Pre opp

During the preoperative assessment of a patient, the nurse finds that the patient is taking diuretics. What is the most important nursing intervention before surgery?

Have a serum potassium level drawn.

An older adult patient has been admitted before having surgery for a bilateral mastectomy and breast reconstruction. What should the nurse include in the patient's preoperative teaching? Select all that apply.

Information about where in the hospital she will be taken postoperatively

A patient is refusing to remove their wedding ring on the morning of surgery. What action is most appropriate by the nurse?

Tape the ring securely to the finger and document the encounter.

During preoperative nursing assessment of a patient, what questions should the nurse ask to determine if the patient has a latex allergy? Select all that apply.

-"Have you ever had hay fever or asthma?" -Do you work or have you worked in the rubber industry?" -"Are you allergic to food items like eggs and chestnuts?"

Five minutes after receiving a preoperative sedative medication by intravenous (IV) injection, a patient asks to get up to go to the bathroom to urinate. What is the most appropriate action for the nurse to take?

Allow the patient to use the urinal/bedpan after explaining the need to maintain safety.

The nurse is preparing to give a dose of cefazolin 1.5 g intravenous piggyback (IVPB) to a patient before surgery. The vials available on the unit contain 500 mg in powder form. The instructions state to "dilute each 500 mg with 5 mL of sterile water." After reconstituting the medication, the nurse should draw up

15

A nurse is preparing a patient for cataract surgery. The nurse needs to instill different eye drops into the patient's eyes. How many minutes should the nurse wait between each set of eye drops?

5 minutes

The nurse is preparing to administer a preoperative dose of cefazolin prior to an open cholecystectomy. What is the best explanation to the patient about why they are receiving this medication?

"It will prevent postoperative surgical-site infection."

The nurse is performing a preoperative assessment for a patient scheduled for surgery. What does the nurse explain to the patient is the reason for obtaining accurate documentation of the current medications being taken?

"Some medications may interact with anesthetics, altering the potency and effect of the drugs."

An older adult patient is undergoing preoperative assessment and teaching. What nursing interventions are appropriate during the education process? Select all that apply.

-Coordinate assessment with the team of health care providers. -Speak slowly when giving preoperative instructions to the patient. -Understand that the patient may have sensory and cognitive deficits.

A patient due for surgery expresses concern about choosing between ambulatory surgery and inpatient regular surgery. Which information should the nurse include when comparing ambulatory to inpatient surgery for the patient? Select all that apply.

-It involves minimal laboratory tests. -It requires fewer preoperative medications. -It reduces the risk of hospital-acquired infections.

The nurse is caring for a patient with renal dysfunction who is scheduled for surgery. What are the priority nursing interventions in this situation? Select all that apply.

-Order renal function test preoperatively -Report to perioperative team if the patient has a problem voiding.

The nurse is preparing a patient for surgery. What nursing actions are important to carry out prior to surgery? Select all that apply.

-Remove cosmetics, nail polish, and artificial nails. -Remove jewelry in piercings if electrocautery devices will be used. -Remove all prosthetics, including dentures, contact lenses, and glasses. -Ascertain that the patient has an empty bladder before going to operating room.

A patient with a body mass index (BMI) of 45 is admitted for abdominal surgery. The nurse explains to the patient the potential complications of abdominal surgery caused by obesity. Which statements should the nurse include in the explanation? Select all that apply.

-The risk of wound infection is higher. -Anesthesia administration is more difficult -The risk of a postoperative incisional hernia may be higher.

A patient has provided an informed consent for an elective tubal ligation under general anesthesia. The nurse recalls that the patient can revoke the consent for the surgery at what stage? Select all that apply.

-When the patient is partially informed -Just before the scheduled surgery time -After the patient has signed the consent form -When the patient is in the preoperative holding area

A nurse discusses pain medications when providing preoperative teaching to a patient. The patient asks the nurse about the effects of opioid medications. What should the nurse include in the explanation? Select all that apply.

-pioids decrease intraoperative pain -Opioids relieve pain during preoperative procedures. -Opioids decrease intraoperative anesthetic requirements.

The nurse is preparing a patient for surgery when they state, "I am terrified to be put to sleep. What if I don't wake up?" What is the priority action by the nurse?

Inform the anesthesia care provider (ACP) so that he or she can talk further to the patient.

A patient is scheduled for a prostatectomy in one week. During the preoperative meeting he reports that he takes a fish oil capsule daily. Which of the following is the priority intervention?

Inform the health care provider because the procedure may need to be rescheduled.

A patient with an abdominal mass is scheduled for surgery today. Before the patient is admitted to the operating room, which preoperative documentation must be attached to the chart?

A complete physical examination

The nurse is preparing several patients for surgical procedures. What patient should the nurse most closely monitor for bleeding as a result of medication being taken?

A man who is taking clopidogrel after the placement of a coronary artery stent

The patient tells the nurse in the preoperative setting that they have noticed diffuse skin rashes when hospitalized in the past and have food allergies to bananas and avocados. What is the priority action by the nurse?

Ask additional questions to assess for a possible latex allergy.

A patient gives consent for surgery to the surgeon and a nurse witnesses the consent. The patient then states they do not want to have the surgery. The patient has one adult child but no other immediate family. What action should the nurse take next?

Inform the surgeon

A patient who is scheduled for thyroid surgery reports amenorrhea that began two months ago. How should the nurse ensure the patient is not pregnant?

By checking human chorionic gonadotropin level

The patient scheduled for a colectomy asks the nurse why cefazolin has been prescribed by the health care provider. What is the most appropriate response by the nurse?

Cefazolin is being given for two days to prevent postoperative infection."

A patient who normally takes an oral antidiabetic agent twice a day, at morning and at bedtime, asks the nurse what to do about the dose the morning of the surgery. What is the best response by the nurse?

Get instructions from the health care provider for any special instructions.

The nurse is administering a preoperative medication orally. What nursing action is appropriate when performing this intervention?

Give the medicine with a small sip of water

The nurse is doing a preoperative assessment on a patient who has type 2 diabetes mellitus, weighs 146 kg, and is 5 feet 8 inches tall. Which patient assessment is a priority related to anesthesia?

Has body mass index of 48.8

As the nurse is preparing a patient for outpatient surgery, the patient wants to give the patient's hearing aid to the spouse so it will not be lost during surgery. Which action by the nurse should be taken in this situation?

Encourage the patient to wear it for the surgery.

An older adult patient is being prepared for a cholecystectomy. What assessment data need to be included for this patient? Select all that apply.

Fluid balance history Current mobility problems Current cognitive function

A public health nurse is advising a group of patients to regularly exercise and take multivitamin tablets. What should the nurse tell them about multivitamin use if they need a surgical intervention?

Multivitamin tablets can be taken until the day before surgery.

The nurse asks the patient scheduled for a total hip replacement to sign the operative permit as directed in the health care provider's preoperative prescriptions. The patient states that the health care provider has not really explained what is involved in the surgical procedure. What is the most appropriate action by the nurse?

Notify the health care provider about the conversation with the patient and delay the signature.

When reviewing the preoperative forms, the nurse notices that the informed consent form is not signed. What is the best action for the nurse to take?

Notify the health care provider to obtain consent for surgery.

The patient who is a devout Catholic is having surgery the following day for a heart valve replacement. The patient voices general concern about the surgery. Which is the best method for the nurse to use to help decrease the patient's anxiety?

Provide web-based and audiovisual teaching materials about the surgery.

A patient is scheduled for an appendectomy. During the preoperative assessment, the patient states they developed allergic skin rashes when exposured to rubber gloves when admitted to the hospital a few years ago. The nurse should review the patient's medical record for a history of what?

Reactions to latex

A patient is scheduled for knee replacement surgery. The patient states that 5 years ago their father died due to sudden cardiac arrest. What is the most appropriate action by the nurse?

Review the electrocardiogram of the patient

The nurse is transporting a patient to the operating room. What concern should be the first priority for the nurse?

Safety of the patient

The nurse is to administer preoperative medications for a patient who is scheduled for surgery at 7:30: cefazolin intravenously (IV) to be infused 30 minutes before surgery, midazolam IV before surgery, and a scopolamine patch behind the ear. Which medication should the nurse administer first?

Scopolamine

The nurse is taking a detailed history preoperatively about a patient's medications. What is the highest priority regarding the patient's medication history?

Some medications are contraindicated for use with anesthetics.

While performing preoperative teaching, the patient asks when to stop drinking water before the surgery. Based on the most recent practice guidelines established by the American Society of Anesthesiologists, what is the best response by the nurse?

The patient can drink clear liquids up to 2 hours before surgery.

The nurse is assessing a patient who is scheduled for an appendectomy and orders a serum potassium analysis. What is the reason for the nurse's action?

The patient is on diuretic therapy.

A 17-year-old patient that is an emancipated minor with an arm fracture is scheduled for surgery and shows the nurse a statement from the court for verification. Which intervention by the nurse is most appropriate?

Witness the operative permit after the health care provider obtains consent.