Deck 21: Preoperative Preparation of the Patient

Question 1

Effective discharge planning begins at the same time that preoperative teaching begins.

Answer 1

True
Teaching the patient what to expect on discharge allows the patient and family to plan and prepare for what to expect in the recovery phase.

Question 2

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 prior to surgery.

Answer 2

D
Preoperative instructions are reiterated,reminding the patient of NPO status,and discussing which responsible adult will be providing transportation home if it is an ambulatory surgery.

Question 3

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

Answer 3

A
First-hand knowledge of the patient is valuable for making decisions regarding the selection and administration of anesthetic agents.

Question 4

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

Question 5

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 6

Because the cost of OR time is so high,speed is the number one priority when putting a patient to sleep during anesthesia and when waking him or her up.

Question 7

Choose the test that would routinely be needed before a procedure.

A) Recent history and physical
B) Acupuncture results
C) Psychological assessment
D) DSM IV results

Question 8

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.

Question 9

The preoperative interview is not the time to discuss the operating room suite and the routines the patient may experience because he or she will have been premedicated before entering the suite and does not need to know this information.

Question 10

Which is an advantage of a preoperative visit from a nurse to a patient prior to surgery?

A) It allows a nurse to improve his or her interviewing skills.
B) It individualizes care and can prevent needless delays the day of surgery.
C) It is cost effective to send nurses in to see patients before surgery.
D) It allows the nurse to avoid making a preoperative phone call.

Question 11

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

Question 12

Why would a nurse need to interview a surgical patient preoperatively?

A) To verify insurance coverage
B) To establish nursing diagnoses
C) To determine whether the nursing staff is adequately prepared to cope with the problems of the patient and family
D) To determine whether the patient has a malignant or benign mass that will be operated on

Question 13

Which group of patients should be scheduled early in the day for surgical procedures?

A) Young healthy adults
B) Patients scheduled for colonoscopy
C) Patients with diabetes
D) Out-of-town patients

Question 14

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

Question 15

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.

Question 16

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 17

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

Question 18

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

Question 19

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 20

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 21

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

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

Question 22

Upon arrival 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

Question 23

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 24

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