Chapter 02: Care of the Surgical Patient

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The patient is 38 years old and is in her second postoperative day after placement of an intramedullary rod in her left femur. She is receiving analgesia via a patient-controlled analgesia (PCA) device. The inappropriate intervention related to caring for a patient with a PCA is:

ANS:   C

With the PCA system of medication administration, the patient can self-administer an analgesic by pressing a control button. The nurse should not give medication doses by pushing the control button.

DIF:    Cognitive Level: Application             REF:    Page 50           OBJ:    13

TOP:    Medication administration                 KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

2. A 73-year-old patient with diabetes was admitted for below-the-knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?

ANS:   D

Ablative is a type of surgery where an amputation, excision of any part of the body, or removal of a growth and harmful substance is performed.

DIF:    Cognitive Level: Comprehension      REF:    Page 18, Table 2-1

OBJ:    2                      TOP:    Types of surgery

KEY:   Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

3. The Patient’s Bill of Rights states that a patient must give his or her permission for any specific test or procedure to be performed. What is the legal term for this permission?

ANS:   C

The Patient’s Bill of Rights affirms that the patients must give informed consent (permission obtained from the patient to perform a specific test or procedure) before the beginning of any procedure.

DIF:    Cognitive Level: Knowledge             REF:    Page 24           OBJ:    6

TOP:    Informed consent                               KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Safe, Effective Care Environment

4. An informed consent was to be obtained from the patient for his scheduled open cholecystectomy. Which circumstance could prevent the patient from signing his informed consent?

ANS:   B

Informed consent should not be obtained if the patient is disoriented and under the influence of sedatives.

DIF:    Cognitive Level: Application             REF:    Page 25           OBJ:    6

TOP:    Informed consent                               KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

5. The anesthesiologist provides ____ anesthesia by inhalation and IV administration routes.

ANS:   A

An anesthesiologist gives general anesthetics by IV and inhalation routes through four stages of anesthesia.

DIF:    Cognitive Level: Knowledge             REF:    Page 37           OBJ:    11

TOP:    Anesthesia      KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity