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FOUNDATIONS AND ADULT HEALTH NURSING 8TH EDITION COOPER TEST BANK WITH CORRECT ANSWERS

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FOUNDATIONS AND ADULT HEALTH NURSING 8TH EDITION COOPER TEST BANK TEST BANK Chapter 02: Care of the Surgical Patient Cooper: Adult Health Nursing, 8th Edition MULTIPLE CHOICE 1. The ... patient who had a nephrectomy yesterday has not used the patient-controlled analgesia (PCA) delivery system but admits to being in pain but fearful of addiction. What is the nurse’s best response? a. “Modern analgesic drugs do not cause addiction.” b. “Pain relief is worth a short period of addiction.” c. “Addiction rarely occurs in the brief time postsurgical analgesia is required.” d. “Addiction could be a real concern.” 2. A 73-year-old patient with diabetes was admitted for below the knee amputation of his right leg. Removal of his right leg is an example of which type of surgery? a. Palliative b. Diagnostic c. Reconstructive d. Ablative 3. In which situation might surgery be delayed? a. The patient has taken Dilantin today. b. An illegible signature is on the consent form. c. The patient is still taking anticoagulants. d. The admission office is unable to confirm insurance coverage. 4. Which circumstance could prevent the patient from signing his informed consent for a cholecystectomy? a. The patient complains of pain radiating to the scapula. b. The patient received an injection of Demerol, 75 mg IM, 1 hour ago. c. The patient is 85 years of age. d. The patient is concerned over his lack of insurance coverage. 5. The nurse anticipates that the patient will be given anesthesia because of the extensive tissue manipulation involved in a hysterectomy. a. general b. regional c. specific d. preoperative 6. The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for: a. a flushing of the face and torso. b. numbness of the perineum. c. complaint of thirst. d. a sudden drop in blood pressure. 7. Why might the older adult patient not respond to surgical treatment as well as a younger adult patient? a. Poor skin turgor b. Fear of the unknown c. Response to physiologic changes d. Decreased peristalsis related to anesthesia 8. The postoperative nursing intervention that would be contraindicated for a 45-year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP) would be: a. coughing every 2 hours. b. turning every 2 hours. c. monitoring intravenous therapy at 50 mL/hr. d. assessing vital signs every 2 hours. 9. The nurse acting as a circulatNingRnurIse hGas aBr.esCponMsibility for: a. observing breaks in sterile UtechSniqNue. b. identifying and handling surgical specimens correctly. c. assisting with surgical draping of the patient. d. maintaining count of sponges, needles, and instruments during surgery. 10. Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon? a. “I have been taking an herbal product of feverfew for my migraines.” b. “I exercise for 3 hours a day.” c. “I drink 2 glasses of wine a day.” d. “I use atropine eye drops every day.” 11. A patient is on postoperative day 2 after a nephrectomy. What is the most effective way to increase her peristalsis? a. Ambulation b. An enema c. Encouraging hot liquids d. Administering a laxative 12. A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment to make? a. Check ankle dressings for hemorrhage. b. Check airway for patency. c. Check intravenous site. d. Check pedal pulse. 13. Frequent assessment of a postoperative patient is essential. What is one of the first signs and symptoms of hemorrhage? a. Increasing blood pressure b. Decreasing pulse c. Restlessness d. Weakness, apathy 14. The nurse instructing a postsurgical patient in the use of thrombolytic deterrent stockings would include which of the following instructions? a. Disregard appearance of edema above the stocking. b. Massage legs to smooth wrinkles out of stockings. c. Wring stockings thoroughly before hanging to dry. d. Hand wash stockings in warm water and mild soap. 15. The patient is brought into PACU still unconscious. What should the nurse do when the nurse assesses an oral temperature of 94°F? a. Notify the charge nurse immediately. b. Offer warm fluids through a straw. c. Do nothing, this is a normal reaction to anesthesia. d. Cover with a warm blanket. 16. In which location are guidelines for ensuring that all nursing interventions on the day of surgery completed and documented? a. In the nurse’s notes b. In the anesthesia record c. In the preoperative checklist d. In the progress notes 17. While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention? a. Place the patient in the high Fowler’s position. b. Give the patient fluids to prevent shock. c. Replace the dressing with sterile fluffy pads. d. Apply a warm, moist normal saline sterile dressing. 18. When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative? a. Only when the patient asks. b. When the onset of pain is assessed. c. Sparingly to avoid drug dependence. d. Only when severe pain is assessed. .......................................................................CONTINUED............................................................... [Show More]

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