Deck 15: Priorities for the Preoperative Patient

Question 1

Which parameter for NPO status is appropriate when providing care to a pediatric patient in the preoperative period?

A) Ensuring nothing by mouth for six hours prior to the surgical procedure
B) Ensuring no solid foods by mouth for six hours prior to the surgical procedure
C) Allowing formula to be included in the child's intake for up to six hours prior to the surgical procedure
D) Allowing breast milk to be included in the child's intake for up to six hours prior to the surgical procedure

Answer 1

Allowing formula to be included in the child's intake for up to six hours prior to the surgical procedure

Question 2

Which risk factor should the nurse include in the preoperative plan of care for a patient who smokes?

A) Angina pain
B) Gastrointestinal upset
C) Cognitive impairment
D) Respiratory depression

Answer 2

Respiratory depression

Question 3

The nurse is preparing a patient,diagnosed with asthma,for surgery.Which should the nurse include in the plan of care for this patient?

A) Monitoring blood pressure every hour
B) Assessing bowel sounds twice per shift
C) Monitoring pulse oximetry continuously
D) Assessing deep tendon reflexes every hour

Answer 3

Monitoring pulse oximetry continuously

Question 4

Which laboratory test should the nurse include in the plan of care for a patient who may require a blood transfusion during the surgical procedure?

A) Urinalysis
B) Type and crossmatch
C) Basic metabolic panel
D) Arterial blood gas analysis

Question 5

Which information should the nurse collect during the health history that is conducted during the preoperative period?

A) Caretaker after discharge
B) Oral intake over the last day
C) Date of last sexual encounter
D) Previous response to anesthesia

Question 6

The nurse is conducting a medication assessment for a preoperative patient.Which action by the nurse is appropriate for the patient who is prescribed metoprolol?

A) Obtaining a baseline ECG
B) Monitoring blood pressure
C) Assessing for hyperglycemia
D) Tapering the drug two days prior to surgery

Question 7

Which should the nurse teach the patient regarding NPO status prior to a surgical procedure?

A) Nothing by mouth for 12 hours prior to surgery
B) Nothing solid by mouth for six hours prior to surgery
C) No clear liquids by mouth for four hours prior to the surgery
D) No clear liquids by mouth for two hours prior to the surgery

Question 8

The nurse is conducting a medication assessment for a preoperative patient.Which action by the nurse is appropriate for the patient who is prescribed insulin?

A) Obtaining a baseline ECG
B) Monitoring blood pressure
C) Holding the drug during the perioperative period
D) Assessing blood glucose levels closely during the perioperative period

Question 9

The nurse is conducting a medication assessment for a preoperative patient.Which action by the nurse is appropriate for the patient who is prescribed dexamethoasone?

A) Obtaining a baseline ECG
B) Monitoring blood pressure
C) Assessing for hyperglycemia
D) Tapering the drug two days prior to surgery

Question 10

The nurse is conducting a medication assessment for a preoperative patient.Which action by the nurse is appropriate for the patient who is prescribed amiodarone?

A) Obtaining a baseline ECG
B) Monitoring blood pressure
C) Assessing for hyperglycemia
D) Tapering the drug two days prior to surgery

Question 11

The nurse administers the preoperative medication to the patient one hour before elective surgery,and then discovers the preoperative consent is not signed.Which action by the nurse is the most appropriate?

A) Have the patient sign the consent quickly,before the medication begins taking effect.
B) Have a family member or medical power of attorney sign the consent.
C) Send the patient to the holding area without a signed consent.
D) Notify the health-care provider that surgery will need to be canceled.

Question 12

Which is the priority action by the nurse when a patient discloses a medication allergy during the health history prior to a surgical procedure?

A) Asking the patient to describe the reaction that occurs
B) Documenting the information on the patient's medical record
C) Placing an alert bracelet on the patient prior to leaving the unit
D) Verifying the information with the patient's family members at the bedside

Question 13

The nurse is conducting a medication assessment for a preoperative patient.Which action by the nurse is appropriate for the patient who is prescribed warfarin?

A) Obtaining a baseline ECG
B) Monitoring blood pressure
C) Assessing for hyperglycemia
D) Tapering the drug two days prior to surgery

Question 14

The nurse is conducting a medication assessment for a preoperative patient.Which action by the nurse is appropriate for the patient who is prescribed phenobarbital?

A) Obtaining a baseline ECG
B) Monitoring blood pressure
C) Maintaining the drug during the perioperative period
D) Assessing blood glucose levels closely during the perioperative period

Question 15

Which is the priority nursing action when providing patient care during the preoperative phase of care?

A) Ensuring NPO status
B) Monitoring vital signs
C) Obtaining informed consent
D) Completing a preoperative checklist

Question 16

Which gauge catheter should the nurse use when initiating intravenous (IV)access for a preoperative patient?

A) 18
B) 20
C) 22
D) 24

Question 17

The nurse is completing the preoperative checklist on the night shift in preparation for the patient's surgery,scheduled for 0800.Which tasks could the nurse complete at this time?

A) Documenting the time of last voiding
B) Checking the medical record for the history,physical,and signed informed consent
C) Administering preoperative medication
D) Removing the prosthesis

Question 18

Which identifier should the nurse use during the initial time-out to determine the right patient?

A) Date of birth
B) Maiden name
C) Medical record number
D) Photo placed in the medical record

Question 19

The nurse is reviewing the medical records for patients who are scheduled for surgery the next day.Which patient may not provide consent to receive blood products?

A) A Hispanic Catholic patient.
B) An African-American Baptist patient.
C) A Caucasian Jehovah's Witness patient.
D) A Native American patient with no religious affiliation.