Foundations and Adult Health Nursing 8th Edition Test Bank

Foundations and Adult Health Nursing 8th Edition Test Bank simplifies complex ideas with well-organized content, making learning more accessible.

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Chapter 01: Introduction to Anatomy and PhysiologyCooper: Adult Health Nursing, 8th EditionMULTIPLE CHOICE1.The anatomic term ____ means toward the midline.a.anteriorb.posteriorc.mediald.cranialANS:CThe term medial indicates an anatomic direction toward the midline.DIF:Cognitive Level: KnowledgeREF:1OBJ:2TOP:Anatomic terminologyKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity2.What are the smallest living components in our body?a.Cellsb.Organsc.Electronsd.OsmosisANS:ACells are considered to be the smallest living units of structure and function in our body.DIF:TOP:Structural levels of organizationKEY:Nursing Process Step: N/AMSC:NCLEX: Physiological Integrity3.What is the largest organelle, responsible for cell reproduction and control of otherorganelles?a.Nucleusb.Ribosomec.Mitochondriond.Golgi apparatusANS:AThe nucleus is the largest organelle within the cell.DIF:Cognitive Level: KnowledgeREF:5OBJ:8TOP:Parts of the cellKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity4.When the patient complains of pain in the bladder, the patient will indicate discomfort inwhich body cavity?a.Pelvicb.Mediastinumc.Dorsald.AbdominalFoundations and Adult Health Nursing 8th Edition Cooper Test BankCognitive Level: KnowledgeREF:4OBJ:6

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ANS:AA subdivision called the pelvic cavity contains the lower portion of the large intestine (lowersigmoid colon, rectum), urinary bladder, and internal structures of the reproductive system.DIF:Cognitive Level: ComprehensionREF:3OBJ:5TOP:Body cavityKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity5.The four phases of cell division all occur in:a.diffusion.b.mitosis.c.osmosis.d.filtration.ANS:BDuring mitosis, the cell goes through four phases: prophase, metaphase, anaphase, andtelophase.DIF:Cognitive Level: KnowledgeREF:7OBJ:9TOP:Cell divisionKEY:Nursing Process Step: N/AMSC:NCLEX: Physiological Integrity6.Telophase is which phase of cell reproduction during mitosis?a.First phaseb.Latent phasec.Final phased.Spindle phaseANS:CDuring this final phase of cell division, the two nuclei appear and the chromosomes disperse.DIF:Cognitive Level: KnowledgeREF:7OBJ:9TOP:Cell divisionKEY:Nursing Process Step: N/AMSC:NCLEX: Physiological Integrity7.The nurse is aware thatwhich muscle group is both striated and involuntary?a.Skeletalb.Glialc.Cardiacd.VisceralANS:CThe cardiac muscle is both striated and involuntary.DIF:Cognitive Level: KnowledgeREF:9OBJ:11TOP:TissuesKEY:Nursing Process Step: PlanningMSC:NCLEX: Physiological Integrity8.What is a group of several different kinds of tissues arranged so that together they canperform a more complex function than any tissue alone?a.Organb.SystemFoundations and Adult Health Nursing 8th Edition Cooper Test Bank

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c.Celld.Endoplasmic reticulumANS:AWhen several kinds of tissues are united to perform a more complex function than any tissuealone, they are called organs.DIF:Cognitive Level: KnowledgeREF:11OBJ:7TOP:OrgansKEY:Nursing Process Step: N/AMSC:NCLEX: Physiological Integrity9.What traits describe visceral muscles?a.Smooth and voluntaryb.Smooth and involuntaryc.Striated and voluntaryd.Striated and involuntaryANS:BVisceral (smooth) muscles will not function at will; thus, they act involuntarily.DIF:Cognitive Level: KnowledgeREF:9OBJ:7TOP:TissuesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity10.How are the thoracic and abdominal cavities separated?a.By the pleurab.By the diaphragmc.By the sagittal planed.By the peritoneumANS:BThe diaphragm (a muscle directly beneath the lungs) separates the ventral cavityinto thethoracic (chest) and abdominal cavities.DIF:Cognitive Level: KnowledgeREF:2OBJ:3TOP:Ventral cavityKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity11.What is the broad section of biology dealing with the description of human structure?a.Hematologyb.Anatomyc.Kinesiologyd.PhysiologyANS:BAnatomy is the study, classification, and description of the structure and organs of the body.DIF:Cognitive Level: KnowledgeREF:1OBJ:1TOP:TerminologyKEY:Nursing Process Step: N/AMSC:NCLEX: Physiological Integrity12.____ explains the processes and functions of many structures of the body and how theyinteract with one another.Foundations and Adult Health Nursing 8th Edition Cooper Test Bank

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a.Anatomyb.Mitosisc.Filtrationd.PhysiologyANS:DPhysiology explains the processes and functions of the various structures and how theyinterrelate with one another.DIF:Cognitive Level: KnowledgeREF:1OBJ:1TOP:TerminologyKEY:Nursing Process Step: N/AMSC:NCLEX: Physiological Integrity13.The anatomic structure that is not in the thoracic cavity is/are the _____.a.heartb.lungsc.blood vesselsd.transverse colonANS:DThe transverse colon is located in the abdominal cavity.DIF:Cognitive Level: ComprehensionREF:3OBJ:5TOP:Thoracic cavityKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity14.When several organs and parts are grouped together for certain functions, they form:a.tissues.b.systems.c.cells.d.membranes.ANS:BA system is an organization of varying numbers and kinds of organs arranged so that togetherthey can perform complex functions for the body.DIF:Cognitive Level: KnowledgeREF:4OBJ:7TOP:SystemsKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity15.What are the distinct surface proteins of the plasma membrane essential in determining?a.Tissue typingb.Blood countc.Effectiveness of a drugd.Sexual maturityANS:AThe plasma membrane has distinct surface proteins as coming from one individual. This is thebasis for the procedure of tissue typing to determine compatibility before an organ transplant.DIF:Cognitive Level: ComprehensionREF:5OBJ:12TOP:CellsKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological IntegrityFoundations and Adult Health Nursing 8th Edition Cooper Test Bank

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16.In anatomic terminology, posterior means toward the:a.tail.b.head.c.back.d.trunk.ANS:CThe posterior is toward the back.DIF:Cognitive Level: KnowledgeREF:1OBJ:2TOP:Anatomic terminologyKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity17.What does the transverse body plane divide?a.The front and back (coronal) of the bodyb.The body lengthwise (two equal halves)c.The superior and inferior portions of the bodyd.The body into axial and appendicularANS:CThe transverse plane cuts the body horizontally into the sagittal andthe frontal planes,dividing the body into caudal and cranial portions.DIF:Cognitive Level: KnowledgeREF:2OBJ:3TOP:Body planesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity18.a.headb.feetc.taild.chestANS:CCaudal is a directional word that indicates toward the “tail,” the distal portion of the spine.DIF:Cognitive Level: KnowledgeREF:1OBJ:3TOP:Anatomic terminologyKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity19.What is the term for movement of water from an area of lower solute concentration to an areaof higher solute concentration?a.Absorptionb.Filtrationc.Diffusiond.OsmosisANS:DOsmosis is the passage of water from less concentrated solution to more concentratedsolution.DIF:Cognitive Level: KnowledgeREF:8OBJ:10Foundations and Adult Health Nursing 8th Edition Cooper Test BankCaudal is defined as toward the ____.

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TOP:Transport processesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity20.What is the type of tissue composed of cells that contract in response to a message from thebrain or spinal cord?a.Epithelialb.Connectivec.Membraned.MuscleANS:DMuscle tissue is composed of cells that contract in response to a message from the brain orspinal cord.DIF:Cognitive Level: KnowledgeREF:9OBJ:7TOP:TissuesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity21.What is the type of tissue associated with the storage of fat?a.Areolar tissueb.Adipose tissuec.Osseous tissued.Muscle tissueANS:BAdipose tissue is associated with the important function of storing fat.22.What are the thinsheets of tissue that lubricate and line the body surfaces that open to theoutside environment?a.Mucous membranesb.Serous membranesc.Cytoplasmd.Involuntary visceral musclesANS:AMucous membranes secrete mucus. They line the body surfaces that open to the outsideenvironment.DIF:Cognitive Level: KnowledgeREF:9OBJ:7TOP:TissuesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity23.What is the process by which a cell digests a foreign material by surrounding it?a.Pinocytosisb.Phagocytosisc.Absorptiond.DiffusionANS:BFoundations and Adult Health Nursing 8th Edition Cooper Test BankDIF:Cognitive Level: KnowledgeREF:10OBJ:11TOP:TissuesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity

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Phagocytosis is the process that permits a cell to engulf or surround any foreign material anddigest it.DIF:Cognitive Level: KnowledgeREF:7OBJ:10TOP:Active transport processesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity24.Active transport in the movement of ions and other water-soluble particles across cellmembranes requires that the body uses its:a.rapid filtration.b.charged diffusion.c.a chemical pump.d.osmosis.ANS:CActive transport of ions and other water-soluble particles of the cell membrane require achemical pump, such as insulin, to move glucose into the cell.DIF:Cognitive Level: ComprehensionREF:7OBJ:10TOP:Active transport processesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological IntegrityANS:CFiltration is the movement of water and particles through a membrane by a force from eitherpressure or gravity.DIF:Cognitive Level: KnowledgeREF:8OBJ:10TOP:Passive transport processesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity26.The nurse is aware that when a patient complains of pain in the epigastric region, the sourceof the pain is most likely to be a disorder involvingthe:a.gallbladder.b.transverse colon.c.stomach.d.appendix.ANS:CThe epigastric region of the abdomen is comprised of parts of the right and leftlobes of theliver and a large portion of the stomach.DIF:Cognitive Level: ComprehensionREF:3OBJ:5TOP:Epigastric regionKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological IntegrityFoundations and Adult Health Nursing 8th Edition Cooper Test Bank25.What is the term for the passage of water containing dissolved materials through a membraneas the result of a greater mechanical force on one side?a.Metabolismb.Mitosisc.Filtrationd.Osmosis

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27.What are tissues that cover the outside of the body and some internal structures?a.Connectiveb.Epithelialc.Nerved.MuscleANS:BEpithelial tissue covers the outside of the body and some of the internal structures.DIF:Cognitive Level: KnowledgeREF:8OBJ:7TOP:TissuesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity28.When the nurse assesses an arm in proximal to distal order, the assessment is performed from:a.the shoulder to the fingers.b.front to back.c.fingers to the center of the body.d.center of the body to the fingers.ANS:AProximal is nearest the origin of the structure. Distal is farthest from the origin of thestructure.DIF:Cognitive Level: ComprehensionREF:2OBJ:3TOP:Anatomic terminologyKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological IntegrityANS:CThe epithelial membrane secretes mucus, lines the lungs, peritoneum, and pericardium, andcovers the wall of the lower digestive tract. The synovial membrane secretes synovial fluid toprevent friction between joints and the ends of bones, and lines the bursae found betweenmoving body parts.DIF:Cognitive Level: KnowledgeREF:9OBJ:7TOP:TissuesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity30.The nurse explains that pinocytosis is a process by which cells:a.divide.b.take in extracellular fluid.c.use a chemical pump.d.convert mitochondria.ANS:BFoundations and Adult Health Nursing 8th Edition Cooper Test Bank29.What is the function of epithelial membranes?a.Secretes mucus, lines ends of bones, and lines bursae.b.Lines ends of bones, secretes synovial fluid, and lines internal surfaces of organs.c.Covers the wall of lower digestive tract, secretes mucus, and lines lungs,peritoneum, and pericardium.d.Lines lungs, peritoneum, and pericardium, and secretes synovial fluid.

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Pinocytosis is a process by which the cell wall makes an indentation allowing extracellularfluid to fill in, then encloses it into the cell.DIF:Cognitive Level: ComprehensionREF:7OBJ:10TOP:PinocytosisKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological Integrity31.What is the most complex structural level of organization of the body?a.Body as a wholeb.Cellularc.Organsd.ChemicalANS:AThe structural levels of organization progress from the least complex (chemical) through cells,tissues, organs, systems to the most complex (the body as a whole).DIF:Cognitive Level: ComprehensionREF:3OBJ:6TOP:Structural levels of organizationKEY:Nursing Process Step: N/AMSC:NCLEX: N/A32.Using a poster, the nurse demonstrates the protection of the nucleus. Which layer is the mostsuperficial?a.Endoplasmic reticulumb.Nuclear membranec.Plasma membraned.CytoplasmDIF:Cognitive Level: ApplicationREF:5OBJ:8TOP:Protective covering of nucleusKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological IntegrityMULTIPLE RESPONSE1.Which are among the 11 body systems?(Select all that apply.)a.Lymphaticb.Cellularc.Digestived.Reproductivee.Accessoryf.Spinal cordANS:A, C, DThere are 11 body systems: integumentary, respiratory, skeletal, digestive, muscular, nervous,endocrine, urinary, reproductive, cardiovascular, and lymphatic.DIF:Cognitive Level: KnowledgeREF:12OBJ:7TOP:Body systemsKEY:Nursing Process Step: AssessmentFoundations and Adult Health Nursing 8th Edition Cooper Test BankANS:CThe most superficial covering of the nucleus is the plasma membrane, under which is thecytoplasm containing the endoplasmic reticulum, nuclear membrane, and nucleus.

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MSC:NCLEX: Physiological Integrity2.Which of the following are characteristics of visceral muscles?(Select all that apply.)a.Involuntaryb.Smoothc.Striatedd.Independent from the spinal corde.Voluntaryf.Present in the blood vesselsANS:A, B, FSmooth muscles are smooth, involuntary, and respond to messages from the spinal cord.DIF:Cognitive Level: ApplicationREF:9OBJ:7TOP:Voluntary muscleKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity3.Which of the following are passive transport mechanisms that move material across the cellmembranes?(Select all that apply.)a.Diffusionb.Evaporationc.Filtrationd.Osmosise.Mitosisf.AnaphaseDIF:Cognitive Level: ComprehensionREF:8OBJ:10TOP:Passive transport systemKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity4.The nurse clarifies thatthe dorsal cavity is composed of the:(Select all that apply.)a.Descending colonb.Kidneysc.Gallbladderd.Braine.Pancreasf.Spinal cavitiesANS:D, FThe dorsal cavity is composed of the brain and the spinal cavities. The spinal cavities hold thecord and the meninges.DIF:Cognitive Level: ComprehensionREF:3OBJ:5TOP:Dorsal cavityKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological IntegrityCOMPLETIONFoundations and Adult Health Nursing 8th Edition Cooper Test BankANS:A, C, DThe passive transport systems are diffusion, filtration, and osmosis.

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1.The nurse clarifies that the three functions of epithelial tissue are protection,___________,and secretion.ANS:absorptionThe function of epithelial tissue is protection by covering the body and preventing invasion;absorption by absorbing material; and secretion by secreting mucus to line and moisten thebody surfaces.DIF:Cognitive Level: ComprehensionREF:11OBJ:7TOP:Epithelial tissue functionKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological Integrity2.The nurse explains that ___________are small saclike structures inside the cell that digestcompounds that have invaded the cell.ANS:lysosomesLysosomes are small saclike structures inside the cell that digest compounds that haveinvaded the cell.DIF:Cognitive Level: KnowledgeREF:6OBJ:8TOP:LysosomesKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological IntegrityANS:coronalThe coronal plane divides the body into ventral and dorsal (front and back) sections.DIF:Cognitive Level: ComprehensionREF:2OBJ:3TOP:Coronal planeKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological IntegrityFoundations and Adult Health Nursing 8th Edition Cooper Test Bank3.The body plane that divides the body into the ventral and dorsal section is the_________plane.

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Chapter 02: Care of the Surgical PatientCooper: Adult Health Nursing, 8th EditionMULTIPLE CHOICE1.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’sbest 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.”ANS:CAddiction rarely occurs in the short time that it is required after surgery. Postsurgicalanalgesia, because of its brief application, does not usually produce a physical or apsychological dependence.DIF:Cognitive Level: ApplicationREF:34OBJ:13TOP:Fear of addictionKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological IntegrityANS:DAblative is a type of surgery where an amputation, excision of any part of the body, orremoval of a growth and harmful substance is performed.DIF:Cognitive Level: ComprehensionREF:16OBJ:2TOP:Types of surgeriesKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity3.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.ANS:CAll medications should be cancelled before surgery, except for drugs such as phenytoin(Dilantin). Anticoagulant therapy increases the threat of hemorrhage and may be a cause fordelay.DIF:Cognitive Level: KnowledgeREF:34OBJ:7TOP:Anticoagulant therapyKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological IntegrityFoundations and Adult Health Nursing 8th Edition Cooper Test Bank2.A 73-year-old patient with diabetes was admitted for below the knee amputation of his rightleg. Removal of his right leg is an example of which type of surgery?a.Palliativeb.Diagnosticc.Reconstructived.Ablative

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4.Which circumstance could prevent the patient from signing his informed consent for acholecystectomy?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.ANS:BInformed consent should not be obtained if the patient is disoriented and under the influenceof sedatives. Age, illegibility, and lack of insurance coverage do not prevent signing theconsent. Pain into the scapula is a symptom of colitis.DIF:CognitiveLevel: ApplicationREF:23OBJ:7TOP:Informed consentKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity5.The nurse anticipates that the patient will be given ______________anesthesia because of theextensive tissue manipulation involved in a hysterectomy.a.generalb.regionalc.specificd.preoperativeANS:AAn anesthesiologist gives general anesthetics by IV and inhalation routes through four stagesof anesthesia when the procedure requires extensive tissue manipulation.6.The nurse caring for a patient who had an epidural block for a vaginal repair should be alertfor:a.a flushing of the face and torso.b.numbness of the perineum.c.complaint of thirst.d.a sudden drop in blood pressure.ANS:DEpidural anesthesia may cause a sudden drop in blood pressure or respiratory difficulty as theanesthetic agent moves up in the spinal cord. Elevating the patient’s torso may preventrespiratory paralysis.DIF:Cognitive Level: ComprehensionREF:37OBJ:9TOP:Epidural blockKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity7.Why might the older adult patient not respond to surgical treatment as well as a younger adultpatient?a.Poor skin turgorb.Fear of the unknownFoundations and Adult Health Nursing 8th Edition Cooper Test BankDIF:Cognitive Level: KnowledgeREF:34OBJ:9TOP:AnesthesiaKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity

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c.Response to physiologic changesd.Decreased peristalsis related to anesthesiaANS:COf specific concern in older adults is the body’s response to temperature changes,cardiovascular shifts, respiratory needs, and renal function. Fear of the unknown anddecreased peristalsis are commonto all ages.DIF:Cognitive Level: ApplicationREF:18OBJ:5TOP:Older adult patientsKEY:Nursing Process Step: PlanningMSC:NCLEX: Physiological Integrity8.The postoperative nursing intervention that would be contraindicated for a 45-year-old patientwho has had a repair of a cerebral aneurysm and is presenting signs of increased intracranialpressure (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.ANS:ACoughing increases ICP.DIF:Cognitive Level: AnalysisREF:28OBJ:12TOP:Postoperative complicationsKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological IntegrityANS:AThe circulating nurse is responsible for observing breaks in sterile technique. The scrub nursehandles the surgical specimens, drapes the patient, and maintains needle and sponge countduring surgery, then does a final sponge and needle check with the circulating nurse beforeclosing.DIF:Cognitive Level: AnalysisREF:43OBJ:11TOP:Duties of circulating nurseKEY:Nursing Process Step: AssessmentMSC:NCLEX: Safe, Effective Care Environment10.Which statement made by a patient during a preoperative assessment would be significant toreport 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.”ANS:AFoundations and Adult Health Nursing 8th Edition Cooper Test Bank9.The nurse acting as a circulating nurse has a responsibility for:a.observing breaks in sterile technique.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.

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The herbal remedy of feverfew acts as an anticoagulant and increases the possibility ofhemorrhage. The drug should be stopped before surgery, and bleeding and clotting timesshould be evaluated.DIF:Cognitive Level: ApplicationREF:20 | 36OBJ:14TOP:Preoperative assessmentKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity11.A patient is on postoperative day 2 after a nephrectomy. What is the most effective way toincrease her peristalsis?a.Ambulationb.An enemac.Encouraging hot liquidsd.Administering a laxativeANS:AEncouraging activity (turning every 2 hours, early ambulation) assists GI activity.DIF:Cognitive Level: ComprehensionREF:50OBJ:13TOP:Postoperative complicationsKEY:Nursing Process Step: PlanningMSC:NCLEX: Physiological IntegrityANS:BEvaluation of the patient follows the ABCs of immediate postoperative observation: airway,breathing, consciousness, and circulation.DIF:Cognitive Level: ApplicationREF:44OBJ:12TOP:Nursing assessmentKEY:Nursing Process Step: AssessmentMSC:NCLEX: Health Promotion and Maintenance13.Frequent assessment of a postoperative patient is essential. What is one of the first signs andsymptoms of hemorrhage?a.Increasing blood pressureb.Decreasing pulsec.Restlessnessd.Weakness, apathyANS:CA pulse that increases and becomes thready combined with a declining blood pressure, cooland clammy skin, reduced urine output, and restlessness may signal hypovolemic shock.DIF:Cognitive Level: ComprehensionREF:45OBJ:12TOP:Postoperative complicationsKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological IntegrityFoundations and Adult Health Nursing 8th Edition Cooper Test Bank12.A patient is transferred from the operating room to the recovery room after undergoing anopen reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment tomake?a.Check ankle dressings for hemorrhage.b.Check airway for patency.c.Check intravenous site.d.Check pedal pulse.
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