Chapter 17: Surgical Care

Chapter 17: Surgical Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first?

a.	Assess for the presence of bowel sounds.
b.	Assess pupillary reaction.
c.	Ask the patient’s family if she is having pain.
d.	Determine when the patient last received pain medication.

 

 

ANS:  D

Verifying the time of the last dose decreases the risk of a dose of medication being given too soon.

 

DIF:    Cognitive Level: Application           REF:   p. 277             OBJ:   9

TOP:   Acute Pain      KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. A nurse is caring for a postoperative patient. What should the nurse ask when assessing for the complication of malignant hyperthermia?

a.	“Do you think you might have a fever?”
b.	“Do you currently have an infection?”
c.	“Has anyone in your family ever had problems with general anesthesia?”
d.	“Have you ever had any type of malignancy?”

 

 

ANS:  C

Malignant hyperthermia is a life-threatening complication that occurs in response to certain drugs. Susceptibility to this response is inherited.

 

DIF:    Cognitive Level: Application           REF:   p. 268             OBJ:   7

TOP:   General Anesthesia                         KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk

 

3. A patient who had a hysterectomy yesterday has not been allowed food or drink by mouth (NPO). The physician has now ordered the patient’s diet to be clear liquids. What should the nurse assess prior to providing this patient with clear liquids?

a.	Feelings of hunger
b.	Bowel sounds
c.	Positive Homans sign
d.	Gag reflex

 

 

ANS:  B

The absence of bowel sounds would contraindicate a diet of clear liquids.

 

DIF:    Cognitive Level: Application           REF:   p. 283             OBJ:   7 | 8

TOP:   Postoperative Nursing Implementations

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

4. Which technique should a nurse implement when changing a postoperative dressing?

a.	Enteric isolation
b.	Aseptic technique
c.	Clean technique
d.	Respiratory isolation

 

 

ANS:  B

The aseptic technique is important to reduce the risk of infection.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 281             OBJ:   9

TOP:   Postoperative Risk for Infection       KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control