Caring For People Who Are Having Surgery Ch32 Exam Prep

Test Generator Questions, Chapter 32, Caring for People Who Are Having Surgery

Format:  Multiple Choice

Chapter Number:  32

Client Needs:  Physiological Integrity: Reduction of Risk Potential

Cognitive Level:  Understand

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  677, Introduction to Surgery

1. Perioperative is a term used to describe the period of time:

A) before the surgery.

B) during the surgery.

C) spent in the recovery room.

D) between learning of the surgery to full recovery.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  678, Preoperative Care

2. When asked a question about the surgical procedure a client is scheduled for, the nursing assistant:

A) answers the question as well as possible.

B) reports the question to the nurse immediately.

C) tells the client not to worry and that everything will be just fine.

D) suggests that the client ask the doctor the question before the procedure.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  678, Preoperative Care

3. The purpose of putting a person on NPO status before surgery is to:

A) prevent constipation.

B) empty the bowel.

C) decrease vomiting.

D) prevent embolism.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  678, Preoperative Care

4. What will the nursing assistant do to keep a client safe following the administration of the sedative?

A) Apply anti-embolism (TED) stockings.

B) Take the client’s vital signs at least every 2 hours.

C) Keep the side rails up on the bed or stretcher.

D) Assist the client in performing deep-breathing exercises.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  682, Postoperative Care

5. The purpose of the opening at the toe of an anti-embolism (TED) stocking is to:

A) make it easier to apply safely.

B) inspect the person’s toes for good circulation.

C) provide ventilation so that the feet do not sweat.

D) allow foot care to be provided without taking off the stocking.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  682, Postoperative Care, 683, Figure 32-4

6. Postoperatively, a client is ordered to do coughing and deep-breathing exercises. What will the nursing assistant do when the client reports that it “hurts too much” and refuses to cooperate?

A) Allow the client to do the exercises later when they are in less pain.

B) Support the incision site with a small pillow while doing the exercises.

C) Give the client an incentive spirometer to use instead.

D) Help the client to do the exercise from the supine position.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  682, Postoperative Care

7. How does a sequential compression device (SCD) work?

A) The elastic fabric applies pressure to the legs to assist the blood to return to the heart.

B) The sleeves around the legs fill with air and then deflate, massaging the leg and assisting with blood return to the heart.

C) Different areas of the mattress inflate and deflate, helping to prevent the formation of pressure injuries.

D) Suction is applied to keep the stomach empty.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  682, Postoperative Care

8. Care given during a client’s recovery from cardiac bypass surgery will include:

A) staying in bed until the incision has completely healed.

B) encouraging short, frequent walks down the hall.

C) using a wheelchair for all transfers.

D) using a lift device for positioning.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4

Page and Header:  686, Oxygen Therapy

9. Who determines the rate at which the oxygen should be delivered and how it should be given?

A) The nurse

B) The doctor

C) The respiratory therapist

D) The client or the resident

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  686, Oxygen Therapy

10. Which factor(s) determines how the oxygen is delivered? Select all that apply.

A) The amount of oxygen ordered

B) The disease or condition being treated

C) The quickest, easiest method available

D) The overall physical condition of the client or resident

E) The method the client or resident is most accepting of

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  6

Page and Header:  686, Oxygen Therapy

11. The purpose of a pulse oximeter is to:

A) monitor the oxygen content of the blood.

B) measure a person’s respiratory rate.

C) add moisture to supplemental oxygen.

D) adjust the flow rate of oxygen.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4 and 5

Page and Header:  686, Oxygen Therapy

12. When a client or resident is receiving oxygen therapy, it is a responsibility of the nursing assistant to:

A) set up the oxygen therapy.

B) adjust the flow rate of the oxygen.

C) check the flow meter setting frequently.

D) determine whether the person needs more oxygen.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4 and 5

Page and Header:  686, Oxygen Therapy

13. When caring for a client receiving supplemental oxygen through a nasal cannula, the nursing assistant will: (Select all that apply)

A) check for skin irritation around the nostrils, cheeks, and ears.

B) remove the nasal cannula at meal times and during ADLs.

C) report an incorrect flow rate to the nurse immediately.

D) check the oxygen flow rate on the flow meter often.

E) provide frequent oral care.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4

Page and Header:  686, Oxygen Therapy

14. The nursing assistant is caring for a postoperative client supine in bed receiving 2 L per nasal cannula who suddenly develops dyspnea, RR 28, HR 110, BP 100/60, T 97°F, and pulse oximeter 88%. What action should the nursing assistant take immediately after notifying the nurse?

A) Determine whether the oxygen is on and not kinked.

B) Chart the observations and vitals.

C) Ask the client to cough and breathe deeply.

D) Raise the head of the bed to high Fowlers.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  5

Page and Header:  686, Oxygen Therapy

15. To make postoperative oxygen therapy more comfortable for the client:

A) humidity is added to the oxygen.

B) oxygen rates are usually set for less than 20%.

C) wall-mounted systems are used whenever possible.

D) the client is encouraged to use it only when necessary.

Difficulty:  Difficult

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  2

Page and Header:  682, Postoperative Care

16. The most important responsibility a nursing assistant has to a client who has just returned from having surgery is to:

A) take and record the client’s vital signs often.

B) have the client cough and deep breathe at least every hour.

C) report anything unusual about the client’s condition immediately to the nurse.

D) be sure the client understands the importance of using the call bell.

Difficulty:  Difficult

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  1

Page and Header:  682, Postoperative Care

17. What will the nursing assistant do to make sure a postoperative client is given the best possible care?

A) Stay in the client’s room as much as possible.

B) Help the client cough and deep breathe effectively.

C) Get the client up and walking as soon as possible after surgery.

D) Ask the nurse for any specific instructions about this client’s care.

Difficulty:  Easy

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  5

Page and Header:  686, Oxygen Therapy

18. The main reason a nursing assistant provides good skin care to the head and face of a client receiving supplemental oxygen therapy is that:

A) the person will not use the oxygen if it is not comfortable.

B) the mask or cannula can cause skin breakdown.

C) oxygen therapy is very drying to the skin.

D) the head and face are very easily irritated.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  3

Page and Header:  682, Postoperative Care

19. The nursing assistant is caring for an older adult client with dementia who just returned after surgery and is dizzy. What action should the nursing assistant perform first?

A) Keep low lighting in place.

B) Raise the top two side rails per order.

C) Remind the client to use the incentive spirometer.

D) Dangle the client before ambulating.

Difficulty:  Moderate

Integrated Process:  Clinical Problem-solving Process (Nursing Process)

Objective:  4, 5

Page and Header:  686, Oxygen Therapy

20. The nursing assistant is caring for a resident who is in the courtyard sitting in a wheelchair receiving oxygen. The resident takes out a pack of cigarettes. What action should the nursing assistant take first?

A) Tell the nurse immediately.

B) Remind the client not to smoke.

C) Remove the cigarettes and lighter.

D) Take off the oxygen tank and tubing.