DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams
DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams
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Chapter 37: Care of the Surgical Patient
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | I and the patient’s hearing is amplified. |
| b. | II and the surgical environment should be kept quiet. |
| c. | III and the patient has depressed reflexes. |
| d. | IV and the patient will not depend on the anesthesia machine of oxygenations. |
ANS: B
Quiet must be maintained while the patient is in stage II, because noise may cause the patient to become excited, resulting in instability of vital signs.
DIF: Cognitive Level: Comprehension REF: p. 736 OBJ: Theory #5
TOP: General Anesthesia KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | time of last meal. |
| b. | pulse rate and blood pressure. |
| c. | respiratory rate and oxygen saturation. |
| d. | height and weight. |
ANS: D
Accurate height and weight are significant for calculation of the anesthetic agents needed for older adult patients.
DIF: Cognitive Level: Comprehension REF: p. 736 OBJ: Theory #3
TOP: Anesthesia KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
| a. | not an acceptable signature. |
| b. | required to be accompanied by a picture identification. |
| c. | legal if it is witnessed. |
| d. | acceptable if the surgeon is willing. |
ANS: C
An “X” is an acceptable signature if it is witnessed.
DIF: Cognitive Level: Comprehension REF: p. 737 OBJ: Theory #8
TOP: Surgical Consent KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
| a. | the hospital social worker can sign the permit. |
| b. | the surgeon will write a detailed note about the need for surgery and a registered nurse will then sign the consent. |
| c. | the opinion of a second surgeon is sought regarding the necessity of the surgery. |
| d. | the hospital attorney must authorize the surgery and sign the consent form. |
ANS: C
If no family can be found to sign the permit for an unconscious person, a second surgeon can confirm the need for the immediate surgical intervention and the procedure will take place.
DIF: Cognitive Level: Application REF: p. 737 OBJ: Theory #8
TOP: Surgical Consent KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
| a. | request a corrected consent form to be signed. |
| b. | inform the surgeon of the error. |
| c. | have the new form attached to the old incorrect one and document it. |
| d. | allow the patient to be taken to surgery after notifying the circulating nurse. |
ANS: A
A new consent form must be made, signed, and witnessed, provided the patient has not been sedated already.
DIF: Cognitive Level: Application REF: p. 737 OBJ: Theory #8
TOP: Incorrect Surgical Consent Form KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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