Perioperative Nursing

The nurse is caring for clients in the preoperative holding area. The nurse notes that one client, who is a older adult, has an increased surgical risk based on which factor?

Decreased kidney function, leading to potential fluid and electrolyte imbalances

A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is MOST LIKELY to stimulate further discussion between the client and the nurse?

"Can you share with me what you've been told about your surgery."

The nurse is preparing an elderly client for a scheduled removal of orthopedic hardware, a procedure to be performed under general anesthetic. For which adverse effect should the nurse most closely monitor the client?

Hypothermia

A client is being prepared for surgery. When the nurse asks that the client remove a wedding ring, the client refuses. What would be an appropriate response by the nurse. Select all that apply.

Make a notation on the preoperative checklist that the ring is in place Correct Tape the ring in place before the client is transported to the preoperative holding area

When creating plans of nursing care for clients who are undergoing surgery using general anesthetic, what nursing diagnoses should the nurse identify? Select all that apply.

Risk of latex allergy response related to surgical exposure Anxiety related to surgical concerns Disturbed sensory perception related to anesthetic

A nurse in the preoperative holding area is admitting a woman prior to reduction mammoplasty. What should the nurse include in the care given to this client? Select all that apply.

Taking measures to ensure the client's comfort Establishing an IV line Verifying the surgical site with the client

The PACU nurse is caring for a client who has been deemed ready to go to the postsurgical floor after her surgery. What would the PACU nurse be responsible for reporting to the nurse on the floor? Select all that apply.

The client's preoperative level of consciousness The presence of family and/or significant others The client's full name

A patient who normally takes 40 units of glargine insulin at bedtime asks the nurse what to do about her dose the night before surgery. The BEST response would be to have her

get instructions from her surgeon or HCP on any insulin adjustments

When positioning a patient in preparation for surgery, the nurse understands that injury to the patient is most likely to occur as a result of

incorrect musculoskeletal alignment

The nurse is reviewing a surgeon's prescription sheet for a preoperative client that states that the client must be nothing by mouth (NPO) after midnight. The nurse should call the surgeon to clarify that which medication should be given to the client and not withheld?

prednisone

A toddler who has not had surgery before is being prepared for a surgical procedure. The child's mother expresses concern about the child's psychological adaptation to surgery. While planning for postoperative care, the nurse recognizes that the child is likely to have which greatest concern based on age?

separation from parents

An overweight patient is scheduled for a laparoscopic cholecystectomy at an outpatient surgery setting. The nurse knows that:

surgery will involve multiple small incisions