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Perioperative Nursing - 50 Items

Perioperative Nursing - 50 Items



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Published by: api-3718174 on Oct 14, 2008
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Perioperative Nursing 001
1.) Which of the following is most dangerouscomplication during induction of spinalanesthesia?A.)TachycardiaB.)HypotensionC.)HyperthermiaD.)BradypneaAns: B2.) Which type of surgery is most likely topredispose a patient to postoperativeatelectasis, pneumonia or respiratoryfailure?A.)Upper abdominal surgery on an obesepatient with a long history of smokingB.)Upper abdominal surgery on a patientwith normal pulmonary functionC.)Lower abdominal surgery on a youngpatient with diabetes mellitusD.)Surgery on the extremities of anonsmoking football player Ans: A3.) Which of the following characterizesexcitement stage of anesthesiaA.) Occurs from the administration of anesthesia to the loss of consciousnessB.) Extends from the loss of consciousnessto the loss of lid reflex, characterized bystruggling and talkingC.) From the loss of lid reflex to the loss of most reflexesD.) From the loss of most reflexes torespiratory and circulatory failureAns: B4.) To prevent headache after spinalanesthesia the patient should be positioned:A.) Semi-fowler’sB.) Flat on bed for 6 to 8 hoursC.) Prone positionD.) Modified trendelenburgAns: B5.) Which of the following nursing actionsshould be given highest priority whenadmitting the patient into the operatingroom?A.) Level of consciousnessB.) Vital signsC.) Patient identification and correctoperative consentD.) Positioning and skin preparationAns: C6.) What is the primary reason for the gradualchange of position of the patient after surgery?A.) To prevent muscle injuryB.) To prevent sudden drop of BPC.) To prevent respiratory distressD.) To promote comfortAns: B7.) Which of the following assessment data ismost important to determine when caring for a patient who has received spinalanesthesia?A.) The time of return of motion andsensation in the legs and toesB.) The character of respirationC.) Level of consciousnessD.) Amount of wound drainageAns: A8.) Which of the following postop findingsshould the nurse report to the M.D.?A.) The patient pushes out the oral airway with his toungeB.) Urine output is 20ml/hr for the past twohoursC.) VS are as follows:BP=110/70;PR=95;RR=19,Temp=36.8CD.) Wound drainage is serosanguinousAns: B9.) Which of the following is the earliest signof poor respiratory function?A.) CyanosisB.) Fast thready pulseC.) RestlessnessD.) FaintnessAns: C10.) If wound eviscerations occurs, theimmediate nursing action is:A.) Cover the wound with sterile gauze
moistened with sterile NSSB.) Cover the wound with water-soakedgauzeC.) Cover the wound with sterile dry gauzeD.) Leave the wound uncovered and pull theskin edges together Ans: A11.) Appendectomy is classified asA.) AblativeB.) ConstructiveC.) ReconstructiveD.) PalliativeAns: A12.) The worst of all fears among clientsundergoing surgery is:A.) Fear of financial burdenB.) Fear of deathC.) Fear of the unknownD.) Fear of loss of jobAns: C13.) The best time to provide preoperativeteaching on deep breathing, coughing andturning exercises is:A.) Before administration of preoperativemedicationsB.) The afternoon or evening prior to surgeryC.) Several days prior to surgeryD.) Upon admission of the client in therecovery roomAns: B14.) The following are the appropriatenursing actions before administration of preoperative medications EXCEPT:A.) Ascertain the consent has been signedB.) Ensure that NPO has been maintainedC.) Instruct patient to empty his bladder D.) Shave the skin at the site of surgeryAns: D15.) The patient has been observed pacingalong the hallway, goes to the bathroomfrequently and asks questions repeatedlyduring preoperative assessment. The mostlikely cause of the behavior is:A.) She is anxious about the surgicalprocedureB.) She is worried about separation from thefamilyC.) She has urinary tract infectionD.) She has an underlying emotional problemAns: A16.) Which of the following nursing actionswould help the patient decrease anxietyduring the preoperative period?A.) Explaining all procedures thoroughly inchronological order B.) Spending time listening to the patient andanswering questionsC.) Encouraging sleep and limitinginterruptionsD.) Reassuring the patient that the surgicalstaff are competent professionalAns: B17.) Which of the following is the primarypurpose of maintaining NPO for 6 to 8 hoursbefore surgery?A.) To prevent malnutritionB.) To prevent electrolyte imbalanceC.) To prevent aspiration pneumoniaD.) To prevent intestinal obstructionAns: C18.) The following ensure validity of informedwritten consent EXCEPT:A.) The patient is of legal age with proper mental dispositionB.) The consent has been secured within 24hours before the surgeryC.) If the patient is unable to write, secure theconsent from a relativeD.) The consent is secured beforeadministration of any medication that alter the level of consciousnessAns: C19.) Which of the following drugs isadministered to minimize respiratorysecretions preop?A.) Valium (Diazepam)B.) Nubain ( Nalbuphine HCL)C.) Phenergan (Promethazine)D.) Atropine SulfateAns: D20.) Which of the following is experienced bythe patient who is under spinal anesthesia?
A.) The patient is unconsciousB.) The patient is awakeC.) The patient experiences amnesiaD.) The patient experiences total loss of sensationAns: B21.) The patient who has undergone TAHBSOcomplains of pain. Which of the following isan initial nursing action?A.) Administer the PRN analgesicsB.) Instruct to do deep breathing exercisesC.) Assess the VSD.) Change the patient’s positionAns: C22.) How frequent should the nurse monitor the VS of the patient in the recovery room?A.) Every 15 minutesB.) Every 30 minsC.) Every 45 minsD.) Every 60 minsAns: A23.) Which of the following drugs is given torelieve nausea and vomiting?A.) MepivacaineB.) AquamephytonC.) NubainD.) PlasilAns: D24.) The most important factor in theprevention of postop infection is:A.) Proper administration of antibioticsB.) Fluid intake of 2-3L/dayC.) Practice of strict aseptic techniquesD.) Frequent change of wound dressingsAns: C25.) Which of the following primarilyprevents postop complications?A.) Adequate fluid intakeB.) Early ambulationC.) Well-balanced dietD.) Administration of antimicrobialsAns: BSituation: A female client, 23 y/o wasadmitted for the first time at the FatimaHospital with the chief complaint of RightIliac Pain, accompanied by nausea andvomiting, chills and fever. She wasdiagnosed to have acute appendicitis. Shewas scheduled to have emergencyappendectomy under spinal anesthesia26.) Pre-op instructions to the client wouldinclude the following EXCEPT:A.) Deep breathing and coughing exerciseB.) Turning to sidesC.) Foot and leg exercisesD.) reassuring her that narcotics will begiven every 4 hours round the clock until sheis dischargedAns: D27.) The client gave her consent for thesurgery. To ensure the legality of theconsent, the following conditions must bemet EXCEPT:A.) She gave her consent freelyB.) She must understand the nature of thesurgeryC.) The consent must be signed by a witnessD.) Signing should be done after theadministration of pre-anesthesia medsAns: D28.) The skin is shaved prior to surgery inorder to:A.) Facilitate skin incisionB.) Indicate the site to be drapedC.) To prevent wound infectionD.) Reduce post op scarringAns: C29.) The important nursing intervention prior to administration of pre-anestheticmedication is:A.) Ask patient to empty the bladder B.) Do deep breathing and coughingexercisesC.) Regulate IVF accuratelyD.) Shave the skinAns: A30.) Immediately following spinal anesthesia,the greatest risk is:A.) Severe hemorrhageB.) Severe Hypotension

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