Test Bank Medical Surgical Nursing: Concepts and Practice, 5th Edition by Stromberg

does not prevent pain 24 h after surgery, so this statement demonstrates the need for further

preoperative teaching. 

DIF: Cognitive Level: Application  REF:   p. 71  OBJ: 5 (theory) 

TOP: Preoperative Teaching  KEY: Nursing Process Step: Implementation MSC: NCLEX:

Health Promotion and Maintenance  

24. Which factor(s) may contribute to hypothermia during surgery? (Select all thatapply.) 

a. Warm atmosphere of the operating room 

b. Infusion of cool IV fluids 

c. Inhalation of cool anesthetic gases 

d. Exposure of body surfaces 

e. Lowered metabolism  

ANS: B, C, D, E 

The infusion of cool IV fluids, inhalation of cool anesthetic gases, exposure of body surfaces, and

lowered metabolism predispose patients to hypothermia during surgery. The operating room is kept

cool to inhibit growth of organisms. 

DIF: Cognitive Level: Application  REF:   p. 80  OBJ: 3 (theory) 

TOP: Potential Intraoperative Complications 

KEY: Nursing Process Step: Implementation 

MSC: NCLEX: Physiological Integrity: Physiological Adaptation  

25. The nurse is providing preoperative teaching to a patient who is scheduled for a needle biopsy of the

breast. Which statement(s) demonstrate(s) a need for further preoperative teaching? (Select all that

apply.) 

a. "This procedure will help the doctor determine if I have breast cancer." 

b. "I will most likely have general anesthesia since this is a painful procedure." 

c. "The surgeon will need to perform this procedure within the next 24 to 48 h." 

d. "I will have less breast pain after having this procedure performed." 

e. "I will not require any further treatment after this procedure is performed."  

ANS: B, C, D, E 

A needle breast biopsy is a diagnostic procedure that is used to determine if cancer cells are present.

This procedure typically requires only a local or regional anesthetic; procedures that must be

performed within 24 to 48 h are considered urgent procedures for immediate life-threatening

conditions; indicating that less pain will be experienced describes a palliative procedure; and

indicating that less breast pain will occur describes a curative procedure.  

DIF: Cognitive Level: Application  REF: p. 64, Table 4-1 

OBJ:   5 (theory)  TOP: Preoperative Teaching 

KEY: Nursing Process Step: Evaluation  

MSC: NCLEX: Health Promotion and Maintenance  

Chapter 05: Care of Postoperative Surgical Patients  

Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition  

MULTIPLE CHOICE  

1. The postanesthesia care unit (PACU) nurse determines that the patient's Aldrete score is 9. Which

statement correctly describes the meaning of this score? 

a. The patient is at an increased risk for postoperative respiratory complications. 

b. The patient's condition warrants close monitoring.  

c. The patient is experiencing severe pain. 

d. The patient will soon be transferred to the postoperative unit.  

ANS: D 

The Aldrete scoring system is a method of determining readiness for a surgery patient to be transfrom PACU to the postoperative unit. Scores are given for activity, respiration, circulation,

consciousness, skin color, and oxygen saturation. A score of 9 or 10 indicates readiness for transf 

DIF: Cognitive Level: Application  REF:   p. 84  OBJ: 5 (clinical) 

TOP: Immediate Postoperative Care  KEY: Nursing Process Step: Assessment MSC:

NCLEX: Physiological Integrity: Reduction of Risk Potential  

2. The nurse is caring for a patient recovering in the PACU. The patient awakens confused and

disoriented. What action should the nurse take first? a. Take the patient's vital signs. 

b. Encourage the patient to return to sleep. 

c. Reorient and reassure the patient. 

d. Document that the patient is awake and disoriented.