Question 1

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

Accepted Answer

C

Question 2

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

Accepted Answer

Smoking increases the risk of respiratory complications such as respiratory depression and impaired lung function. Angina pain, gastrointestinal upset, and cognitive impairment are not directly related to smoking and may have different risk factors.

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?

Accepted Answer

Monitoring pulse oximetry continuously is important for a patient with asthma as it provides information on the patient's oxygen saturation levels and helps identify any respiratory distress or need for interventions. Monitoring blood pressure, assessing bowel sounds, and assessing deep tendon reflexes are important aspects of care but not specifically related to the management of asthma in a surgical patient.

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?

Accepted Answer

The type and crossmatch test will determine the patient's blood type and compatibility with potential blood transfusion products to ensure a safe and effective transfusion.

Question 5

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

Accepted Answer

The answer of Which information should the nurse collect during...

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?

Accepted Answer

The appropriate action for a patient prescribed metoprolol is to monitor blood pressure. Metoprolol is a beta-blocker that is often used to treat hypertension and other heart conditions. It works by slowing the heart rate and decreasing blood pressure, so it is important to monitor the patient's blood pressure to ensure that it remains at an appropriate level. Obtaining a baseline ECG may be appropriate for some patients, but it is not specifically related to the use of metoprolol. Assessing for hyperglycemia is not related to metoprolol use, and tapering the drug two days prior to surgery is not appropriate without physician orders.

Question 7

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

Accepted Answer

The current guidelines generally recommend that patients should not consume clear liquids for at least two hours before surgery to reduce the risk of aspiration during anesthesia.

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?

Accepted Answer

Patients who are prescribed insulin should have their blood glucose levels closely monitored throughout the perioperative period to prevent hyperglycemia or hypoglycemia. Holding the drug can lead to an imbalance in blood glucose levels and potentially harmful consequences. Obtaining a baseline ECG and monitoring blood pressure may be important assessments for other medications, but are not necessary for insulin.

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?

Accepted Answer

Dexamethasone can cause hyperglycemia, so it is important for the nurse to assess the patient's blood glucose levels and monitor for signs of hyperglycemia. Obtaining a baseline ECG and monitoring blood pressure may be important for other medications or medical conditions, but are not specific to dexamethasone. Tapering the drug two days prior to surgery is not appropriate without consulting with the prescriber.

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?

Accepted Answer

Amiodarone is an antiarrhythmic medication that can affect the heart's conduction system. Therefore, obtaining a baseline ECG can help the nurse monitor for any potential changes in heart rhythm or conduction that may indicate a need for adjustment of the medication dosage or possible discontinuation prior to surgery. Monitoring blood pressure and assessing for hyperglycemia are not directly related to amiodarone use. Tapering the drug two days prior to surgery is not recommended as sudden discontinuation can lead to potentially life-threatening arrhythmias. It is important to consult with the prescribing healthcare provider regarding the management of amiodarone therapy in the perioperative period.

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?

Accepted Answer

Without a signed consent, the surgery cannot proceed as it is a legal requirement. The nurse should notify the healthcare provider so that they can obtain the necessary consent. It is not appropriate for the nurse to have the patient sign the consent quickly before the medication takes effect, as this may not be considered fully informed consent. Having a family member or medical power of attorney sign the consent is also not appropriate, as it is the patient's legal right and responsibility to sign the consent themselves. It is also not appropriate to send the patient to the holding area without a signed consent, as this would be considered a violation of the patient's rights and could potentially lead to legal issues.

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?

Accepted Answer

The answer of Which is the priority action by the...

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?

Accepted Answer

Warfarin is an anticoagulant medication that can increase the risk of bleeding during surgery. Tapering the drug two days prior to surgery is appropriate to decrease this risk. Obtaining a baseline ECG and monitoring blood pressure may be appropriate for other medications, but not specifically for warfarin. Assessing for hyperglycemia is not relevant to warfarin use.

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?

Accepted Answer

Phenobarbital is an anticonvulsant medication used for the treatment of seizures. It is important for the nurse to maintain the medication during the perioperative period to prevent withdrawal symptoms or recurrence of seizures. Obtaining a baseline ECG, monitoring blood pressure, and assessing blood glucose levels are appropriate for some medications, but not specifically for phenobarbital.

Question 15

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

Accepted Answer

The answer of Which is the priority nursing action when...

Question 16

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

Accepted Answer

An 18-gauge catheter is the best choice for initiating IV access for a preoperative patient as it allows for a high flow rate and is able to handle the volume of fluids and medications that may be needed during surgery.

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?

Accepted Answer

The nurse can check the medical record for the history, physical, and signed informed consent at this time. Documenting the time of last voiding and administering preoperative medication are usually done closer to the time of surgery. Removing the prosthesis would also not be done until closer to the time of surgery.

Question 18

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

Accepted Answer

Date of birth is a unique identification that is less likely to change over time and is easy to remember by the patient and the healthcare staff.

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?

Accepted Answer

Jehovah's Witnesses refuse blood transfusions based on their religious beliefs. It is important for healthcare providers to respect their beliefs and find alternative treatments when necessary. The other patients' religious or ethnic backgrounds do not necessarily indicate a refusal of blood products.

Quiz 15: Priorities for the Preoperative Patient