Chapter 37 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 37 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse is caring for a client who is having surgery and is currently being transported to the operating room suite. The nurse should document that the client is in which operative phase?

1. Preoperative phase
2. Intraoperative phase
3. Postoperative phase
4. Perioperative phase

Correct Answer: 1

Rationale 1: The preoperative phase begins when the decision to have surgery is made and ends when the client is transferred to the operating table.

Rationale 2: The intraoperative phase begins when the client is transferred to the operating table and ends when the client is admitted to the PACU.

Rationale 3: The postoperative phase begins with the admission of the client to the postanesthesia area and ends when healing is complete.

Rationale 4: There is not a specific perioperative phase of surgical care. Perioperative care consists of three phases: preoperative, intraoperative, and postoperative.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Describe the phases of the perioperative period.

MNL Learning Outcome: 4.7.1. Describe the surgical experience according to the perioperative phases.

Page Number: 865

 

Question 2

Type: MCSA

The nurse is caring for an 80-year-old client preparing for surgery. The nurse realizes this client is at increased risk for which reason?

1. The physiological deficits of aging increase the surgical risk for older adults.
2. The older adult has increased kidney function.
3. The older adult has an increase in sensory function.
4. The older adult will turn, cough, and deep-breathe more effectively.

Correct Answer: 1

Rationale 1: The older adult has more physiological deficits, such as decreased kidney function and decreased thirst, and is at greater risk for fluid and electrolyte imbalances.

Rationale 2: The older client has decreased kidney function.

Rationale 3: The older client has a decline in sensory functioning.

Rationale 4: The older client may not be able to follow directions or understand instructions as well as a younger client.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3. Identify essential aspects of preoperative assessment.

MNL Learning Outcome: 4.7.1. Describe the surgical experience according to the perioperative phases.

Page Number: 866

 

Question 3

Type: MCMA

The nurse is preparing to complete a physical assessment before surgery. Which assessments should the nurse obtain?

Standard Text: Select all that apply.

1. Mini mental status
2. Assessment of hearing
3. Assessment of the respiratory system
4. Gastrointestinal assessment
5. Maintain NPO status

Correct Answer: 1, 2, 3, 4

Rationale 1: A brief or “mini” mental status examination provides valuable baseline data for evaluating the client’s mental status and alertness after surgery. It is also important to evaluate the client’s ability to understand what is happening.

Rationale 2: Assessment of hearing helps guide the effectiveness of perioperative teaching.

Rationale 3: Respiratory assessment not only provides baseline data for evaluating the client’s postoperative status but may alert care providers to a problem that may affect the client’s response to surgery and anesthesia.

Rationale 4: The gastrointestinal status provides baseline data.

Rationale 5: Maintaining NPO status is a nursing intervention. It is not included in the physical assessment.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3. Identify essential aspects of preoperative assessment.

MNL Learning Outcome: 4.7.1. Describe the surgical experience according to the perioperative phases.

Page Number: 868