Chapter 20--Preoperative Nursing Management

Chapter 20–Preoperative Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is identifying diagnoses appropriate for a client scheduled for a surgical procedure. Which of the following is a diagnosis commonly used for preoperative client?

1.	Anxiety
2.	Sleep deprivation
3.	Excess fluid volume
4.	Disturbed body image

 

 

ANS:  1

The preoperative experience may be one of the most tension-producing periods of hospitalization. The nursing diagnosis “anxiety” is commonly used for preoperative clients. The other diagnoses are not commonly used as preoperative diagnoses.

 

PTS:   1                    DIF:    Apply

REF:   Nursing Diagnoses Used During Preoperative Assessment

 

2. The preoperative nurse cares for the client until the client progresses into the intraoperative phase of care which begins when the client:

1.	signs the surgical consent form.
2.	arrives at the surgical suite doors.
3.	is transferred to the postanesthesia care unit.
4.	accepts that surgery is pending.

 

 

ANS:  2

The preoperative period ends and the intraoperative period begins when the patient and family are at the door to the surgical suites. Intraoperative care does not begin when the client signs the surgical consent form, is transferred to the postanesthesia care unit, or accepts that surgery is pending.

 

PTS:   1                    DIF:    Analyze         REF:   Introduction

 

3. The nurse is ensuring that a client is able to make knowledgeable decisions regarding an upcoming surgery and can provide informed consent. What is the responsibility of the nurse regarding informed consent?

1.	Explain the surgical options
2.	Explain the operative risks
3.	Describe the operative procedure to be done
4.	Witness a patient’s signature

 

 

ANS:  4

The nurse may concurrently sign that he has witnessed a patient’s signature. It is the physician’s responsibility to explain the other answer choices.

 

PTS:   1                    DIF:    Apply            REF:   Decision Strategies and Informed Consent

 

4. A client being prepared for surgery has a pulse oximeter placed on one digit of his hand. The nurse is applying this device to monitor the client’s:

1.	oxygen level.
2.	heart rate.
3.	blood pressure.
4.	urine output.

 

 

ANS:  1

Pulse oximeters are used to precisely identify the client’s peripheral tissue oxygenation. Pulse oximeters are not to measure heart rate, blood pressure, or urine output.

 

PTS:   1                    DIF:    Analyze         REF:   Trends

 

5. A client is scheduled for surgery in 2 weeks. Which of the following should the nurse instruct the client regarding healthy lifestyle behaviors?

1.	Eat nutritious meals.
2.	If obese, cut calories before the surgery.
3.	If sedentary, exercise more before the surgery.
4.	Stop all prescribed medications.

 

 

ANS:  1

The client should be encouraged to adopt healthy dietary, rest, and exercise habits before the surgery. A client who has not followed healthy lifestyle habits should not suddenly make these changes before a surgical procedure. The nurse should encourage the client to eat nutritious meals. A client who is obese should not be encouraged to cut calories before the surgery. The client who is sedentary should not be encouraged to suddenly exercise before the surgery. The client should not be instructed to stop prescribed medications unless a physician has prescribed this action.

 

PTS:   1                    DIF:    Apply            REF:   Time Frames and Tasks