Perioperative Nursing

Question 1 of 5

Based on the objective and subjective assessment of this patient, which priority problem should the nurse identify to guide the perioperative plan of care?

A. Bleeding risk

B. Activity intolerance

C. Acute anxiety

D. Thermal injury risk

Correct Answer:

Rationale:

Question 2 of 5

Which solution is reasonable and safe for this transition of care?

A. Gabrielle's mom will be given time alone with Gabrielle in the preoperative room to provide comfort to Gabrielle

B. Gabrielle's mom will accompany Gabrielle to the surgical suite and remain with Gabrielle until the inhaled anesthesia takes effect

C. Gabrielle's mom will be at the preoperative bedside while the nurse initiates IV therapy and administers an IV sedative

D. Gabrielle's mom will administer an oral sedative to Gabrielle under the supervision of the nurse

Correct Answer:

Rationale:

Question 3 of 5

Which content and teaching modality best fit this particular situation?

A. Have Gabrielle use the incentive spirometer while providing direction and encouragement

B. Show Gabrielle the OR suite, taking time to point out the equipment and lights

C. Have Gabrielle perform a series of arm and neck stretches

D. Talk to Gabrielle and her mom about the likelihood of postoperative nausea and vomiting

Correct Answer:

Rationale:

Question 4 of 5

The nurse documents attainment of expected outcomes in the preoperative phase as part of the perioperative plan of care. Which outcomes were met for Gabrielle? Select all that apply.

A. Correct return demonstration of postoperative activities designed to prevent complications

B. Physical and emotional readiness for operative procedure; appropriate for age

C. Decreased risk for surgical site, catheter-based, and community-acquired infections

D. Caregiver articulation of when to call the provider for follow-up and/or intervention

Correct Answer:

Rationale:

Question 5 of 5

A nurse in the PACU is preparing to receive a patient from surgery who sustained a ruptured spleen in a motor vehicle accident. Which of these system assessments will take priority?

A. Neurologic system, ambulatory function

B. Cardiovascular system, vital signs

C. GI system, bowel function

D. Integumentary, skin breakdown

Correct Answer:

Rationale:

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