Med Surg PrepU
What action by the nurse best encompasses the preoperative phase?
Educating clients on signs and symptoms of infection
A client is undergoing thoracic surgery. What priority education should the nurse provide to assist in preventing respiratory complications?
Splint the incision site using a pillow during deep breathing and coughing exercises.
A fractured skull would be classified under which category of surgery based on urgency?
emergent
What is the blood glucose level goal for a diabetic client who will be having a surgical procedure?
80 to 110 mg/dL
During the admission history the client reports to the nurse of taking the usual dose of warfarin the previous day. What is an appropriate nursing action?
Notify the surgeon that the client took warfarin the day before surgery.
Once the operating team has assembled in the room, the circulating nurse calls for a "time out." What action should the nurse take during the time out?
Review the scheduled procedure, site, and client.
A patient with uncontrolled diabetes is scheduled for a surgical procedure. What chief life-threatening hazard should the nurse monitor for?
hypoglycemia
A client taking chlorpromazine is preparing to undergo surgery. Which of the following complications does the surgical team need to prepare to deal with before anesthetics are administered?
hypotension
The nurse is reviewing a preoperative informed consent when preparing the client for surgery. Which contents of the informed consent are required?
-Explanation of procedure -Potential risks -Benefits of surgery -Description of alternatives
The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. Which are general risk factors?
-Nutritional status -Age -Physical condition -Health status
The nurse is triaging surgical clients. Which client would the nurse document as in need of urgent surgical care?
A client with an acute gallbladder infection
The nurse assesses an older adult patient who complains of dimmed vision. What does this alert the nurse to plan for?
a safe environment
Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency?
adrenal
A physically fit 86-year-old is scheduled for right knee replacement. Which factor the client at increased risk for complications during or after surgery?
age
The nurse recognizes that the client most at risk for mortality associated with surgery is the
client with chronic alcoholism
A client is undergoing preoperative assessment. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. What is the nurse's next action?
notify the surgeon
Nursing assessment findings reveal that the client is afraid of dying during the surgical procedure. Which surgical team member would be most helpful in addressing the client's concern?
surgeon
The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. The appropriate nursing action is
to notify the surgeon
The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. The appropriate nursing action is:
to notify the surgeon
When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period?
up to 72 hours after alcohol withdrawal
A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction should the nurse include in the teaching?
use diaphragmatic breathing
Which of the following medications may increases the hypotensive action of anesthesia?
Chlorpromazine
You are physically preparing a client for surgery and instruct the person to remove any jewelry. The client refuses to remove a wedding band. What should you do in this situation with approval from your facility?
Place gauze under and over the ring and apply adhesive tape over it.
A nurse is witnessing a client sign the consent form for surgery. After signing the consent form, the client starts asking questions regarding the risks and benefits of a surgical procedure. What action by the nurse is most appropriate?
Request that the surgeon come and answer the questions.
When does the nurse understand the patient is knowledgeable about the impending surgical procedure?
The patient participates willingly in the preoperative preparation.
