NR 206 -Perioperative Nursing 001

NR 206 -Perioperative Nursing 001

NR 206 -Perioperative Nursing 001

1.) Which of the following is most dangerous complication during induction of spinal anesthesia?
A.)Tachycardia
B.)Hypotension
C.)Hyperthermia
D.)Bradypnea

2.) Which type of surgery is most likely to predispose a patient to postoperative atelectasis, pneumonia or respiratory failure?
A.)Upper abdominal surgery on an obese patient with a long history of smoking
B.)Upper abdominal surgery on a patient with normal pulmonary function
C.)Lower abdominal surgery on a young patient with diabetes mellitus
D.)Surgery on the extremities of a nonsmoking football player
Ans: A

3.) Which of the following 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 of lid reflex to the loss of most reflexes
D.) From the loss of most reflexes to respiratory and circulatory failure

 

4.) To prevent headache after spinal anesthesia the patient should be positioned:
A.) Semi-fowler’s
B.) Flat on bed for 6 to 8 hours
C.) Prone position
D.) Modified trendelenburg

5.) Which of the following nursing actions should be given highest priority when
admitting the patient into the operating room?
A.) Level of consciousness
B.) Vital signs
C.) Patient identification and correct operative consent
D.) Positioning and skin preparation

6.) What is the primary reason for the gradual change of position of the patient after surgery?
A.) To prevent muscle injury
B.) To prevent sudden drop of BP
C.) To prevent respiratory distress
D.) To promote comfort

7.) Which of the following 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

8.) Which of the following postop findings should the nurse report to the M.D.?
A.) The patient pushes out the oral airway with his tounge
B.) Urine output is 20ml/hr for the past two hours
C.) VS are as follows: BP=110/70;PR=95;RR=19,Temp=36.8C
D.) Wound drainage is serosanguinous

9.) Which of the following is the earliest sign of poor respiratory function?
A.) Cyanosis
B.) Fast thready pulse
C.) Restlessness
D.) Faintness

10.) If wound eviscerations occurs, the immediate nursing 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

11.) Appendectomy is classified as
A.) Ablative
B.) Constructive
C.) Reconstructive
D.) Palliative

12.) 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

13.) 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

14.) The following are the appropriate nursing actions before administration of preoperative medications EXCEPT:
A.) Ascertain the consent has been signed
B.) Ensure that NPO has been maintained
C.) Instruct patient to empty his bladder
D.) Shave the skin at the site of surgery

15.) 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

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