Chapter 41. Surgical Patient - Quiz Answers PDF

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Summary

Do I really have to? This literally makes no sense lol... I dont understand how this is helpful in anyway! Basically it is a thoutough...

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8/5/2021

Q3: The Surgical Patient: C15 Med Surg 1

Q3: The Surgical Patient Due Aug 5 at 9:20am

Points 30

Questions 30

Available Aug 5 at 8:35am - Aug 5 at 9:20am about 1 hour

Time Limit 45 Minutes

Instructions Includes: Pre-Op, Intra-Op, and Post-Op

This quiz was locked Aug 5 at 9:20am.

Attempt History LATEST

Attempt

Time

Score

Attempt 1

27 minutes

23.33 out of 30

Score for this quiz: 23.33 out of 30 Submitted Aug 5 at 9:06am This attempt took 27 minutes.

Question 1

1 / 1 pts

A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to increase her peristalsis?

Correct!

Ambulation

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Question 2

1 / 1 pts

A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment to make?

Correct!

Check airway for patency.

Question 3

1 / 1 pts

In which situation might surgery be delayed?

Correct!

The patient is still taking anticoagulants.

Question 4

1 / 1 pts

The most appropriate intervention by the nurse to decrease the pain of an abdominal incision while coughing would be to:

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Q3: The Surgical Patient: C15 Med Surg 1

Support the surgical site with a pillow

Question 5

1 / 1 pts

The nurse clarifies that serum potassium levels are determined before surgery to:

Correct!

prevent arrhythmias related to anesthesia.

Question 6

1 / 1 pts

The patient who had a nephrectomy yesterday has not used the patientcontrolled analgesia (PCA) delivery system but admits to being in pain but fearful of addiction. What is the nurse's best response?

Correct! "Addiction rarely occurs in the brief time postsurgical analgesia is required."

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Question 7

0 / 1 pts

What should the nurse do to minimize the potential for venous stasis?

ou Answered

Perform gentle leg massage

orrect Answer

Assist with early ambulation

Question 8

1 / 1 pts

When the postoperative patient complains of sudden chest pain combined with dyspnea, cyanosis, and tachycardia, the nurse recognizes the signs of:

Correct!

pulmonary embolus.

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Question 9

1 / 1 pts

Which circumstance could prevent the patient from signing his informed consent for a cholecystectomy?

Correct!

The patient received an injection of Demerol, 75 mg IM, 1 hour ago.

Question 10

0.33 / 1 pts

Which interventions in preparing the patient for abdominal surgery may be delegated to unlicensed assistive personnel (UAP)? (Select all that apply).

ou Answered

Correct!

Correct!

orrect Answer

Sterile gowning

Enema Height and weight Vital signs

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Question 11

1 / 1 pts

Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon?

Correct!

"I have been taking an herbal product of feverfew for my migraines."

Question 12

1 / 1 pts

While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention?

Correct!

Apply a warm, moist normal saline sterile dressing.

Question 13

1 / 1 pts

A nurse obtains the vital signs on a postoperative patient who just returned to the nursing unit. The client's blood pressure is 100/60 mm Hg, the pulse is 90 beats per minute, and the respiration rate is 20 breaths per https://nccusa.instructure.com/courses/996/quizzes/5020

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minute. On the basis of these findings, which of the following nursing actions should be performed?

Correct!

Continue to monitor the vital signs.

Question 14

1 / 1 pts

A patient who is admitted to the hospital for surgery is immunocompromised. You use special care in working with this patient, knowing there is an increased risk for:

Correct!

nosocomial infection.

Question 15

1 / 1 pts

A patient's admission weight is 90 kilograms. How much does he weigh in pounds?

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Q3: The Surgical Patient: C15 Med Surg 1

198 pounds

Question 16

0 / 1 pts

Before general surgery, nothing is given by mouth for at least ______ hours.

orrect Answer

8

ou Answered

12

Question 17

1 / 1 pts

Before giving a narcotic preoperative medication, the LPN/LVN should consider which question?

Correct!

Has the operative consent been signed?

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Question 18

0 / 1 pts

Early signs of shock include all of the following except:

orrect Answer

ou Answered

bradycardia

hypotension

Question 19

0 / 1 pts

Following administration of the preoperative medication, the nurse should:

ou Answered

Get the patient up to void

orrect Answer

Put up the siderails and make the environment quiet

Question 20

1 / 1 pts

For the surgical patient who complains of excessive gas, the nurse will:

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Q3: The Surgical Patient: C15 Med Surg 1

ambulate the patient in the hall.

Question 21

1 / 1 pts

Obesity places a patient at increased risk for the development of:

Correct!

poor wound healing

Question 22

1 / 1 pts

The following risk factor, inadequate nutrition, can cause:

Correct!

poor wound healing and skin breakdown

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Question 23

1 / 1 pts

The nurse is providing infection control teaching to a group of patients. The patient statement that best demonstrates understanding of the teaching provided is:

Correct! "Hand hygiene is one of the most effective ways I can prevent the spread of infection."

Question 24

1 / 1 pts

When caring for a 10-hour post abdominal surgery patient, which finding should the LVN/LPN report to the charge nurse?

Correct!

Urine output of 30 mL since surgery

Question 25 https://nccusa.instructure.com/courses/996/quizzes/5020

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Which assessment finding on a patient who had a right total knee replacement this morning should be reported to the charge nurse immediately?

Correct!

Capillary refill of right toe of 7 seconds

Question 26

1 / 1 pts

Which statement indicates a need for further teaching regarding the use of the patient-controlled analgesia (PCA) pump?

Correct!

"I need to call the nurse when I need pain medication"

Question 27

0 / 1 pts

You are assessing a surgical patient admitted a few hours ago, and a main concern is internal hemorrhage. The clinical signs that indicate this problem are:

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orrect Answer

ou Answered

Q3: The Surgical Patient: C15 Med Surg 1

restlessness, rising pulse, and falling blood pressure. restlessness, falling pulse, and rising blood pressure.

Question 28

0 / 1 pts

You are instructing your patient, who is to have a surgical removal of a brain tumor, on how to prevent respiratory complications from surgery. The most important action to include in your teaching plan is:

ou Answered

avoid coughing.

orrect Answer

use of deep-breathing and incentive spirometer

Question 29

1 / 1 pts

You have admitted a patient to the surgical unit. Her admission weight is 187 pounds. How much does she weigh in kilograms?

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Q3: The Surgical Patient: C15 Med Surg 1

85 kilograms

Question 30

1 / 1 pts

The nurse is caring for a patient following abdominal surgery. The patient asks the nurse when he will be able to eat a normal diet. Which response is best?

Correct! “Once you have bowel sounds and are passing gas, you may have clear liquids, and your diet will be advanced based upon your tolerance.”

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Although the diet order originates with the physician, the nurse must ensure that bowel sounds are present and the patient is able to pass flatus before any type of diet can be given to the patient. Most surgeons will write an order to advance the diet as tolerated once these findings occur. Every patient responds differently based upon their body and the type of surgery, so stating that most patients eat regular foods within 2 to 3 days is inaccurate. Cognitive Level: Application FAAHN 7e p 1275, 8e 1270

Quiz Score: 23.33 out of 30

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