EAQ 17, final
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Questions and Answers

Which medicine is used for conscious sedation?

  • Phenytoin
  • Midazolam (correct)
  • Furosemide
  • Tobramycin
  • Which is the primary goal of including family members or significant others in postoperative teaching?

  • They can coach and encourage the patient after surgery. (correct)
  • They can teach the patient what to do after the surgery
  • It relieves anxiety over their family members
  • It frees up th recovery nurse for other tasks
  • The nurse works in an ambulatory surgical center. The nurse checks the vital signs of patients in the preoperative period. What would the vital signs indicate?

  • Patient's stability (correct)
  • Fear and stress
  • Health of the patient (correct)
  • Baseline for intraoperative assessment (correct)
  • What patient preparation is needed on the day of a surgery involving general anesthesia?

    <p>Provide a partial bath</p> Signup and view all the answers

    What is most likely to be effective in meeting a patient's teaching and learning needs preoperatively?

    <p>Teaching the patient and family</p> Signup and view all the answers

    Which conditions may increase the risk for infection in a patient after surgery? SATA

    <p>Chemotherapy</p> Signup and view all the answers

    Advanced age causes an increased risk during surgery for which condition?

    <p>Hypothermia</p> Signup and view all the answers

    The nurse tells the health care provider that a patient scheduled for surgery is on active radiation therapy. For what is the patient at risk?

    <p>Poor wound healing</p> Signup and view all the answers

    A patient scheduled for elective surgery had a light meal an hour before surgery. The nurse documents and reports this to the anesthesia provider. Which risk might the nurse anticipate during surgery?

    <p>Aspiration</p> Signup and view all the answers

    Which medical conditions increase the risk of surgery? SATA

    <p>Diabetes mellitus</p> Signup and view all the answers

    Which risks are associated with clot formation in the older adult after surgery?

    <p>Increased calcium and cholesterol deposits in the small arteries</p> Signup and view all the answers

    Which range includes the normal values of prothrombin time (PT)?

    <p>11 to 12.5 seconds</p> Signup and view all the answers

    While providing perioperative care to a 78-year-old patient, the nurse instructs the patient to ambulate and then sit in a chair every 2 hours following surgery. Which rationale explains this nursing intervention (select all that apply)?

    <p>To maintain optimal residual capacity of the lungs</p> Signup and view all the answers

    Which question would the nurse ask a patient when performing the assessment of cardiac history (select all that apply)?

    <p>&quot;Which medications are you taking?&quot;</p> Signup and view all the answers

    Which action would the nurse take after administering preoperative medications?

    <p>Restrict the patient from leaving the bed.</p> Signup and view all the answers

    A patient is scheduled for cholecystectomy. The patient has been hypertensive for the past 15 years. In what category should the patient be placed based on physical status classification of the American Society of Anesthesiologist (ASA)?

    <p>ASA III (P3)</p> Signup and view all the answers

    Which patient is at risk for a latex allergy (select all that apply)?

    <p>The patient with a history of spina bifida</p> Signup and view all the answers

    Which method is most effective for the nurse to validate informed consent?

    <p>Ask the patient what is understood regarding the procedure</p> Signup and view all the answers

    The nurse is preparing a patient for colon surgery. The nurse administers enemas to the patient until the enema return solution contains no solid fecal material. Which rationale explains this intervention?

    <p>It prevents fecal contamination</p> Signup and view all the answers

    A patient schedules for surgery has a history of epileptic seizures and has been taking phenytoin for a prolonged time. Which condition is the patient at risk of?

    <p>Anesthesia complications</p> Signup and view all the answers

    Which action by a nursing student indicated a need for correction regarding the patient's care (select all that apply)?

    <p>Discussing the patient's case on social media</p> Signup and view all the answers

    A patient with acquired immunodeficiency syndrome (AIDS) is at an increased risk of which condition following surgery?

    <p>Infection</p> Signup and view all the answers

    Which information about general anesthesia would the nurse include in the preoperative teaching (select all that apply)?

    <p>The entire body is anesthetized</p> Signup and view all the answers

    Which statement describes an advantage of conscious sedation versus general anesthesia (select all that apply)?

    <p>The patient independently maintains the airway</p> Signup and view all the answers

    Which laboratory finding supports the nurse's conclusion that a patient is at an increased risk of bleeding during surgery?

    <p>Platelet count, 100,000 cells/mm^3</p> Signup and view all the answers

    Which special precaution is required for a patient who is latex sensitive scheduled for surgery (select all that apply)?

    <p>Use stopcocks to inject medications</p> Signup and view all the answers

    Which nursing action is appropriate to relieve anxiety in a patient scheduled for surgery the next morning?

    <p>Administer alprazolam to the patient</p> Signup and view all the answers

    A patient is scheduled for coronary artery bypass graft surgery. While going through the patient's medical records, the nurse finds that the patient has a medical condition that may affect the outcome of the surgery. Which condition is the patient likely suffering from?

    <p>Thrombocytopenia</p> Signup and view all the answers

    Which action would be part of a preoperative pain assessment (select all that apply)?

    <p>Teaching the patient to use a pain scale</p> Signup and view all the answers

    The nurse records the blood pressure of a preoperative patient as 150/110 mm Hg. Which condition might the nurse anticipate in the patient during surgery?

    <p>Inadequate tissue oxygenation</p> Signup and view all the answers

    Which actin by a patient on the day of surgery indicated a need for further learning?

    <p>Avoiding emptying the bladder before surgery</p> Signup and view all the answers

    Which type of medical condition causes an increased risk of infection and delayed wound healing after surgery?

    <p>Bone marrow depression</p> Signup and view all the answers

    After a surgical patient has been given preoperative sedatives, which safety precaution should a nurse take?

    <p>Reinforce to the patient to remain in bed or on the stretcher</p> Signup and view all the answers

    Conscious sedation is being considered for a patient undergoing a cervical dilation and endometrial biopsy in the health care provider's office. The patient asks the nurse, "What is conscious sedation?" How would the nurse respond?

    <p>&quot;It enables the patient to respond to commands and tolerate painful procedures&quot;</p> Signup and view all the answers

    After assessing a 5-foot-6-inch (167.7 cm), 19-year-old patient who has appendicitis, the nurse documents the body weight of the patient as 90 kg (194.8 pounds). Which factor puts the patient at risk of death?

    <p>Blood pressure of 150/98 mm Hg</p> Signup and view all the answers

    The nurse is reviewing the medical records of four patients preoperatively. Which patient will the nurse carefully observe for a drop in oxygen saturation during surgery?

    <p>Patient A (Opioids and Obstructive Sleep Apnea)</p> Signup and view all the answers

    The laboratory findings of a patient scheduled for a colostomy show a hemoglobin (Hgb) level of 7 g/dL and a red blood cell (RBC) count of 3 million cells/mcL. Which nursing action is appropriate in this situation?

    <p>Monitoring oxygen saturation</p> Signup and view all the answers

    The nurse is reviewing the laboratory reports of four patients. Which patient is at risk for cardiac dysrhythmias?

    <p>Patient B (Potassium 2.6mEq/L)</p> Signup and view all the answers

    A patient is scheduled for surgery. The patient has been fasting the whole night. The surgery was postponed for 3 hours, and the patient feels hungry. What is the most appropriate nursing action?

    <p>Give clear liquids to the patient.</p> Signup and view all the answers

    Which patient is the most susceptible to infection and impaired wound healing following surgery?

    <p>A patient who has diabetes mellitus</p> Signup and view all the answers

    Which action by a student nurse needs correction regarding preoperative care?

    <p>Instructing the patient to avoid foods rich in carbs and immune-enhancing vitamins 1 week before surgery</p> Signup and view all the answers

    A patient with a reduced glomerular filtration rate is at an increased risk of which complication during surgery?

    <p>fluid and electrolyte imbalance</p> Signup and view all the answers

    A patient diagnosed with appendicitis is advised to have surgery. After collecting the patient's medical history, the nurse anticipates that the surgery will be postponed. Which option may necessitate surgical postponement?

    <p>The patient takes aspirin for cardiovascular disease.</p> Signup and view all the answers

    conditions is the three-enema limit aiming to prevent? SATA

    <p>Hypokalemia</p> Signup and view all the answers

    The chest x-ray of a patient shows stiffened lung tissue and enlarged air spaces. For what risk does this put the patient during surgery?

    <p>Reduced blood oxygenation</p> Signup and view all the answers

    The nurse completes bowel preparation for the patient who is scheduled for colon surgery. What is the rationale for this nursing intervention?

    <p>To prevent contamination of surgical wound</p> Signup and view all the answers

    While performing preoperative assessment, the nurse inspects the bony prominences of a 73-year-old patient for signs of pressure. For which condition is the nurse evaluating?

    <p>Sensory loss</p> Signup and view all the answers

    The nurse is reviewing medical reports of four patients. Which patient is at an increased risk for clot formation in the lower extremities after surgery?

    <p>A patient who has increased calcium levels</p> Signup and view all the answers

    Which complications might the patient experience during and after surgery?

    <p>Hypoxia</p> Signup and view all the answers

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