Chapter 2: Care of the Surgical Patient

Chapter 2: Care of the Surgical Patient

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The patient who had a nephrectomy yesterday has not used the patient-controlled analgesia (PCA) delivery system but admits to being in pain but fearful of addiction. What is the nurse’s best response?

ANS:  C

Addiction rarely occurs in the short time that it is required after surgery. Postsurgical analgesia, because of its brief application, does not usually produce a physical or a psychological dependence.

DIF:    Cognitive Level: Application           REF:   Page 34          OBJ:   13

TOP:   Fear of addiction                             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 16, Table 2-1

OBJ:   2                    TOP:   Types of surgeries

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

3. In which situation might surgery be delayed?

ANS:  C

All medications should be cancelled before surgery, except for drugs such as phenytoin (Dilantin). Anticoagulant therapy increases the threat of hemorrhage and may be a cause for delay.

DIF:    Cognitive Level: Knowledge            REF:   Page 34, Page 36 Table 2-6

OBJ:   7                    TOP:   Anticoagulant therapy

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

4. Which circumstance could prevent the patient from signing his informed consent for a cholecystectomy?

ANS:  B

Informed consent should not be obtained if the patient is disoriented and under the influence of sedatives. Age, illegibility, and lack of insurance coverage do not prevent signing the consent. Pain into the scapula is a symptom of colitis.

DIF:    Cognitive Level: Application           REF:   Page 23          OBJ:   7

TOP:   Informed consent                            KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

5. The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy.

ANS:  A

An anesthesiologist gives general anesthetics by IV and inhalation routes through four stages of anesthesia when the procedure requires extensive tissue manipulation.

DIF:    Cognitive Level: Knowledge            REF:   Page 34          OBJ:   9

TOP:   Anesthesia      KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity