1.

The phases of the peri-operative period, as usually identified, include which of the following? Your Answer: pre-anesthetic phase Correct Answer: pre-operative phase The three phases of the peri-operative period are pre-operative, intraoperative, and post-operative.

2.

When assessing the client in the immediate post-anesthetic period, the nurse will pay special attention to tissue perfusion. This will be best assessed by doing which of the following things? Your Answer: Looking at lip color and checking capillary refill.

3.

The nurse is assigned to a client who has just had an appendectomy. The nurse inspects the client's dressings and the bedclothes underneath the client. The nurse is most likely checking the linens under the client for which of the following things? Your Answer: excessive perspiration Correct Answer: excessive bleeding Blood under the client is a sign of possible hemorrhage and must be reported.

4.

The nurse needs to be aware that clients who have just returned from a surgery in which they received spinal anesthesia need to be kept in which of the following positions for a few hours? Your Answer: semi-Fowler's Correct Answer: flat in bed Clients who have had spinal anesthesia need to lie flat for 8 to 12 hours.

5.

The family of a client who has just received surgery involving the intestines asks when oral fluids and food can be given. You should tell the family that the physician will most likely start fluids at which of the following times? Your Answer: when peristalsis returns

6.

The post-surgical client has been NPO this shift; however, the physician

orders clear liquids. Which of the following actions would be best on the part of the nurse? Your Answer: Push fluids to 200 cc per hour. Correct Answer: Offer small sips of water initially. When oral intake is permitted after surgery, initially offer only small sips of water. Large amounts of fluids can induce vomiting because anesthetics and narcotic analgesics temporarily inhibit the motility of the stomach.

7.

In the pre-operative period, the nurse taught the client some leg exercises. Now, in the immediate post-operative period, the nurse asks the client to do these exercises every two hours when awake. A family member wants to know the reason for these leg exercises. How should the nurse reply? Your Answer: "Leg exercises compress veins and prevent thrombi and emboli."

8.

A client asks the nurse, "Why must I do deep-breathing exercises?" How should the nurse reply? Your Answer: "The doctor has ordered this, and you must do it." Correct Answer: "Deep breathing helps prevent pneumonia and atalectasis." Deep-breathing exercises increase lung expansion and prevent the accumulation of fluids, thus preventing pneumonia and atalectasis, which may result from stagnation of fluid in the lungs.

9.

When working with a client with a Salem sump tube, the nurse will need to do which of the following things? Your Answer: Attach the Salem sump tube to high suction.

10.

When cleaning a sutured wound and applying a sterile dressing, the nurse must do which of the following? Your Answer: Hold the forceps with the tips down at all times.