Complete Test Bank Care of the Surgical Patient Ch.30 - Canadian Personal Care Provider 1e Complete Test Bank by Francie Wolgin. DOCX document preview.
Chapter 30
Multiple Choice Questions
1. Which of the following is an example of a surgical client?
A) the client in the surgical intensive care unit
B) the client who has returned home after discharge
C) the client who is contemplating elective surgery
D) all of the above
LO#1-Discuss the purpose of surgery and classify surgeries according to their urgency, invasiveness, and procedure type.
2. Giving an abdominal prep means you clean shave which of the following areas?
A) abdomen from the nipples down and including the pubic area
B) legs
C) abdomen from the nipple line down to and including the pubic area
D) none of the above
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
3. When helping a client with his/her breathing exercises, you can encourage deeper breathing by:
A) pushing down on the rib cage.
B) asking the client to feel his/her abdomen rise
C) pushing up his/her rib cage
D) all of the above
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
4. Which of the following is a normal goal of preoperative care?
A) to discharge the client
B) to ask questions about the client’s health status
C) check on the client’s surgical wound
D) to send all urine for lab tests
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
5. When a client has had surgery and is unable to move about in bed of their own accord,
turning them from side-to-side every two hours will help to prevent
A) bleeding and swelling
B) pain and discomfort
C) shock and nausea
D) lung congestion and pneumonia
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
6. Which of the following activities are a routine part of postoperative care?
A) making sure side rails are lowered after the client is in bed
B) placing the client on their back
C) deep-breathing and coughing exercises
D) all of the above
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
7. Deep-breathing exercises
A) help prevent abdominal complications
B) expand the lungs and bring up secretions
C) increase the risk of pneumonia.
D) all of the above
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
8. Regarding preoperative care:
A) The psychosocial needs of a client are not a concern prior to surgery.
B) Preoperative care involves the preparation and management of a client.
C) You will always prepare the skin the night before surgery.
D) Encourage the client to cough, turn, and breathe deeply to prevent respiratory
problems from developing.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
9. Which of the following is a common concern or worry for the client having surgery?
A) fear of the roommate
B) fear of the known
C) unconcern for being off work
D) possibility of death
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
10. Which of these complications would you report to your immediate supervisor?
A) complaints of chest pain
B) normal temperature
C) absence of sneezing/coughing
D) all of the above
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
11. Which of the following is important when preparing a surgical bed?
A) tissues available in the washroom
B) emesis bowl at bedside
C) IV pole in the hallway
D) head of the bed upright
LO#4-Discuss the routine for the morning of surgery, including transportation of the patient and preparing the patient’s unit.
12. When the client comes back from the surgery what should you do without checking with the nurse?
A) take the client's vital signs
B) lower the side rails
C) help move the client off the bed into the stretcher
D) give the client some water
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
13. A postoperative client will likely:
A) experience no pain
B) to be able to hear you
C) be nauseated from the anesthesia
D) all of the above
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
14. The client's first voiding after surgery should be
A) discard immediately.
B) measured for I & O.
C) sent to the lab immediately.
D) none of the above
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
15. The following statement is true regarding the various types of surgeries:
A) urgent surgery is immediately life threatening
B) elective surgery is surgery that is chosen and not vital for physical health
C) scheduled surgeries and the only types of surgeries scheduled ahead of time
D) exploratory surgeries and surgeries required for a problem that impairs
function or health but is not life threatening
LO#1-Discuss the purpose of surgery and classify surgeries according to their
urgency, invasiveness, and procedure type.
16. The suffix “ectomy” refers to:
A) creating a hole in an organ or tissue
B) cutting into an organ or tissue without removing it
C) restoring, reconstructing, or reconfiguring body parts
D) removing an organ (partially or completely)
LO#1-Discuss the purpose of surgery and classify surgeries according to their urgency, invasiveness, and procedure type.
17. Clients are admitted to the hospital for surgery:
A) always on the day of surgery
B) sometimes on the evening before their scheduled procedures
C) always on the evening before their scheduled procedures
D) never on the day of surgery
LO#3-Discuss the routine for the evening before surgery.
18. During the evening before surgery, it is extremely important that the client:
A) drink well to avoid dehydration
B) receives a skin prep that is ordered in the morning of the surgery
C) remains NPO
D) has access to their the water pitcher
LO#3-Discuss the routine for the evening before surgery.
19. It is important for the personal care provider to remember that the morning before surgery, the client:
A) will not be allowed any medications
B) will be able to have one final drink of water
C) will need support with respect to their safety
D) will be transferred by you to the operating-room suite
LO#4-Discuss the routine for the morning of surgery, including transportation of the patient and preparing the patient’s unit.
20. Before surgery:
A) the personal care provider will administer an anaesthetic to prevent the patient feeling pain during the procedure
B) will always receive a general anaesthetic
C) may receive a general anaesthetic which results in loss of feeling over a large area of the body, usually from the umbilicus down, including the legs and feet
D) may receive a local anaesthetics cause a numbness or loss of feeling in only a part of the body
LO#5-Differentiate between general, local, and spinal anaesthetics.
21. A nurse anaesthetist is a:
A) a registered nurse who is specially trained to administer anaesthetics to patients
B) a registered nurse who is receiving specially trained to administer anaesthetics to patients
C) a registered nurse who is specially trained not to administer anaesthetics to patients
D) medical doctor who administers the anaesthetic to the patient in the operating room
LO#5-Differentiate between general, local, and spinal anaesthetics.
True/False Questions
1. Children going to surgery are often frightened of the equipment and noises.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
2. A complication is an expected condition and quite normal.
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
3. Shaving the area of the body where an operation is going to be performed is called a
skin prep.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
4. Preoperative client education prepares the client for surgery.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
5. Good physical and emotional preoperative care can help reduce anxiety and fears.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
6. Preoperative clients should be turned every four hours unless instructed not to.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
7. Preoperative client education includes teaching deep breathing exercises to help
prevent abdominal complications.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
8. Frequent turning of a post-operative client helps prevent pneumonia.
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
9. Deep-breathing exercises expand the lungs and assist the patient in bringing up lung secretions.
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
10. A client's first voiding after surgery should be thrown away.
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
11. If an indwelling catheter is present, you do not need to observe the amount and color in the drainage bag.
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
12. If the unconscious client vomits, turn the head to one side to prevent vomitus from being drawn back into the lungs.
LO#6-Analyze the personal care provider’s role in providing postoperative care of the surgical patient, including management of nausea and vomiting, monitoring of intake and output, prevention of respiratory complications, turning of the patient, and pain control.
13. Hair on the body is not a breeding place for microorganisms.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
14. When you are shaving a client before an operation, watch for scratches, pimples, cuts,
sores, or rashes on the skin and report any unusual findings to your immediate supervisor.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
15. You must remove all drinking water from the bedside of the client returning from
surgery.
LO#4-Discuss the routine for the morning of surgery, including transportation of the patient and preparing the patient’s unit.
16. General anesthesia is the partial loss of sensation in the most sensitive areas of the body.
LO#5-Differentiate between general, local, and spinal anaesthetics.
17. Local anesthesia is the loss of sensation in only a part of the body.
LO#5-Differentiate between general, local, and spinal anaesthetics.
18. An anesthetic may be given only by inhalation.
LO#5-Differentiate between general, local, and spinal anaesthetics.
19. Accurately preparing the client for surgery promotes a safer recovery.
LO#2-Analyze the personal care provider’s role in providing preoperative care of the surgical patient, including the preoperative health status review, obtaining consent, patient education, and skin preparation.
20. Invasiveness refers to the amount of tissue damage that is caused by a particular surgery.
LO#1-Discuss the purpose of surgery and classify surgeries according to their urgency, invasiveness, and procedure type.
21. Surgeries are only classified based on the degree of urgency.
LO#1-Discuss the purpose of surgery and classify surgeries according to their urgency, invasiveness, and procedure type.
22. Clients are never admitted to the hospital for surgery the evening before their scheduled procedures due to space issues.
LO#3-Discuss the routine for the evening before surgery.
23. Clients are typically NPO within two hours of their surgery.
LO#3-Discuss the routine for the evening before surgery.
24. After the client has been transferred to the operating room, your next task is to prepare the unit to receive the patient postoperatively.
LO#4-Discuss the routine for the morning of surgery, including transportation of the patient and preparing the patient’s unit.
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Canadian Personal Care Provider 1e Complete Test Bank
By Francie Wolgin