ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?
Correct Answer: C
Rationale: Can you share with me what you've been told about your surgery?,' as it invites the client to express knowledge and fears, fostering discussion unlike 'everyone's nervous' (A), dismissive, 'explain procedure' (B), or 'postop care' (D), both presumptive. In nursing, open-ended questions reduce anxiety; C aligns with NCLEX Perioperative, enhancing communication.
Question 2 of 5
The nurse has received a patient in the holding area who is scheduled for a left femoral-popliteal bypass. What are the priority safety measures for this patient before surgery? (Select all that apply.)
Correct Answer: B
Rationale: Priority safety measures include positive identification with name and date of birth and surgeon-marked operative limb , confirmed by the patient . Room number isn't a reliable identifier. The rationale emphasizes error prevention: wrong-site surgery is a critical risk, mitigated by Joint Commission protocols like marking and dual identification. Name and birth date ensure accuracy over room-based checks, while patient confirmation reinforces consent and awareness. These steps, part of the preoperative checklist, align with nursing's role in advocating for safety, reducing perioperative harm through systematic verification.
Question 3 of 5
A patient with breast cancer is scheduled for a left mastectomy. The patient has informed the surgeon and nurse that she is a Jehovah's Witness and does not want any blood transfusions. In preparation for intraoperative care of this patient, what measures does the nurse take? (Select all that apply.)
Correct Answer: B
Rationale: The nurse informs the provider of the no-transfusion request and ensures an autotransfusion device , respecting the Jehovah's Witness belief. Obtaining blood or emergency orders contradicts the patient's wishes. The rationale centers on autonomy: honoring religious preferences is legally and ethically mandated. Autotransfusion recycles the patient's blood, avoiding donor transfusions, while provider notification ensures team alignment. Nursing advocates for patient rights, balancing safety with beliefs, distinct from overriding consent.
Question 4 of 5
Which nursing interventions will prevent the potential intraoperative complication of radial joint stiffness, pain, and inflammation?
Correct Answer: A
Rationale: Preventing radial joint issues requires supporting the wrist with padding and avoiding tight straps . General padding and elbow care are broader; knee padding is unrelated. The rationale targets positioning: tight straps or unsupported wrists cause pressure and stiffness; padding distributes weight, reducing inflammation. Nursing ensures ergonomic support intraoperatively, preventing nerve/joint damage, specific to radial concerns, distinct from overall alignment.
Question 5 of 5
What is the primary purpose of a PACU?
Correct Answer: B
Rationale: The PACU's primary purpose is ongoing evaluation and stabilization , ensuring post-anesthesia recovery. Orders , length of stay , and sedation arousal are secondary. The rationale emphasizes critical care: PACU monitors vital signs, airway, and complications (e.g., bleeding), stabilizing patients post-surgery. Nursing's vigilance prevents deterioration, aligning with its recovery focus, distinct from administrative or sedation-specific goals.