NURS 301 Preoperative Nursing PrepU

The nurse has provided preoperative instructions to a client scheduled for surgery at an ambulatory care center. Which statement, made by the client, would indicate that further instruction is needed? 1) "The nurse will explain the details of the surgery before I sign a consent." 2) "If I do not follow the instructions, my surgery could be cancelled." 3) "My medical records will be sent to the ambulatory care center prior to my surgery." 4) "The physician will update my family after the procedure and provide specific discharge instructions."

1

The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. Which are general risk factors? Select all that apply. 1) physical condition 2) nutritional status 3) health status 4) gender 5) Ethnicity 6) age

1, 2, 3, 6

The nurse is reviewing a preoperative informed consent when preparing the client for surgery. Which contents of the informed consent are required? Select all that apply. 1) Explanation of procedure 2) Potential risks 3) Personnel present 4) Estimated time of procedure 5) Description of alternatives 6) Benefits of surgery

1, 2, 5, 6

A client is scheduled for a cholecystectomy. Which finding by the nurse is least likely to contribute to surgical complications? 1) Pregnancy 2) Osteoporosis 3) Urinary tract infection 4) Diabetes

2

A nurse evaluates the potential effects of a client's medication therapies before surgery. Which drug classification may cause respiratory depression from an associated electrolyte imbalance during anesthesia? 1) insulin 2) diuretics 3) corticosteroids 4) anticoagulants

2

A perioperative nurse is assigned to complete a preoperative assessment on a client who is scheduled for surgery for kidney stones the next day. What category of surgery does this procedure fall into? 1) required 2) urgent 3) emergent 4) elective

2

A patient is scheduled for a reduction mammoplasty. What classification of surgery does the nurse understand that this is? 1) Reconstructive 2) Required 3) Optional 4) Urgent

3

Sudden withdrawal of which of the following may result in seizures? 1) Monoamine-oxidase inhibitors 2) Steroids 3) Tranquilizers 4) Thiazide diuretics

3

The nurse is educating a community group about types of surgery. A member of the group asks the nurse to describe a type of surgery that is curative. What response by the nurse is true? 1) A biopsy 2) A face-lift 3) Tumor excision 4) Placement of gastrostomy tube

3

Which health care profession has the ultimate responsibility to provide appropriate information regarding a nonemergent surgery? 1) Nurse 2) Case manager 3) Physician 4) Certified nurse's aide

3

At what point does the preoperative period end? 1) When the client signs the consent form 2) When the client is admitted to the PACU 3) When the decision is made to proceed with surgery 4) When the client is transferred onto the operating table

4

Which question is most important for the nurse to ask the client when obtaining the preoperative admission history? 1) "Who is here with you?" 2) "Did you bring any valuables with you?" 3) "Did you bring a copy of your health care power of attorney?" 4) "When is the last time you ate or drank?"

4

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? 1) Surgeon 2) Registered nurse first assistant 3) Circulating nurse 4) Anesthesiologist

1

A client refuses to remove her wedding band when preparing for surgery. What is the best action for the nurse to take? 1) Allow the client to wear the ring and cover it with tape. 2) Notify the surgeon to cancel surgery. 3) Discuss the risk for infection caused by wearing the ring. 4) Remove the ring once the client is sedated.

1

Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? 1) Parathyroid 2) Adrenal 3) Thyroid 4) Pituitary

2

In preparing the client for transfer to the operating room, which of the following actions by the nurse is inappropriate? 1) Remove all jewelry. 2) Allow the client to wear dentures. 3) Have the client void. 4) Have client wear hospital gown.

2

Which client would the nurse recognize as having the greatest risk for complications during the intraoperative or postoperative period? 1) The 72-year-old client who takes no routine medications. 2) The 35-year-old client with non-insulin dependent diabetes. 3) The 47-year-old client who stopped smoking 2 years ago. 4) The 28-year-old client who occasionally smoked marijuana in high school.

2