Preop
The nurse is completing a preoperative assessment. The nurse notices the client is tearful and constantly wringing their hands. The client states "I'm really nervous about this surgery. Do you think it will be ok?" What is the nurse's best response?
"What are your concerns?"
For the client who is taking aspirin, it is important to stop taking this medication at least how many day(s) before surgery?
7
A patient having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. When should the patient stop taking the aspirin before the surgery?
7 to 10 days
The nurse expects informed consent to be obtained for insertion of:
A gastrostomy tube
Which would be considered to require an urgent surgical procedure?
Acute gallbladder infection
Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency?
Adrenal
In preparing the client for transfer to the operating room, which of the following actions by the nurse is inappropriate?
Allow the client to wear dentures
A client refuses to remove her wedding band when preparing her for surgery. What is the best action for the nurse to take?
Allow the client to wear the ring and cover it with tape
Which is the antibiotic of choice used to treat acute bacterial rhinosinusitis (ARBS)?
Amoxicillin
A patient is scheduled for a surgical procedure. For which surgical procedure should the nurse prepare an informed consent form for the surgeon to sign?
An open reduction of a fracture
A patient is playing softball was hit in the nose by the ball and has been determined to have uncomplicated fractured nose with epitaxis. The nurse should prepare to assist the physician with what tasks?
Applying nasal packing
A nurse knows that she must obtain a signed informed consent for which of the following procedures? Select all that apply
Arteriography Open reduction of a fracture Cystoscopy Paracentesis
The patient asks the nurse why food is withheld before surgery. What is the best response by the nurse?
Aspiration is a concern and can be a complication if food or fluid is taken close to the surgery time.
The nurse is caring for the client in the intensive care unit immediately after removal of the endotracheal tube. Which of the following nursing actions is most important to complete every hour to ensure that the respiratory system is not compromised?
Auscultate lung souds
At which times does the nurse realize that it is best to begin teaching about care needed during the postoperative period?
During the preoperative period
Late complications of radiation therpay may include which of the following? Select all that apply
Edema Laryngeal necrosis Fibrosis
When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as
Emergency
A fractured skull would be classified under which category of surgery based on urgency?
Emergent
A gunshot wound would be classified under which category of surgery based on urgency?
Emergent
Informed consent from the surgical client is essential in all of the following categories of surgery except:
Emergent surgery
Which is a priority nursing intervention that they nurse should perform for a client who has undergone surgery for a nasal obstruction?
Ensure mouth breathing
The nurse concludes that further teaching about diaphragmetic breathing is needed when the client:
Exhales forcefully with a short expiration
A client undergoes a total laryngectomy and tracheostomy formation. On discharge, the nurse should give which instruction to the client and family?
Family members should continue to talk to the client
The nurse concludes that teaching about pain management was effective when the client states:
I will support my incision with my hands when I do my coughing and deep breathing exercises
A client with a history of alcoholism is scheduled for urgent surgery. The client asks the nurse, "why is everyone so concerned about how much I drink?" What is the best response by the nurse?
It is important for us to know how much and how often you drink to help prevent surgical complications
You are the nurse working in an ambulatory surgery center. A teenager son of your clients ask you why so many people have surgery. What would be your best reply?
Many people have diagnostic or short therapeutic surgical procedures
Which health care profession has the ultimate responsibility to provide appropriate information regarding a nonemergent surgery?
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?
Place gauze under and over the ring and apply adhesive tape over it.
The nurse is reviewing the pre-admission laboratory findings of the client scheduled for surgery. Which of the following values would be of greatest concern to the nurse?
Potassium 6.2 mEq/L
When is the ideal time to discuss preoperative teaching
Preadmission visit
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?
Request that the surgeon come and answer the questions
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?
Review the scheduled the procedure, site, and client
A nurse is providing instructions for the client with chronic rhinosinusitis. The nurse accurately tells the client:
Sleep with the head of the bed elevated
Which nursing assessment finding indicates the preoperative client has not met expected outcomes?
Sob uncontrollably about pending amputating of foot
The nurse is aware that the amino acid, arginine
Stimulates T-cell response
When does the nurse understand the patient is knowledgeable about the impending surgical procedure?
The patient participates willingly in the preoperative preparation
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?
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
The nurse is aware that which of the following nutrient promotes normal blood clotting?
Vitamin K
Which nutrient plays an important role in normal blood clotting?
Vitamin K
Which question is most important for the nurse to ask the client when obtaining the preoperative admission history?
When is the last time you ate or drank?
At what point does the preoperative period end?
When the client is transferred onto the operating table
the nurse is caring for a patient with liver disease who had a surgical procedure. When should the nurse alert the physician?
When the patient's blood ammonia concentration reaches 180mg/dL
When assessing a postoperative client, the nurse is correct to relate which surgical risk factor that would decrease if the surgical client maintained a blood glucose level under 150 mg/dL?
Wound healing
The nurse is caring for a client with allergic rhinitis. The client asks the nurse about measures to help decreased allergic symptoms. Which is the best response by the nurse?
You should try to reduce exposure to irritants and allergens
The parent of a 16-year-old client ask the nurse, "how could the surgeon operate without my consent?" what is the best response by the nurse?
Your child had life-threatening injuries that required immediate surgery
In advanced 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 reason the nurse puts so much effort into preoperative teaching is to:
increase the likelihood of a successful recovery
The nurse is caring for a client following a tonsillectomy and adenoidectomy. Two hours after the procedure, the client begins to vomit large amounts of dark blood at frequent intervals and is tachycardic and febrile. After notifying the surgeon, the nuse
obtains a light, mirror, gauze, and curved hemostats
An example of a curative surgical procedure is
tumor excision
