Title WORKBOOK -PERIOPERATIVE NURSING (SC).pdf ✅

TOP RANK REVIEW ACADEMY, INC. Page 1 | 3 COMPREHENSIVE PHASE WORKBOOK PERIOPERATIVE NURSING MAY 2024 Philippine Nurse Licensure Examination Review 1. The nurse is developing a plan of care for a client scheduled for surgery. The nurse should include which activity in the nursing care plan for the client on the day of surgery? a. Avoid oral hygiene and rinsing with mouthwash. b. Verify that the client has not eaten for the last 24 hours. c. Have the client void immediately before going into surgery. d. Report immediately any slight increase in blood pressure or pulse. 2. A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client? a. Obtain a court order for the surgery b. Send the client to surgery without the consent form being signed. c. Have the charge nurse sign the informed consent immediately. d. Obtain a telephone consent from a family member, following agency policy. 3. A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse? a. “If it’s any help, everyone is nervous before surgery.” b. “I will be happy to explain the entire surgical procedure to you.” c. “Can you share with me what you’ve been told about your surgery?” d. “Let me tell you about the care you’ll receive after surgery and the amount of pain you can anticipate.” 4. During her preoperative teaching with a client about the use of an incentive spirometer, which of the following information should the nurse include? a. Inhale as rapidly as possible. b. The best results are achieved when sitting up or with the head of the bed elevated 45 to 90 degrees. c. Keep a loose seal between the lips and the mouthpiece. d. After maximum inspiration, hold the breath for 15 seconds and exhale. 5. The nurse has conducted preoperative teaching for a client scheduled for surgery in 1 week. The client has a history of arthritis and has been taking aspirin. The nurse determines that the client needs additional teaching if the client makes which statement? a. “Aspirin can cause bleeding after surgery.” b. “Aspirin can cause my ability to clot blood to be abnormal.” c. “I need to continue to take the aspirin until the day of surgery.” d. “I need to check with my health care provider about the need to stop the aspirin before the scheduled surgery.” 6. A client who has undergone preadmission testing has had blood drawn for serum laboratory studies, including a complete blood count, coagulation studies, and electrolytes and creatinine levels. Which laboratory result should be reported to the surgeon’s office by the nurse, knowing that it could cause surgery to be postponed? a. Sodium, 141 mEq/L b. Hemoglobin, 8.0 g/dL c. Platelets, 210,000/mm3 d. Serum creatinine, 0.8 mg/dL 7. The nurse is reviewing a health care provider’s (HCP’s) prescription sheet for a preoperative client that states that the client must be NPO after midnight. The nurse would telephone the HCP to clarify that which medication should be given to the client and not withheld? a. Prednisone b. Ferrous sulfate c. Cyclobenzaprine (Flexeril) d. Conjugated estrogen (Premarin) 8. During a presurgical admission assessment, a client states, “I’ve told my surgeon that I am a Jehovah’s Witness and I won’t accept a blood transfusion.” Which statement by the nurse would be most appropriate? a. “Tell me about your fear of receiving a blood transfusion.” b. “Your request to not receive a transfusion would be honored. Your consent is needed to administer blood or blood products.” c. “You don’t need to worry about getting a blood transfusion. We have newer equipment that causes less blood loss during surgery.” d. “Are you sure you wouldn’t want a blood transfusion if one is needed during surgery? You can always change your mind after surgery.” 9. Which nursing action would be best when a preoperative client verbalizes fear of postoperative pain? a. Providing diversional activities when client reports fear of pain b. Encouraging the client to verbalize concerns regarding the fear of pain c. Informing the client of experiences and the likelihood of pain pre- and postoperatively d. Explaining the medications ordered for pain control, availability, and treatment goals * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH