Ch 17: Preoperative Nursing Management (1)
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? pg. 419
"Many people have diagnostic or short therapeutic surgical procedures."
The nurse expects informed consent to be obtained for insertion of: pg. 422
A gastrostomy tube
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? pg. 426
A history of diabetes
Which question is most important for the nurse to ask the client when obtaining the preoperative admission history? pg. 431
"When is the last time you ate or drank?"
In preparing the client for transfer to the operating room, which of the following actions by the nurse is inappropriate? pg. 432
Allow the client to wear dentures.
The nurse is evaluating the client's understanding of diet teaching aimed at promoting wound healing following surgery. The nurse would conclude teaching was ineffective if the client selects which of the following? pg. 425
Cheeseburger, french fries, coleslaw, and ice cream
Which of the following medications may increases the hypotensive action of anesthesia? pg. 428
Chlorpromazine
A fractured skull would be classified under which category of surgery based on urgency? pg. 421
Emergent
Informed consent from the surgical client is essential in all of the following categories of surgery except: pg. 422
Emergent surgery
A patient with uncontrolled diabetes is scheduled for a surgical procedure. What chief life-threatening hazard should the nurse monitor for? pg. 426
Hypoglycemia
A client asks about the purpose of withholding food and fluid before surgery. Which response by the nurse is appropriate? pg. 432
It prevents aspiration and respiratory complications.
Which health care profession has the ultimate responsibility to provide appropriate information regarding a non-emergent surgery? pg. 422
Physician
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? pg. 432
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? pg. 422
Request that the surgeon come and answer the questions.
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? pg. 419
Tumor excision
A 17-year-old client is having same-day surgery. Solely during the intraoperative phase of perioperative care, the nurse: pg. 438
continuously monitors the sedated client.
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? pg. 428
diuretics
When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as pg. 421
emergency.
The nurse is reviewing the pre-admission laboratory findings of the client scheduled for surgery. Which laboratory value would be of greatest concern to the nurse? pg. 423
potassium 6.2 mEq/L
A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction should the nurse include in the teaching? pg. 430
Use diaphragmatic breathing.
