Fundamentals Of Nursing 3rd ed by Wilkinson Treas - Smith
Fundamentals Of Nursing 3rd ed by Wilkinson Treas - Smith
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Chapter 39. Perioperative Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a) | Entry to the operating suite until admission to postanesthesia care |
| b) | Entry into the operating suite until discharge from the hospital |
| c) | The decision to have surgery until admission to postanesthesia care |
| d) | The decision to have surgery until entry to the operating suite |
ANS: D
The preoperative phase begins with the decision to have surgery and ends when the patient enters the operating room. The intraoperative phase begins when the patient enters the operating suite and ends when the patient is admitted to the postanesthesia care unit.
Difficulty: Easy
Client Need: Safe and Effective Care
Cognitive Level: Comprehension
PTS: 1
| a) | Include the parents or caregivers in the plan of care |
| b) | Explain to the child that she will have a sore throat after surgery |
| c) | Tell the child that she can have her favorite foods for the first 24 hours after surgery |
| d) | Prepare the child for discharge from the hospital as soon as she is alert |
ANS: A
It is developmentally normal for toddlers to experience anxiety with separation from parents or caregivers. Be sure to include these people in the plan of care. Developmentally, a 2-year-old lives in the “here and now” and wouldn’t grasp an intangible concept, such as pain in the future. The toddler would take liquids and soft foods within the first 24 hours when her throat is sore during swallowing. She should not eat foods that are rough and crunchy because they may scratch her throat and cause bleeding. After a tonsillectomy, the child will need to be monitored for bleeding and stable vital signs; therefore, she will not be discharged as soon as she is alert.
Difficulty: Moderate
Nursing Process: Interventions
Client Need: PSI
Cognitive Level: Synthesis
PTS: 1
| a) | Separation anxiety will be minimal. |
| b) | The child will verbalize understanding of expected pain. |
| c) | The child will tolerate a normal diet 24 hours after surgery. |
| d) | The parent will indicate readiness to assume the child’s care. |
ANS: A
The only concrete information in this question is that the child is 2 years old. Therefore, the only problem the nurse can reasonably predict from this would be developmental in nature. It is developmentally normal for toddlers to experience anxiety with separation from parents or caregivers. Minimizing anxiety by involving the parents or caregivers would be the appropriate goal for separation anxiety. A 2-year-old child would not be expected to verbalize understanding of expected pain. The toddler would take liquids and soft foods within the first 24 hours when her throat is sore during swallowing. She should not eat foods that are rough and crunchy because they may scratch her throat and cause bleeding. Nurses should encourage parental involvement, but parents should not be expected to assume the child’s care.
Difficulty: Difficult
(Critical thinking question requiring synthesis of previously learned knowledge.)
Nursing Process: Planning
Client Need: PSI
Cognitive Level: Application
PTS: 1
| a) | Admit the patient to the surgical suite |
| b) | Prepare the patient mentally and physically for surgery |
| c) | Set up the sterile field in the operating room |
| d) | Perform the primary surgical scrub to the surgical site |
ANS: B
The nursing focus in the preoperative phase is to prepare the patient mentally and physically for surgery. The patient is in the intraoperative phase when admitted to the surgical suite. The sterile field and the surgical scrub would be performed in the surgery suite during the intraoperative phase.
Difficulty: Easy
Nursing Process: Planning
Client Need: PHSI
Cognitive Level: Application
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