NURS 1500 Week 1

The nurse is providing preoperative care to a client about to have an emergent appendectomy. The nurse understands this type of surgery is which of the following?

• Cosmetic

• Diagnostic

• Palliative

• Curative

Answer explanation

Pg 152

Which of the following patients would the preoperative nurse report to the physician based on their assessment findings that morning?

• Patient who take daily anticoagulants to treat atrial fibrillation.

• Patient who takes levothyroxine daily to treat their hypothyroidism.

• Patient who takes an OTC NSAID to treat their rheumatoid arthritis.

• Patient who takes an ACE inhibitor because they have hypertension.

• Patient who takes acetaminophen for their osteoarthritis.

Answer explanation

Pg 164

An older client is having a cataract removal surgery. What is the best category for this surgery?

• Urgent

• Emergent

• Elective

• Cosmetic

Answer explanation

The newly graduated nurse is providing pre-operative care to a client who is preparing to undergo a surgical procedure. Which of the following actions by the newly graduated nurse requires immediate intervention by the nursing supervisor?

• The newly graduated nurse asks the client to sign the informed consent prior to the surgeon's arrival.

• The newly graduated nurse signs as a witness to the informed consent.

• The newly graduated nurse clarifies the procedure before the informed consent is signed.

• The newly graduated nurse verifies the informed consent is dated and timed.

What is the most appropriate category of surgery for a client who can barely ambulate with a walker at home, who is having a left total knee replacement?

• Palliative

• Preventative

• Reconstruction

• Transplantation

Answer explanation

Pg 152

The nurse is completing a preoperative physical assessment for a client who will have surgery this afternoon. Which assessment finding will the nurse report to the operative team? Select all that apply.

• Left arm prosthesis

• Skin turgor <3 seconds

• Blood pressure 160/100 mmHg

• Presence of chest rigidity

• Has been NPO since midnight

The nurse is caring for a postoperative patient who has asked for pain medicine an hour before it is due. What is the priority nursing response?

• “You cannot have more pain medication until an hour from now.”

• “Can you describe the pain you are having, and rate it on a 1-to-10 scale?”

• “I can help you begin a pain diary so we can see trends when your pain worsens.”

• “Let’s try some relaxation exercises to help address the discomfort you are feeling.”