PeriOperative MedSurg PREPU GOOD
Identify the client using two identifiers. Verify the surgical site and mark it appropriately. Review the medical records.
A surgical client has been transferred to the holding area. What nursing intervention(s) promote safe and effective nursing care? Select all that apply.
tumor excision.
An example of a curative surgical procedure is
During the preoperative period
At which time does the nurse realize that it is best to begin teaching about care needed during the postoperative period?
Review the scheduled procedure, site, and client.
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?
elective surgery
is classified as a surgery that the client should have
Hyperglycemia
which can increase the risk of surgical wound infection, may result from the stress of surgery, which can trigger increased levels of catecholamine.
age
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?
urgent surgery
occurs when the client requires prompt attention
A history of diabetes
A client is scheduled for a surgical procedure. When planning the client's care, the nurse should consider that which of the following conditions will increase the client's risk of complications after surgery?
Splint the incision site using a pillow during deep breathing and coughing exercises.
A client is undergoing thoracic surgery. What priority education should the nurse provide to assist in preventing respiratory complications?
Allow the client to wear the ring and cover it with tape.
A client refuses to remove her wedding band when preparing for surgery. What is the best action for the nurse to take?
Arteriography Open reduction of a fracture Cystoscopy Paracentesis
A nurse knows that she must obtain a signed informed consent for which of the following procedures? Select all that apply.
7
For the client who is taking aspirin, it is important to stop taking this medication at least how many day(s) before surgery?
"Many people have diagnostic or short therapeutic surgical procedures."
You are the nurse working in an ambulatory surgery center. A teenage son of your clients ask you why so many people have surgery. What would be your best reply?
continuously monitors the sedated client.
A 17-year-old client is having same-day surgery. Solely during the intraoperative phase of perioperative care, the nurse:
7 to 10 days
A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. When should the client stop taking the aspirin before the surgery?
Emergent
A fractured skull would be classified under which category of surgery based on urgency?
Request that the surgeon come and answer the questions.
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?
increase the likelihood of a successful recovery.
In advance of a client's scheduled appendectomy, the nurse spends significant time explaining to the client what will happen,both before the procedure and after the procedure is complete. The primary reason the nurse puts so much effort into preoperative teaching is to:
Cosmetic Diagnostic Palliative
Several of the clients at the clinic are preparing to have surgery within the next 2 weeks. They are completing preoperative paperwork today with their visit. What are some of the reasons that people might need to have surgery? Select all that apply.
"When is the last time you ate or drank?"
Which question is most important for the nurse to ask the client when obtaining the preoperative admission history?
Acute gallbladder infection
Which would be considered to require an urgent surgical procedure?
Hypoglycemia
may develop during anesthesia or postoperatively from inadequate carbohydrates or excessive administration of insulin
required surgery
means that the client needs to have surgery.
Adrenal
Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency?
Notify the surgeon that the client took warfarin the day before surgery.
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?
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:
A gastrostomy tube
The nurse expects informed consent to be obtained for insertion of:
72 hours after alcohol withdrawl
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?
Preadmission visit
When is the ideal time to discuss preoperative teaching