Deck 21: Preoperative Preparation of the Patient

Question 1

Before transporting a patient to the OR,what should be checked first by the circulating nurse?

A)Patient identity
B)Whether all personnel are present in the OR
C)Whether all equipment is in place
D)What procedure is to be performed

Answer 1

A
The circulating nurse should first identify the patient by asking the name and verifying it on the wristband and then check for allergies,informed consent,and laboratory and test results and verify the surgical procedure with the patient.Additionally the nurse should check the side rails,catheters,history and physical; determine whether patient valuables need to be removed; and review the care plan identified for the patient.

Question 2

Once the patient has entered the OR,he or she is sedated enough so as not to be cognizant of what is happening,so it is acceptable for the circulating nurse to remain on the other side of the room attending to paperwork and staying away from the patient.

Answer 2

False
The patient will be able to recognize the behavior of the circulating nurse.Positive actions include spending time with and staying close to the patient,paying close attention to the patient's needs,and keeping them safe from emotional and physical harm.

Question 3

The nurse obtains the informed consent and has the patient sign the consent form.

Answer 3

False
The physician is responsible for obtaining the informed consent from the patient or legal designee.It is signed after explaining the procedure,risks,benefits,and alternatives.It is documented and becomes part of the patient's permanent chart.

Question 4

Why should jewelry be removed before a surgical procedure?

A)It might get stolen
B)Doesn't need to be removed
C)Metal jewelry can cause a burn
D)It might hang in the way of the procedure

Question 5

Today,patients are usually admitted on the same day of their surgery and are given preoperative instructions on an outpatient basis.

Question 6

Which topic would be reviewed in a preoperative phone call to a patient?

A)What type of vacation or illness coverage the patient will use when missing work
B)What type of financial coverage the patient will use to pay for the procedure
C)The patient's personal feeling towards the surgeon
D)NPO instructions that the patient must adhere to before surgery

Question 7

Which of the patient's senses is last lost before unconsciousness from anesthesia is assumed?

A)Taste
B)Sight
C)Hearing
D)Touch

Question 8

What information in the patient's medical records does the anesthesia provider pay special attention to before meeting a preoperative patient?

A)Recent financial statements
B)Past surgical procedures
C)Current employment
D)Insurance coverage

Question 9

What style of interview questions allows the patient to respond freely and share feelings and concerns?

A)Close-ended questions
B)Direct questioning
C)Open-ended questions
D)Direct questions that require only one-word answers

Question 10

What would the ASA classification be for a patient undergoing surgery who has type 2 diabetes and a mild respiratory infection?

A)Class I
B)Class II
C)Class III
D)Class IV

Question 11

The family of the surgical patient should be included in preoperative teaching.

Question 12

The preoperative nurse is the only person from the OR who needs to see the patient before surgery.

Question 13

For some surgical procedures,the surgeon requires the patient to be blood typed and crossmatched.What is the reason for this blood test?

A)The surgeon might make a mistake.
B)The surgeon anticipates a blood transfusion based on the surgical procedure.
C)It is done for every patient.
D)Auto transfusion might be needed.

Question 14

What documentation is routinely needed before a procedure?

A)Recent history and physical
B)Blood type and crossmatch
C)Urinalysis
D)DSM IV results

Question 15

Contact lenses are not to be removed during a surgical procedure because they protect the corneas from being scratched during induction of general anesthesia.

Question 16

Which is a level of preoperative teaching?

A)Psychosocial support
B)Nursing diagnosis
C)Preoperative class
D)Empathy

Question 17

Which tip should be kept in mind when interviewing a patient?

A)Use direct questions and ask for one-word answers to keep the interview brief.
B)Use technical jargon to describe the procedure so as not to confuse the patient.
C)Prohibit family members' presence during the interview because their presence would invade the privacy of the patient.
D)Put the patient at ease during the interview.

Question 18

Why should an anesthesia provider see a patient for a preoperative assessment?

A)To select an appropriate anesthetic for the procedure
B)To allow the provider to charge for an official consultation before the case
C)To decide whether the provider wants to work on the patient during the procedure
D)To determine whether the provider likes the patient before working with him or her

Question 19

A good time to conduct an interview and instruct the patient is the morning of surgery so that the patient will not forget the information.

Question 20

A patient may be instructed not to eat any solid food or drink liquids after midnight.

Question 21

To prevent an incorrect surgical procedure on a patient or an error in medication.A "time out" takes place before incision.

Question 22

Herbal or dietary supplements must be asked about and noted on the patient's chart preoperatively.

Question 23

Once the patient is placed on the OR table before a procedure,the circulating nurse does not need to be with the patient because the anesthesia provider will take over and start induction.

Question 24

In order to protect the patient's privacy,the circulating nurse should only refer to the patient by the procedure he or she is having when speaking to the patient or in the OR with other perioperative staff.