Chapter 20 Nursing Management Preoperative

Question 1

1. Which of the following surgical procedures involves removal of a body organ?
   a. Colostomy
   b. Laparotomy
   c. Mammoplasty
   d. Cholecystectomy

Answer 1

D

Question 2

2. Which of the following is one of the most important goals of the preoperative assessment by the nurse?
   a. Determine whether the client’s psychological stress is too high to undergo surgery.
   b. Identify what information the client needs to understand before surgery.
   c. Establish baseline data for comparison of the client’s status in the intraoperative and postoperative periods.
   d. Determine whether the client’s surgery should be done on an inpatient, an outpatient, or a same-day admission basis.

Answer 2

C

Question 3

3. A client who is scheduled for a hysterectomy reports using ginkgo biloba to improve her memory. Which of the following questions is the most important for the perioperative nurse to ask the client?
   a. “How long have you used ginkgo biloba?”
   b. “How have you been able to tell if this herb is effective?”
   c. “Have you been taking this herb during the last several weeks?”
   d. “Have you experienced any adverse effects of taking this herbal product?”

Answer 3

C

Question 4

4. What is the nurse’s role when assisting a client with informed consentbefore an operative procedure?
   a. Obtains the consent when a surgeon cannot
   b. Asks the client to explain what surgical procedure she or he is having and ensures that the client understands the operation to be performed
   c. Explains all the risks of the surgical procedure
   d. Ensures that the client signs the consent form before preoperative sedation is given

Answer 4

B

Question 5

5. What is a priority nursing intervention that will assist a client about to undergo surgery to cope with fear of pain?
   a. Describe the degree of pain expected.
   b. Explain the availability of pain medication.
   c. Divert the client when talking about pain.
   d. Inform the client of the frequency of pain medication.

Answer 5

A

Question 6

6. What is important for the nurse to ensure the client does right beforebeing transported to the operating room?
   a. The client must void before surgery.
   b. The client must sign the consent form.
   c. The client must take any oral preanaesthetic medications.
   d. The client must remove all jewellery, which is secured by the nurse.

Answer 6

A

Question 7

7. What should the nurse administering preoperative medications
   recognize before administering the medication?
   a. Preoperative medications are used only to decrease client anxiety.
   b. Intravenous medications can be administered only by an anaesthesiologist on the day of surgery.
   c. A preoperative diazepam (Valium) tablet should be administered within 15 minutes of scheduled surgery.
   d. Preoperative opioids given to decrease pain may help reduce intraoperative anaesthetic requirements.

Answer 7

D

Question 8

8. Preoperative considerations for older adults include which of the
   following? (Select all that apply)
   a. Using only large-print educational materials
   b. Speaking louder for clients with hearing aids
   c. Recognizing that sensory deficits may be present
   d. Providing warm blankets to prevent hypothermia
   e. Teaching important information early in the morning

Answer 8

C D