W. is discussing his postoperative hip replacement expectations

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Question 50

W. is discussing

his postoperative hip replacement expectations. He is advised that although he will have some discomfort, he should be vocal about asking for pain medication, because it is essential that he get out of bed and begin ambulating as soon as possible after his surgery. He expresses some fear and is concerned that his hip won’t heal properly if he walks on it. The AGACNP reassures him that he must begin ambulating quickly in order to decrease risk for:

A.Decubitus ulcers      B. Scar tissue formation      C. Pneumonia      D.Anxiety

 
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H. is a 71-year-old male with small cell lung cancer

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Question 51

H. is a 71-year-old

male with small cell lung cancer; he has been treated with chemotherapy. Initially he had symptom improvement but now appears to have had a recurrence. On examination today, he is quite edematous and has gained 12 lbs since his office visit 1 week ago. A metabolic panel reveals a serum Na+ of 119 mEq/dL. The AGACNP knows that J. H. likely has:

A.Brain metastasis      B. Congestive heart failure (CHF)      C. Syndrome of inappropriate antidiuretic hormone (SIADH)      D.Metabolic alkalosis

 
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According to the American College of Surgeons (ACS) and the National Surgical Quality Improvement Program (NSQIP

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Question 52

According to the

American College of Surgeons (ACS) and the National Surgical Quality Improvement Program (NSQIP) guidelines for preoperative evaluation of the geriatric patient, the preoperative evaluation should include all of the following except:

A.Cognitive ability      B. Functional status      C. Competency assessment      D. Frailty score

 
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Improvements in both equipment and technique have led to the evolution of video-assisted thoracoscopic

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Question 53

Improvements in

both equipment and technique have led to the evolution of video-assisted thoracoscopic surgery (VATS) as being used most commonly for:

A.Mediastinal lymph node dissection      B. Resection of malignant tumor      C. Metastasectomy D.Thoracic vertebral discectomy

 
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