Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
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Chapter 14, Perioperative Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | You are caring for a client 6 hours postsurgery. You observe that the client voids urine frequently and in small amounts. You know that this most probably indicates what? |
| A) | Requirement of intermittent catheterization |
| B) | Calculus formation |
| C) | Urine retention |
| D) | Urinary infection |
| Ans: | C |
| Feedback: | |
| Voiding frequent, small amounts of urine indicates retention of urine with elimination of overflow. The nurse should assess the volume of first voided urine to determine adequacy of output. If the client fails to void within 8 hours of surgery, the nurse should consult with the physician regarding instituting intermittent catheterization until voluntary voiding returns and is not required in this case. Frequent and small amounts of urine voiding does not indicate urinary infection nor does it indicate the formation of a calculus. |
| 2. | You are caring for a client during the immediate postoperative period. What signs and symptoms indicate that the client may be in shock? |
| A) | Weak and rapid pulse rate |
| B) | Warm, dry skin |
| C) | Pooling of secretions in the lungs |
| D) | Obstructed airway |
| Ans: | A |
| Feedback: | |
| Signs and symptoms of shock include pallor, fall in blood pressure, weak and rapid pulse rate, restlessness, and cool, moist skin. Pooling of secretions in the lungs and an obstructed airway predispose the client to hypoxia and not to shock. |
| 3. | You are caring for a client postoperatively. What nursing interventions help prevent venous stasis and other circulatory complications in a client who has undergone surgery? |
| A) | Place pillows under the client’s knees or calves. |
| B) | Encourage the client to move legs frequently and do leg exercises. |
| C) | Apply pressure on the client’s lower extremities. |
| D) | Maintain the client in a side-lying position. |
| Ans: | B |
| Feedback: | |
| The nurse should encourage the client to move legs frequently and do leg exercises to prevent venous stasis and other circulatory complications. The nurse should not place pillows under the client’s knees or calves unless ordered and should avoid placing pressure on the client’s lower extremities. Placing the client in a side-lying position will not help prevent venous stasis and other circulatory complications in a client who has undergone surgery. |
| 4. | The nursing instructor is talking with her class about spinal anesthesia. What would be the nursing care intervention required when caring for a client recovering from spinal anesthesia? |
| A) | Turn the client from side to side at least every 2 hours. |
| B) | Assist the client to a sitting position at the side of the bed. |
| C) | Instruct the client to stay in bed until sensation and movement returns. |
| D) | Monitor respiratory rate and sensation every 2 hours or as per ordered. |
| Ans: | C, D |
| Feedback: | |
| The client who has received spinal anesthesia should remain in bed until sensation and movement returns. Also, the respiratory rate and sensation must be monitored every 2 hours. If permitted, the nurse should turn the client from side to side at least every 2 hours. The client who has received spinal anesthesia should be permitted to sit. |
| 5. | Your client required reversal drugs after surgery. What nursing intervention is required when caring for a client who is treated with reversal drugs? |
| A) | Instruct the client to lie flat. |
| B) | Observe the client for an extended period. |
| C) | Help the client slowly move to an upright or standing position. |
| D) | Emphasize the dietary restriction. |
| Ans: | B |
| Feedback: | |
| If reversal drugs are required, the nurse must observe the client for an extended period because the reversal effects nearly always are shorter than the effects of the drugs being reversed. This may result in sedation. The client need not lie flat and may not require assistance for ambulation. There is no specific dietary restriction required when treated with reversal drugs. |
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