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Duplicate of Exam 1 Quiz questions
Duplicate of Exam 1 Quiz questions
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1
What is the postoperative position for a person who has had a thyroidectomy?
Prone
Supine
Side-lying
Semi-Fowler's
2
1.
In the role of client advocate, what does the nurse do first for a client who reports pain?
Assessesthe level of pain
Believest he client’s report of pain
Callsthe provider for a medication order
Administerspain medication
3
1. A client who is using patient a PCA is asleep. A family member pushed the PCA button. What does the nurse do?
“Theclient is asleep and is not in pain.”
“Thank you. I am sure the client appreciated that.”
“Please don’t touch any equipment in the client’s room.”
“Please allow the client to push the button when needed.”
4
1. A client discharged after hip replacement says, “I am going to use hypnosis instead of medication for pain.”
“Thatsounds like a wonderful idea; and I think it will definitely work!”
§ “Yourplan will not work; people with your type of pain need narcotics.”
“I will cancel your medication order.”
“Thatsounds like a great plan; can you tell me more about it?”
5
To treat HYPOthroidism:
methimazole
radioactive I-131
levothyroxine
propylthiouracil
6
What is the name of the medication that treats hypothroidism
iodione
levothyroxine
hydroxazyline
T4 and T3
7
The preoperative patient assessment most often begins _____.
In the surgeon's office
On the internet
by a telephone interview
at the preadmission unit
8
How often should a nurse inspect a postoperative surgical wound within the first 24 hours?
Every Shift
Every 2-4 hours
Every 15 mins
Every hour
9
Complete the following dosage calculation:
84 mL/hr
83 mL/hr
42 mL/hr
12000 mL/hr
10
Signs of anxiety in the preoperative patient may be displayed by all the following EXCEPT
diaphoresis
bradycardia
tachycardia
inability to concentrate
11
Which of these is not cause of hypothroidism?
Iodine deficiency
Surgery / radioactive treatment
Submantal tumour
Side-effect of drugs
12
What does the nurse need to do for postoperative care on a patient that just had a nephrectomy?
Measure incision site, assess s/s of infection, & notify MD
Irrigate tube with 10 mL of steile NS, watch for infection
Irrigate wound with sterile NS and leave open to air
Assess vitals & pain, ascultate bowels, monitor I&Os
13
Type 1 diabetes is caused by....
a virus which destroys the beta cells in the pancreas
being overweight, smoking and genetics
obesity, sedentary lifestyle and poor diet
the body's immune system destroying the beta cells
14
What technique will the nurse implement to assist the postoperative patient to cough?
Offer an antitussive.
Lean patient against the bedside table.
Support the patient’s back.
Splint the abdomen with a pillow.
15
Fatigue is a symptom of diabetes because....
high blood glucose levels cause fatigue
ATP can't be generated because insulin is unable to enter the cells
glucose is unable to enter the cells of the liver
Glucose cannot enter cells to make ATP
16
Diabetes, pregnancy, infection, stress, trauma and low insulin dosing may cause what?
Hypertension
Hyperglycemia
Hypokalemia
Hypoglycemia
17
Which of the following is NOT typically a risk factor for diabetes?
Sedentary overweight people over 45 years old
Pregnancy
Family history
Toe cheese
18
The preoperative phase begins when
when consents are signed
he decision for surgery is made
when the preop assessment is completed
when the patient arrives in preop
19
Diabetes Mellitis affects the production of which hormone or hormones?
Insulin
Glucagon
Pancreatic juice, glucagon and insulin
Glucagon and Insulin
20
What is the major contributing factor in the development of postoperative atelectasis?
Uncontrolled hyperpyrexia
Central nervous system overstimulation
Decreased cardiac output
Repetitive, shallow breathing
21
A patient is being discharged home on opiods for postoperative pain. What additional order should be anticipated?
Muscle Relaxants
Stool Softeners
Antiemetics
Opiod antagonist
22
What is Phantom limb pain?
Pain in a residual limb.
Pain in limbs after surgery.
Pain in a missing limb.
Pain that occurs after surgery.
23
1. When assessing a client for pain, acute/chronic, what question does the nurse ask to obtain the
most
data?
“Didsomeone do this to you?”
“Isthe pain really that bad?”
“When does it hurt?
“Doesit hurt badly?”
24
What lab should be monitored for a patient on acarbose (Precose) for type 2 diabetes mellitis
Liver function test (ALT, AST)
WBC
Platelet count
Serum potassium
25
How much fluid should the patient consume during the postoperative period?
200-800mL
None, the patient should remain NPO
2000-2400mL
1200-1500mL
26
What are the perioperative nurse's responsibilities for the informed consent?
Ensure the surgeon has discussed interventions and risks
Discusses what the surgeon has told the pt & answers pt's questions.
Witness attesting to competent pt's voluntary signature
Acts as a surgeon's agent to educate the patient about risks and benefits
27
What type of diabetes would you have if you were insulin resistant?
Type 2
Type 1
28
The following are manifestations of hyperthroidism EXCEPT
Diarrhea
Weight gain
Exophthalmos
Heat intolerance
29
What is the purpose of preoperative teaching? SELECT ALL THAT APPLY
decrease fear
promote satisfaction
decrease patient anxiety and prepare the patient for surgery
influence postoperative recovery
30
The preoperative evaluation is primarily used to
determine the patient’s anesthesia preference
identify the patient’s medications and allergies
review gastric physiology with the patient
reduce the patient’s anxiety and fear
31
During the preoperative interview, the perioperative RN should ask patients about their use of SELECT ALL THAT APPLY
alcohol
tobacco products
recreational drugs
herbal preparations
32
1 day postoperative following a subtotal thyroidectomy, & reports a tingling sensation in the hand, nurse assesses ____
Chvostek's sign
Babinski's sign
Brudzinski's sign
Kernig's sign
33
Long-term untreated diabetes can result in what?
All of the above
Amputations
Kidney Damage
Blindness
34
The priority Preoperative phase concept is
Interprofessional Collaboration
Teamwork
Safety
Ethics
35
All of the following are included in the preoperative checklist except
Consent form signed
Preop medication given
Lab/x-ray reports
Urinary output prior to surgery
36
Perioperative nurses must have knowledge of the _________ technique.
Antimicrobial
Sterile
Disinfecting
Clean
37
What would not be a symptom of undiagnosed type 2 diabetes?
frequent urination
headaches
poor wound healing
Thirst
38
Which postoperative wound complication would require immediate surgical treatment?
fistula
adhesions
evisceration
infection
39
Which relate to hyperthroidism
Bradycardia, Hypotension, Dry skin
Constipation, fatigue, paresthesias
Tachycardia, Hypertension, fine tremors
Weight gain, Cold intolerance, lethargy
40
Risk factors for hypothroidism?
hashimoto's disease
MI
Hypertension
Graves disease
41
Preoperative nurse..
During surgery
Before surgery
Surgery
Days after surgery
42
Which of the following groups of preoperative sedatives is used most often
Diphenhydramines
Droperidols
Benzodiazepines
Phenothiazines
43
Which patient would be at highest risk of perioperative hypothermia?
a 56 y/o patient who had a mastectomy
a 21 y/o patient who had a colectomy
a 16 y/o patient who had an appendectomy
an 80 y/o patient who had a hip replacement
44
Venous stasis in the in the postoperative period can lead to:
Pneumonia
Deep vein thrombosis
Pressure ulcers
Increased postoperative pain
45
Perioperative care includes care that is provided before, during, and after surgery
False
True
46
Which relate to hyperthroidism
Weight gain, Cold intolerance, lethargy
Tachycardia, Hypertension, fine tremors
Constipation, fatigue, paresthesias
Bradycardia, Hypotension, Dry skin
47
Must have preoperative information includes:
any known allergies
past medical history
current medications
all of the above
48
1. A client with cancer states, “I am still in pain.” The client does not exhibit any physical signs of pain.
Decreases the client’s standard pain medication dose
§ Gives the client a placebo and monitorsthe outcome
§ Withholds the pain medication
Givesthe pain medication as requested
49
Clients with type 1 diabetes may require what changes to their insulin during an infection?
less insulin
oral antidiabetic agents
no changes
more insulin