Question 1

The nurse is ensuring that a client is able to make knowledgeable decisions regarding an upcoming surgery and can provide informed consent. What is the responsibility of the nurse regarding informed consent?

Accepted Answer

The nurse's responsibility regarding informed consent is to witness the patient's signature on the consent form to ensure that they have understood the surgical options, operative risks, and procedure to be done, and have made a knowledgeable decision based on that understanding. However, it is not the nurse's role to explain these details; that is typically the responsibility of the surgeon or physician.

Question 2

A client scheduled for surgery is instructed on the use of a patient-controlled analgesic device that she will use after the procedure. What are the advantages this device for pain control? (Select all that apply.)

Accepted Answer

Patient-controlled analgesic devices allow the client to control the timing of their medication delivery, which means they don't have to wait for a nurse to administer pain medication. This autonomy can lead to improved pain management and comfort after surgery. The medication is typically delivered intravenously, allowing for rapid onset of pain relief.

Question 3

A client being prepared for surgery has a pulse oximeter placed on one digit of his hand. The nurse is applying this device to monitor the client's:

Accepted Answer

A pulse oximeter measures the oxygen saturation levels in the blood.

Question 4

The nurse is concerned that a client scheduled for surgery will be at risk for hypothermia. Which of the following did the nurse assess in this client to determine the risk?

Accepted Answer

The history of congestive heart failure puts the client at risk for hypothermia. Clients with heart failure may have reduced cardiac output which can decrease the body's ability to maintain a normal temperature. Being a vegetarian, exercising regularly, or age do not necessarily put the client at risk for hypothermia.

Question 5

An elderly client scheduled for surgery is concerned that his wife is not going to be able to manage at home alone. Which of the following can the nurse do to help this client and spouse?

Accepted Answer

Asking if the spouse would agree to having some help while the client is hospitalized is the best option, as it addresses the client's concerns while also providing a solution to the problem. Encouraging the client to not worry may dismiss valid concerns, while suggesting the spouse stay in a hotel or encouraging them to stay in the hospital may not be feasible or practical options.

Question 6

A client is scheduled for a same-day surgical procedure in which he will be discharged afterwards, and he tells the nurse that he does not know what to bring to the hospital. Which of the following should the nurse instruct the client? (Select all that apply.)

Accepted Answer

The answer of A client is scheduled for a same-day...

Question 7

The nurse is identifying diagnoses appropriate for a client scheduled for a surgical procedure. Which of the following is a diagnosis commonly used for preoperative client?

Accepted Answer

Anxiety is a common diagnosis for preoperative clients due to the stress and uncertainty surrounding the upcoming surgical procedure. Sleep deprivation may also be appropriate depending on the client's preoperative instructions, but it is not as commonly used as anxiety. Excess fluid volume and disturbed body image may not be as relevant to the preoperative period.

Question 8

The nurse is concerned that a client may have an undocumented allergy to latex when which of the following is assessed?

Accepted Answer

Allergy to specific foods may indicate a potential for allergic reactions to other substances, including latex.

Question 9

Which of the following can the nurse do to help an elderly client scheduled for a surgical procedure?

Accepted Answer

Working at a slower pace can help accommodate the needs of an elderly client, allowing them to better understand and cope with the pre-surgical procedures and instructions. This approach respects their potential limitations and ensures they receive care tailored to their needs.

Question 10

A client who smokes one pack of cigarettes per day tells the nurse that she will need to be taken outside to have a cigarette while recovering from surgery. Which of the following can the nurse respond to this client?

Accepted Answer

The nurse can inform the client that the physician may prescribe medication to help manage nicotine cravings, which is a more appropriate response than facilitating smoking.

Question 11

A client needs emergency surgery after sustaining injuries from a natural gas explosion. The client is not attended by any family member and the surgery cannot wait. Which of the following can be done to ensure the best and safest care is provided to the client?

Accepted Answer

In emergency situations where the patient is unable to consent and no family is present, healthcare providers can proceed with treatment under the doctrine of implied consent. However, efforts should still be made to contact family members for consent if possible.

Question 12

The preoperative nurse has a variety of activities to complete when preparing a client for surgery. Which of the following are activities of this nurse? (Select all that apply.)

Accepted Answer

The preoperative nurse is responsible for ensuring safety considerations, conducting a physical assessment of the client, assessing the environment for safety and readiness, and being aware of best practices to prepare the client for surgery. Assessment of vital signs during surgery and postoperative care are not typically preoperative nurse responsibilities.

Question 13

The nurse wants to reduce the stress level for a preoperative client. Which of the following communication techniques can the nurse use to achieve this result?

Accepted Answer

Observing and asking the client if there is anything the nurse can do to help reduce anxiety is an effective communication technique because it allows the nurse to address the client's specific concerns and needs. Allowing the client to be alone may not be helpful, referring to the client by her first name may be inappropriate or uncomfortable for some clients, and making jokes or comments may not be appropriate in a preoperative setting.

Question 14

A client tells the nurse that he has been told that he needs surgery but does not know who to select as his surgeon. Which of the following should the nurse instruct the client regarding important attributes to consider when choosing a surgeon? (Select all that apply.)

Accepted Answer

Board certification ensures the surgeon has met specific professional standards. Graduation from a reputable school can indicate a strong educational background. Personality or bedside manner is important for patient comfort and communication. Word of mouth from trusted others can provide personal insights into the surgeon's skills and patient care.

Question 15

A client tells the nurse that the surgeon has provided the client with a choice of several hospitals in which to have a surgical procedure performed, but the client does not know which one to choose. Which of the following can the nurse instruct the client to consider when choosing a hospital or surgical center? (Select all that apply.)

Accepted Answer

The answer of A client tells the nurse that the...

Question 16

The preoperative nurse cares for the client until the client progresses into the intraoperative phase of care which begins when the client:

Accepted Answer

The intraoperative phase of care begins when the client arrives at the surgical suite doors and is transferred from the care of the preoperative nurse to the surgical team. The client signing the surgical consent form, accepting that surgery is pending, or being transferred to the postanesthesia care unit are all still part of the preoperative phase of care.

Question 17

A client is scheduled for surgery in 2 weeks. Which of the following should the nurse instruct the client regarding healthy lifestyle behaviors?

Accepted Answer

The nurse should instruct the client to eat nutritious meals to provide the body with the essential nutrients needed for healing after surgery. It is not recommended to make significant changes to diet or exercise routine right before surgery, and stopping prescribed medications should only be done under the guidance of a healthcare provider.

Question 18

The nurse is providing a medication to reduce the preoperative client's anxiety. Which of the following medications is the nurse most likely providing to the client?

Accepted Answer

Opioids are commonly used preoperatively to reduce anxiety and induce sedation. They have a calming effect on the nervous system and can help to reduce pain perception. Hydrogen ion antagonists, anticholinergics, and calcium channel blockers are not typically used as preoperative medications for anxiety reduction.

Quiz 20: Preoperative Nursing Management