Ch.17 preoperative nursing management

The client is preparing for a surgical procedure is taking cortical steroids for Crohn's disease what is most important for the nurse to monitor during the operative experience with the client

Adrenal insufficiency

You're a caring for a client preoperatively who is very anxious and fearful about their surgery you know that this clients anxiety can cause problems with the surgical experience what type of problems can this client have because of their anxiety and fear?

Anxious clients have a poor response to surgery and are prone to complications

The nurse assesses a client to determine if there is increased risk for complication intro operatively or post operatively which are general risk factors select all that apply

Nutritional status, age, physical condition, health status

Nursing assessment findings you feel that the client is afraid of dying during the surgical procedure which surgical team member would be most helpful in addressing the clients concern?

Surgeon

A nurse is teaching a client about diaphragmatic breathing what client action indicates that the further teaching is needed

The client exhales forcefully with a short expiration.

Example of a curative surgical procedure is

Tumor excision

When a client with a history of chronic alcoholism is admitted to the hospital for surgery the nurse anticipates that the client is show signs of alcohol withdrawal delirium during which time.

Up to 72 hours after alcohol withdrawal

A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction should the nurse include in the teaching?

Use diaphragmatic breathing.

A nurse knows that she must obtain An informed consent for which of the following procedures? Select all that apply

Arteriography, open reduction of a fracture, cystoscopy, and paracentesis

What action by the nurse best encompasses the preoperative Phase

Educating clients on signs and symptoms of infection

The nurse recognizes that written inform consent is required for insertion of

Peripherally inserted central catheter

The nurse should identify which vitamin deficiency to prevent hemorrhaging during surgery

Vitamin K

A client reports getting a rash on eating kiwi and bananas. For which potential allergy will the nurse plan care for this client

Latex

Which nursing statement would best is a clients Anxiety hey before an emergency operative procedure

Let me explain to you what will happen next

A patient with renal failure is scheduled for a surgical procedure when would surgery be contraindicated for this patient due to laboratory results

A blood urea nitrogen level of 42 mg/dL

A client is having surgery through an ambulatory surgical center. Which information will the nurse provide to the clients family?

The client will go to the post anesthesia care unit after the surgery

A client refuses to remove her wedding bad when preparing for surgery. What is the best action for the nurse to take?

Allow the client to wear the ring and cover it with tape

A nurse evaluates a potential effects of a clients medication therapies before surgery which drug classification may cause respiratory depression from an associated electrolyte in balance during asked Anesthesia?

Diuretics

A client with osteoarthritis receives a recommendation to have joint replacement surgery for which type of surgery will the nurse plan teaching for this client?

Elective

An elderly client is preparing to undergo surgery. The nurse participates in preoperative care and knowing that which of the following is the underlying principle that guides preoperative assessment, surgical care, and postoperative care for older adults?

Older adults have less physiologic reserve (or ability to regain physical equilibrium) than younger clients.

A client taking chlorpromazine is preparing to undergo surgery. Which of the following complications does the surgical team need to prepare to deal with before anesthetics are administered

hypotension

A client is scheduled for cholecystectomy which finding by the nurse is least likely to contribute to surgical complications

osteoporosis

The nurse is preparing the medical record for a client scheduled for surgery which items will the nurse ensure are in the fifth history and physical

Allergies, surgical history, medical history, Current medication's, and history of present illness

The nurse is assigned a client scheduled for an outpatient colonoscopy and an ambulatory care setting. During which phase of perioperative care with a nurse document the admission vital signs in the recovery room?

During the post operative phase

The nurse is conducting a health history of a pre-operative client. The client shared that she is experiencing vaginal itching and burning and Leeville swelling after her partner tried a new brand of condoms. The nurse suspects that the client

May have latex allergy