Chapter 12 - W&H - Nursing Care of Patients Having Surgery - Nov 22 test

Question 1

-ectomy

Answer 1

removal by cutting

Question 2

-orrhaphy

Answer 2

suture of or repair

Question 3

-oscopy

Answer 3

looking into

Question 4

-ostomy

Answer 4

formation of a permanent artificial opening

Question 5

-otomy

Answer 5

incision or cutting into

Question 6

-plasty

Answer 6

formation or repair

Question 7

To reduce the risk of aspiration during surgery, the anesthesiologist orders ____ and _____ restrictions

Answer 7

fluid and food

Question 8

Preoperative diagnostic testing is based on the patient’s ____, _____ _____, ______ ______, and ________ _________

Answer 8

age, medical history, assessment findings, and institutional proctocols

Question 9

What does PCA stand for

Answer 9

patient-controlled analgesia

Question 10

Pain relief methods for postop care

Answer 10

Analgesic injections
epidural catheter
PCA

Question 11

This test detects pulmonary and cardiac abnormalities

Answer 11

Chest x-ray

Question 12

This diagnostic test obtains baseline levels and detects abnormalities

Answer 12

Oxygen saturation

Question 13

This diagnostic test obtains baseline levels and detect pH and oxygenation abnormalities

Answer 13

Arterial blood gases (ABGs)

Question 14

This diagnostic test detects prolonged bleeding problems

Answer 14

Bleeding time

Question 15

These diagnostic tests detect kidney problems

Answer 15

Blood urea nitrogen and creatinine

Question 16

This diagnostic test detects anemia, infection, clotting problem

Answer 16

Complete blood cell count (CBC)

Question 17

This diagnostic test detects potassium, sodium, and chloride imbalances

Answer 17

Electrolytes

Question 18

This diagnostic test identifies blood type to match blood for possible transfusion

Answer 18

Type and crossmatch

Question 19

This urine test is used to detect early, unknown pregnancy

Answer 19

Pregnancy test

Question 20

This urine test is used to detect infection, abnormalities

Answer 20

Urinalysis

Question 21

______ ______may be ordered postoperatively to prevent atelectasis by increasing lung volume, alveoli expansion, and venous return

Answer 21

Incentive spirometry

Question 22

When the patient is transferred to the operating table, the ______ phase begins

Answer 22

Intraoperative

Question 23

The final preparation for surgery is giving _____ _______ at the time ordered, usually __ hour before or on call to surgery

Answer 23

preoperative medications; 1

Question 24

Elimination of microorganisms

Answer 24

aseptic technique

Question 25

The period from when the anesthetic is first given until full anesthesia is reached

Answer 25

Induction

Question 26

Metabolism in the muscles is increased, which produces a very high fever and muscle rigidity, as well as tachycardia, tachypnea, hypertension, dysrhythmias, hyperkalemia, metabolic and respiratory acidosis, and cyanosis

Answer 26

Malignant hyperthermia

Question 27

Approximately 10 mL of the patient’s own blood is injected into the epidural space at the previous puncture site (this is done when the patient experiences a postdural puncture headache)

Answer 27

blood patch

Question 28

The _________ phase begins when the patient is admitted to the PACU or a nursing unit and ends with the patient’s postoperative evaluation in the physician’s office

Answer 28

postoperative

Question 29

pus

Answer 29

purulent drainage

Question 30

When necrotic and infected tissue is removed before infected wounds are closed

Answer 30

Debridement

Question 31

When ______ occurs, the patient may have pain and vomiting and may report that “something let loose” or “gave way”

Answer 31

evisceration

Question 32

_____ are inserted into wounds during surgery to prevent accumulation of blood, lymph, or necrotic tissue in wounds that can lead to infection or delayed healing

Answer 32

Drains

Question 33

What are the types of drains?

Answer 33

Penrose, Jackson-Pratt, Hemovac

Question 34

Which of the following nursing actions would reduce surgical risk factors for preoperative patients? (Select all that apply)

a) Playing music of patient’s choice
b) Avoiding discussion of fears
c) Reinforcing pain control methods
d) Showing use of incentive spirometer
e) Monitoring blood glucose for a patient with diabetes
f) Teaching to perform leg exercises hourly while awake

Answer 34

a, c, d, e, f

Question 35

Which of the following is the patient care role for the LPN/LVN in the preoperative phase?

a) Assisting in data collection
b) Explaining the surgical procedure
c) Obtaining preoperative orders
d) Conducting the preoperative anesthesia interview

Answer 35

a) Assisting in data collection

Question 36

Which of the following is within the LPN/LVN’s scope of practice related to the patient providing consent for surgery? (Select all that apply)

a) Witnessing minor patient’s signature on the consent
b) Providing informed consent
c) Answering surgical procedure questions
d) Requesting patient questions be referred to physician
e) Witnessing the patient’s signature on the consent
f) Reading the consent to a patient prior to signing

Answer 36

d, e, f

Question 37

When teaching an elderly preoperative patient, which of the following is a teaching strategy that improves learning?

a) Sit near a window with bright sunlight
b) Use large black-on-white printed materials
c) Sit beside patient
d) Use blue and green colors for brochures

Answer 37

b) Use large black-on-white printed materials

Question 38

Which of the following interventions would help prevent atelectasis in a postoperative patient? (Select all that apply)

a) Coughing and deep breathing
b) Holding breath while moving
c) Restricting fluids
d) Leg exercises
e) Pain control
f) Ambulation

Answer 38

a, e, f

Question 39

Which of the following would the nurse evaluate as indicating that interventions to prevent respiratory complications for the postoperative patient have been effective?

a) Pain level “2”
b) No abdominal distention
c) Clear lung sounds
d) Good appetite

Answer 39

c) Clear lung sounds

Question 40

Which of the following findings would the nurse recognize as being the earliest indicator of hemorrhage or shock that should be reported to the physician?

a) Tachycardia
b) Polyuria
c) Nausea
d) Fever

Answer 40

a) tachycardia

Question 41

Which of the following criterion would a nurse use to determine patient readiness for discharge from ambulatory surgery?

a) Ability to drive an automobile
b) Ability to ambulate 50 feet
c) Being pain free
d) Absence of nausea and vomiting

Answer 41

d) Absence of nausea and vomiting

Question 42

What is the role of the home health nurse in caring for postoperative patients?

Answer 42

To assist in the patient’s recovery