Perioperative Nursing Discussion Assignment

Perioperative Nursing Discussion Assignment
1. A nurse is caring for a postoperative patient who has
a history of cigarette smoking. For what complication
should the nurse initially monitor the patient?
1. Airway patency
2. Dependent edema
3. Respiratory infection
4. Pulmonary hemorrhage
2. What should a nurse do when assessing for the presence of dehiscence after a patient had abdominal
1. Monitor urine output.
2. Assess for hypertension.
3. Palpate around the wound.
4. Examine the wound edges.
3. Before abdominal surgery, the nurse teaches the
patient leg and ankle pumping exercises that are to be
done during the postoperative period. What postoperative complication does the nurse explain will be
prevented by these exercises?
1. Atelectasis
2. Adynamic ileus
3. Wound infection
4. Thrombophlebitis
4. A nurse in the postanesthesia care unit is receiving a
patient transferred from the operating room. What
assessment should the nurse perform first?
1. Vital signs
2. Urinary output
3. Airway patency
4. Wound dressing
5. A nurse is caring for a patient with the wound dressing that appears in the illustration. In what situation
should the nurse use this system?
6. A patient goes to the outpatient clinic to be prepared for extensive head and neck surgery for a
cancerous tumor of the jaw. Which intervention
is the priority?
1. Initiate discharge planning with a home health
2. Teach postoperative deep breathing and coughing
3. Ensure that the patient has completed a signed
consent for the surgery.
4. Review methods of communicating with the
health team after the surgery.
7. A nurse is caring for a patient who had an esophagogastroduodenoscopy two hours ago. The nurse has
to attend a meeting and provides information to the
nurse accepting responsibility for the patient. What
information is most important for the relieving nurse
to know about this patient?
1. Vital signs are stable.
2. Reports a sore throat.
3. Gag reflex returned 5 minutes ago.
4. Voided a sufficient quantity 1 hour ago.
8. A primary health-care provider orders the removal
of a patient’s nasogastric (NG) tube. Place the
following steps in the order in which they should
be implemented.
1. Instruct the patient to take a deep breath.
2. Remove adhesive tape from the patient’s nose.
3. Place a disposable pad across the patient’s chest.
4. Fold the tube on itself and quickly and carefully
remove the tube.
5. Shut off the suction and separate the tube from the
suction device.
9. A preoperative patient who is wearing a small religious medal around the neck is being prepared for
surgery. The patient states, “I never take this medal
off because it is very important to me.” Which is the
appropriate action by the nurse?
1. Ask the patient to make an exception and give the
medal to a family member.
2. Ensure that the medal is pinned to the linen at the
head of the operating room table.
3. Remove the medal after the patient is under anesthesia and replace it after the surgery.
4. Explain that patients are not permitted in the
operating room with jewelry of any kind.
Chapter 24 Perioperative Nursing 775
1. A wound that requires frequent dressing changes
2. A dressing that should dry out between changes
3. A wound that has a small amount of drainage
4. A dressing that the patient will care for

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