TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 29: Pre-Operative and Post-Operative Care Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition MULTIPLE CHOICE 1. The nurse instructs the patient about scheduled surgery involving general anesthesia and about
postoperative care. Which does the nurse include during this time? a. Determine patient cultural and religious preferences. b. Avoid eating or drinking anything 2 hours before surgery. c. Ask for antianxiety medication in the operating room. d. Follow the rules for beginning to exercise after the incision has healed. ANS: A
Patients must be asked about their cultural practices and religious beliefs that may alter their or their family caregiver’s acceptance of necessary education and procedures. A minimum time for avoiding food and drink has been set at 2 hours, but agency policies will differ. Antianxiety medications, if used, will be given in the preoperative area. Patient will begin to do light exercise, such as ambulation or physical therapy, long before the incision has healed. DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
OBJ: NCLEX: Physiological Integrity
2. The patient is prepared for shoulder surgery and tells the preoperative nurse that the scar will
be invisible after the surgery. Which action does the nurse take at this time? a. Tell the patient that this surgery always leaves a scar. b. Change the operative consent form to reflect what the patient says. N c. Inform the surgeon that the patient is not ready for surgery. d. Notify the surgeon of the patient’s statement before medication is given. ANS: D
The patient’s statement about an invisible scar is inconsistent with shoulder surgery because skin incisions always leave a scar. The inconsistent statement cues the nurse to verify the patient and the procedure on the surgical consent form and then, once patient identity is secure, address the patient’s misunderstanding and ask the surgeon to speak with him or her. The nurse avoids changing the consent form. The nurse does not know yet whether the patient is ready for surgery; he or she resolves the patient misunderstanding or misidentification first. DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
OBJ: NCLEX: Physiological Integrity
3. The patient’s family has had many experiences with surgical complications. What information
is most important for the nurse to use to understand the patient’s stress in the perioperative period? a. Ask the patient if medications will calm him or her before surgery. b. Identify specific concerns regarding the surgical experience. c. Explain to the patient that stress is easily identified and managed. d. Tell the patient that complications rarely occur with surgical procedures today. ANS: B
TESTBANKWORLD.ORG
