolism
A pulmonary embolism
