Med Surg Test 1 FlashCards

Med Surg Test 1 FlashCards

The client scheduled to have sx today cannot read or write. The surgeon obtaining the consent wants 1 to have the client's spouse sign the consent instead. What is the nurse's best action?• Nothing; a signed informed consent statement does not need to be obtained from this client.• Locate the spouse because the informed consent statement must be signed by the client's closest relative • Remind the surgeon that the client may sign the informed consent statement with an X in front of two witnesses • Notify the administration because court must appoint a legal guardian C.Remind the surgeon that the client may sign the informed consent statement with an X in front of two witnesses

A female patient is having a biopsy of a nodule found in the right breast. Which classification 2 identifies this surgery?• Urgent • Minor • Cosmetic • Diagnostic

• Diagnostic

Which statements best describes the preoperative period? (Select all that apply) 3

• It begins when the patient makes the appointment with the surgeon to discuss the need for surgery.• It ends at the time of transfer to the surgical suite.• It is a time during which the patients need for surgery is established.• It begins when the patient is scheduled for surgery.• It is a time during which the patient receives testing and education related to an impending surgery.

• It ends at the time of transfer to the surgical suite.
• It begins when the patient is scheduled for surgery.

Okay you can barely ambulate with a walker at home is having a left total knee replacement.What is 4 the most appropriate category for the surgery?• Urgent • Restorative • Simple

• Palliative

• Restorative

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correct classification for this surgery?• Palliative • Minor • Restorative • Curative

• Palliative

A male patient has a facial scar on his forehead from a third-degree burn. What is the correct 6 classification for this surgery?• Major • Restorative • Cosmetic • Curative

• Cosmetic

An appendectomy is being performed on a patient with appendicitis. What is the correct classification 7 for this surgery?• Curative • Diagnostic • Urgent • Radical

• Curative

A patient with an abdominal aortic aneurysm is having surgical repair. What is the correct 8 classification of this surgery?• Restorative • Emergent • Urgent • Minor

• Emergent

A 76-year-old patient is having a bilateral cataract removal. What is the correct classification for this 9

surgery?• Major • Cosmetic • Elective • Emergent

• Elective

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for this surgery?• Restorative • Emergent • Palliative • Urgent

• Urgent

The nurse screens a preoperative patient for conditions that may increase the risk for complications 11 during the perioperative period. Which conditions are possible risk factors?(Select all that apply) • Emotionally stable • 67 years old • Obesity • Marathon runner • Pulmonary disease

• 67 y.o.
• Obesity
• Pulmonary disease

A 75-year-old patient is having an exploratory laparotomy tomorrow. The wife tells the nurse that at 12 night the patient gets up and walks around his room. What does the nurse do next after hearing this information?• Notifies the physician • Develops a plan to keep the patient safe • Obtains an order for sleep medication • Tells the patient not to get out of bed at night

• Develops a plan to keep the patient safe.

Discharge planning is done for patients who have had which types of surgery? (Select all that apply) 13 • Minor • Urgent

• Palliative • Curative • Emergent A, B, C, D, E (all types of surgery)

The nurse has received a patient in the holding area is scheduled for a left femoral-popliteal bypass. 14 What are the priority safety measures for this patient before surgery? (Select all that apply) • The operative limb is marked by the surgeon • The patient is positively identified by checking the name and date of birth.• The patient is asked to mark the operative limb.• The patient is identified by checking the name and room number.• The patient is instructed to verify any family members waiting.

• The operative limb is marked by the surgeon.• The patient is positively identified by checking the name and date of birth.

• The patient is identified by checking the name and room number

In the preoperative setting, the nurse functions as a patient advocate when which factors are 15 assessed in the discharge planning process? (Select all that apply) • Support systems • Any known allergies • Self-care capabilities • Preference for route of administration of analgesics • Home environment

• Support system
• Self-care capabilities
• Home environment

The nurse is preparing the patient for surgery. Which common laboratory tests does the nurse 16 anticipate to be ordered? (Select all that apply) • Total cholesterol • Electrolyte levels • Uric acid • Clotting studies • Serum creatinine

• Electrolyte levels
• Clotting studies
• Serum creatinine