Preoperative Nursing Management

Question 1 of 5

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?

A. Within 24 hours

B. Within the next week

C. Without delay because the bleed is emergent

D. As soon as all the days elective surgeries have been completed

Correct Answer:

Rationale:

Question 2 of 5

The nurse is performing a preoperative assessment on a patient going to surgery. The patient informs the nurse that he drinks approximately two bottles of wine each day and has for the last several years. What postoperative difficulties can the nurse anticipate for this patient?

A. Alcohol withdrawal syndrome immediately following surgery

B. Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink

C. Alcohol withdrawal syndrome upon administration of general anesthesia

D. Alcohol withdrawal syndrome 1 week after his last alcohol drink

Correct Answer:

Rationale:

Question 3 of 5

The nurse is teaching her to perform deep breathing and coughing to use postoperatively. What action should the nurse teach the patient?

A. The patient should take three deep breaths and cough hard three times, at least every 15 minutes for the immediately postoperative period

B. The patient should take three deep breaths and exhale forcefully and then take a quick short breath and cough from deep in the lungs

C. 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

D. The patient should rapidly inhale, hold for 30 seconds or as long as possible, and exhale slowly

Correct Answer:

Rationale:

Question 4 of 5

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?

A. I know Ill be fine because the physician said he has done this procedure hundreds of times

B. I know Ill have pain after the surgery but theyll do their best to keep it to a minimum

C. The physician is going to remove my uterus and told me about the risk of bleeding

D. Because the physician isnt taking my ovaries, Ill still be able to have children

Correct Answer:

Rationale:

Question 5 of 5

The nurse is planning patient teaching for a patient who is scheduled for an open hemicolectomy. The nurse intends to address the topics of incision splinting and leg exercises during this teaching session. When is the best time for the nurse to provide teaching?

A. Upon the patients admission to the postanesthesia care unit (PACU)

B. When the patient returns from the PACU

C. During the intraoperative period

D. As soon as possible before the surgical procedure

Correct Answer:

Rationale:

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