Question 1

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

Accepted Answer

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?

Accepted Answer

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?

Accepted Answer

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.

Accepted Answer

During induction of anesthesia,the patient's welfare and needs take priority over all other activities.The patient must be given more attention than the equipment.

Question 5

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

Accepted Answer

Class II includes patients with a mild systemic disease.

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.

Accepted Answer

Because safety is the prime concern throughout the OR,efficiency and safety must not be sacrificed for speed.Patients are vulnerable during their experience in the OR and rely on the staff to safeguard them from harm.

Question 7

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

Accepted Answer

A current medical history and physical examination are performed and documented by a physician,nurse practitioner,physician assistant (PA),or the registered nurse first assistant (RNFA).

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.

Accepted Answer

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 appearing professional.

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.

Accepted Answer

Familiarize the patient with what will be seen and heard in the OR suite.Describe equipment,routines,personnel,and noises in order to decrease anxiety before the procedure.

Question 10

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

Accepted Answer

The advantages of preoperative visits with patients include the following: An experienced perioperative/perianesthesia nurse is well qualified to discuss a patient's OR experience,the nurse can review data and assess the patient,and visits improve and individualize intraoperative care and efficiency and prevent needless delays in the OR.

Question 11

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

Accepted Answer

The family needs to be willing to assist the patient postoperatively and deal with their feelings and be knowledgeable about the patient's needs.The family's knowledge and understanding of the patient's needs,their coping skills,and their willingness to help are important factors in recovery.Teaching should be presented at the family members' level of particular resources and knowledge base.

Question 12

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

Accepted Answer

Assessment data and assessing of the physiologic and psychosocial aspects of the patient help the nurse establish the nursing diagnoses and develop the plan of care and determine what outcomes to expect.

Question 13

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

Accepted Answer

Because patients may have to be NPO for a certain period before surgery,NPO time is usually reduced for infants,small children,patients with diabetes,and older adults,who are prone to dehydration.

Question 14

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

Accepted Answer

Patients are advised to report all herbal supplements,because some supplements can cause serious complications such as bleeding.Tranquilizers,cortisone,reserpine,alcohol,herbal preparations,and recreational drugs,for example,influence the course of anesthesia.

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.

Accepted Answer

The circulating nurse must not become insensitive to the patient by referring to the patient as a procedure or a disease.Jargon such as this is depersonalizing,demoralizing,insensitive,and unacceptable.

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.

Accepted Answer

Do not conduct the interview on the morning of the procedure unless there is no other choice because patients are not psychologically receptive to teaching at this time.

Question 17

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

Accepted Answer

The anesthesia provider meets with the patient to discuss the type of anesthesia to be administered.

Question 18

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

Accepted Answer

Most patients are admitted on the same day of their surgery.Depending on their health status,if they need preoperative tests they may be admitted the day before the procedure.

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.

Accepted Answer

Removable prostheses such as contact lenses are removed before the administration of a general anesthetic because they can become dry and cause corneal abrasions.

Question 20

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

Accepted Answer

Before meeting the patient,the anesthesia provider reviews the patient's past and present medical records,including past surgical procedures,recent laboratory or test results,and any disease or complicating process.

Quiz 21: Preoperative Preparation of the Patient