To be a perioperative nurse, one must first pass their exams and get the certificate. How well prepared are you for the exams? Take the test below and see for yourself. Search Speak now. The Perioperative Nursing care Test. Questions All questions 5 questions 6 questions 7 questions 8 questions 9 questions 10 questions 11 questions 12 questions 13 questions 14 questions 15 questions 16 questions 17 questions 18 questions 19 questions 20 questions 21 questions 22 questions 23 questions 24 questions 25 questions.
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The nurse is preparing a client for surgery. What is the most effective method for obtaining an accurate blood pressure reading from the client? Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the first sound.
To prevent complications of immobility, which activities would the nurse plan for the first postoperative day after a colon resection? It is not necessary to worry about complications of immobility on the first postoperative day.
In the recovery room, the postoperative client suddenly becomes cyanotic. What is the most appropriate nursing action? A client is scheduled for surgery in the morning.Gmmk remap keys
Preoperative orders have been written. What is most important to do before surgery? The nurse is caring for a first day postoperative surgical client.
Which other intervention should the nurse implement as a priority? Initiate Seizure safety precautions. A nurse is caring for four clients who are at risk for or who have an actual fluid volume deficit. Which client should the nurse assess first?
The nurse should first assess the client who Has diarrhea and now is restless Etc. Has diarrhea and now is restless. A client with severe malnutrition has pedal edema and ascites.
The nurse notes that the weight is unchanged for the last 2 days. The most appropriate action by the nurse is to. Assess vital signs, level of consciousness and urine output. The nurse would further assess the client for other manifestations of. Extracellular fluid volume excess.
A client with dehydration is being weighed on a standing scale next to the bed. The most important action by the nurse is to. Assist the client to prevent falls.
The nurse realizes the IV fluid that most likely has caused this problem is. The nurse who is caring for a client prescribed diuretics and fluid restriction to control edema can most easily evaluate the effectiveness of the medical protocol by. Careful wt assessment. The nurse makes the evaluation that the intake of one of the adult clients in her care is adequate when she measures the total daily intake as.
The nurse anticipates that an order for an isotonic intravenous IV solution will read.
A client has hypervolemic hyponatremia. The assessment finding the nurse would find inconsistent with this condition is. When assessing the laboratory values for an assigned client with fluid excess, the nurse finds the value that is consistent with this diagnosis to be.A patient is admitted to the ED complaining of severe abdominal pain, stating that he has been vomiting coffee-ground like emesis.
The patient is diagnosed with a perforated gastric ulcer and is informed that he needs surgery. When can the patient most likely anticipate that the surgery will be scheduled? Within 24 hours. Within the next week. Without delay because the bleed is emergent. As soon as all the days elective surgeries have been completed.
Emergency surgeries are unplanned and occur with little time for preparation for the patient or the perioperative team. An active bleed is considered an emergency, and the patient requires immediate attention because the disorder may be life threatening. The surgery would not likely be deferred until after elective surgeries have been completed. Alcohol withdrawal syndrome immediately following surgery. Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink.
Alcohol withdrawal syndrome upon administration of general anesthesia. Alcohol withdrawal syndrome 1 week after his last alcohol drink. Alcohol withdrawal syndrome may be anticipated between 48 and 96 hours after alcohol withdrawal and is associated with a significant mortality rate when it occurs postoperatively. In anticipation of a patients scheduled surgery, the nurse is teaching her to perform deep breathing and coughing to use postoperatively.
What action should the nurse teach the patient? The patient should take three deep breaths and cough hard three times, at least every 15 minutes for the immediately postoperative period.
The patient should take three deep breaths and exhale forcefully and then take a quick short breath and cough from deep in the lungs. The patient should take a deep breath in through the mouth and exhale through the mouth, take a short breath, and cough from deep in the lungs.
The patient should rapidly inhale, hold for 30 seconds or as long as possible, and exhale slowly. The patient assumes a sitting position to enhance lung expansion. The nurse then demonstrates how to take a deep, slow breath and how to exhale slowly. After practicing deep breathing several times, the patient is instructed to breathe deeply, exhale through the mouth, take a short breath, and cough from deep in the lungs.
The nurse is preparing a patient for surgery prior to her hysterectomy without oophorectomy. The nurse is witnessing the patients signature on a consent form. Which comment by the patient would best indicate informed consent? I know Ill be fine because the physician said he has done this procedure hundreds of times.
I know Ill have pain after the surgery but theyll do their best to keep it to a minimum.Intravenous therapy or IV therapy is the giving of liquid substances directly into a vein. It can be intermittent or continuous; continuous administration is called an intravenous drip.
Therapies administered intravenously are often called specialty pharmaceuticals. Compared with other routes of administration, the intravenous route is the fastest way to deliver fluids and medications throughout the body.
There are two types of fluids that are used for intravenous drips; crystalloids and colloids. Crystalloids are aqueous solutions of mineral salts or other water-soluble molecules. The most commonly used crystalloid fluid is normal salinea solution of sodium chloride at 0. The choice of fluids may also depend on the chemical properties of the medications being given.
Intravenous fluids must always be sterile. Crystalloids are commonly used for rehydration, and electrolyte replacement. Colloids contain larger insoluble molecules, such as gelatin; blood itself is a colloid.Mocha cfw hdd
Colloids preserve a high colloid osmotic pressure in the blood, while, on the other hand, this parameter is decreased by crystalloids due to hemodilution. Another difference is that crystalloids generally are much cheaper than colloids.China and taiwan tensions
Colloids have large particles in them so they are not as easily absorbed into the vascular bed. Because of this property colloids are used to replace lost blood, maintain healthy blood pressureand volume expansion. Indications for handwashing and hand antisepsis. The smaller the gauge number, the thicker the catheter and the more rapidly medicine can be administered and blood can be drawn.
The tip of the catheter should be inspected for integrity prior to venipuncture. Gloves must always be present and be worn during catheterization. Gravity slows venous return and distends the veins. Distending the veins makes it easier to insert the needle properly.
Explain that it will feel tight. Tourniquet must be tight enough to occlude venous flow but not so tight that it occludes arterial flow. Obstructing arterial flow inhibits venous filling. If a radial pulse can be palpated, the arterial flow is not obstructed. This stabilizes the vein and makes the skin taut for needle entry. It can also make initial tissue penetration less painful.
Sudden lack of resistance is felt as the needle enters the vein. Jabbing, stabbing or quick thrusting should be avoided because it may cause rupture of delicate veins. Once blood appears in the lumen or you feel the lack of resistance, lower the angle of the catheter until it almost parallel with the skin and advance the needle catheter approximately 1 cm. The catheter is advanced to ensure that it, and not just the metal needle, is in the vein. Put pressure on the vein proximal to the catheter to eliminate or reduce blood oozing out of the catheter.It has three phases of the surgical experience namely:.
The patient who consents to have surgery, particularly surgery that requires a general anesthetic, renders himself dependent on the knowledge, skill, and integrity of the health care team.
Although the physician is responsible for explaining the surgical procedure to the patient, the patient may ask the nurse questions about the surgery. There may be specific learning needs about the surgery that the patient and support persons should know.
A nursing care plan and a teaching plan should be carried out. During this phase, emphasis is placed on:. Before any treatment is initiated, a health history is obtained and a physical examination is performed during which vital signs are noted and a data base is establish for future comparisons. When the patient has been determined to be an appropriate candidate for surgery, and has elected to proceed with surgical intervention, the pre-operative assessment phase begins.
The purpose of pre-operative evaluation is to reduce the morbidity of surgery, increase quality of intra-operative care, reduce costs associated with surgery, and return the patient to optimal functioning as soon as possible. An informed consent is necessary to be signed by the patient before the surgery.
The following are the purposes of an informed consent:. The intraoperative phase extends from the time the client is admitted to the operating room, to the time of anesthesia administration, performance of the surgical procedure and until the client is transported to the recovery room or postanethesia care unit PACU.
The patient needs the security of knowing that someone is providing protection during the procedure and while he is anesthetized because surgery is usually a stressful experience. The intraoperative phase begins when the patient is received in the surgical area and lasts until the patient is transferred to the recovery area. Although the surgeon has the most important role in this phase, there are key members of the surgical team.
The circulating nurse manages the operating room and protects the safety and health needs of the patient by monitoring activities of members of the surgical team and checking the conditions in the operating room. Responsibilities of a circulation nurse are the following:. The choice of anesthetic agent will be discussed and the patient has an opportunity to disclose and the patient has opportunity to disclose previous reactions and information about any medication currently being taken that may affect the choice of an agent.
Inquiry about preexisting pulmonary infection sand the extent to which the patient smokes must also be determined. Anesthesia controls pain during surgery or other medical procedures. It includes using medicines, and sometimes close monitoring, to keep you comfortable.
It can also help control breathing, blood pressure, blood flow, and heart rate and rhythm, when needed.
Anesthetics are divided into two classes:. This type of anesthesia promotes total loss of consciousness and sensation. General anesthesia is commonly achieved when the anesthetic is inhaled or administered intravenously.To login with Google, please enable popups. Sign up. To signup with Google, please enable popups.
A nurse is reviewing the medical record of a client who is to undergo general anesthesia for surgery. The nurse should report which of the following findings to the provider? Potassium level 2. A nurse is providing preoperative teaching to a client who is scheduled for a gastrectomy in 1 week. The client is anxious about the upcoming surgery.An older client is hospitalized after an operation. When assessing the client for postoperative infection, the nurse places priority on which assessment?
Change in behavior b. Daily white blood cell count c. Presence of fever and chills d. Tolerance of increasing activity ANS: A Older people have an age-related decrease in immune system functioning and may not show classic signs of infection such as increased white blood cell count, fever and chills, or obvious localized signs of infection. A change in behavior often signals an infection or onset of other illness in the older client.Pairwise comparisons r
A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team? Allergy to bee and wasp stings b. History of lactose intolerance c. No previous experience with surgery d.
Use of multiple herbs and supplements ANS: D Some herbs and supplements can interact with medications, so this information needs to be reported as the priority. An allergy to bee and wasp stings should not affect the client during surgery. Lactose intolerance should also not affect the client during surgery but will need to be noted before a postoperative diet is ordered. Lack of experience with surgery may increase anxiety and may require higher teaching needs, but is not the priority over client safety.Jane porter height
A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for post-discharge care?
Married young adult who is the primary caregiver for children b. Middle-aged client who is post knee replacement, needs physical therapy c. Older adult who lives at home despite some memory loss d.
Young client who lives alone, has family and friends nearby ANS: C The older adult has the most potentially complex discharge needs. With memory loss, the client may not be able to follow the prescribed home regimen.Preoperative chart review
The clients physical abilities may be limited by chronic illness. This client has several safety needs that should be assessed. The other clients all have evidence of a support system and no known potential for serious safety issues. A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best? Assess the client for anxiety.
Break the information into smaller bits. Give the client written information.