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Questions

Question 1

What is the correct timeframe that defines the preoperative phase of the surgical experience?

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Question 2

A preoperative nurse is educating a patient who smokes about measures to improve surgical outcomes. What is the recommended minimum period for smoking cessation prior to surgery to aid in wound healing?

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Question 3

Who holds the primary responsibility for providing the detailed information necessary for a patient to give informed consent for a surgical procedure?

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Question 4

A patient with a history of postoperative nausea and vomiting (PONV) is being prepared for surgery. What intervention might the preoperative nurse anticipate being ordered to mitigate this risk?

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Question 5

For a bariatric patient undergoing surgery, what is the reason for an increased risk of wound dehiscence or hernia?

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Question 6

What is the primary purpose of the preoperative nurse asking a patient to state the planned surgery and site in their own words?

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Question 7

What is the primary reason that a patient is instructed to be NPO (nothing by mouth) after midnight before surgery?

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Question 8

According to the text, a surgeon may request a patient stop using aspirin for up to how many days prior to a procedure to reduce the risk of bleeding?

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Question 9

What is the definition of a sentinel event in the context of surgery?

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Question 10

In the Unfolding Case Study, the patient had a history of severe postoperative nausea and vomiting (PONV). Based on this, which nursing note entry from the PACU Triage Assessment is an expected finding?

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Question 11

What is the primary role of a certified registered nurse anesthetist (CRNA) on the surgical team?

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Question 12

Why is it important for the preoperative nurse to inquire about a patient's use of herbal supplements like valerian root, ginkgo biloba, or St. John's wort?

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Question 13

Which patient population is specifically mentioned as being at higher risk for delayed recovery and having lower organ system reserves, requiring slower metabolism of anesthetic agents?

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Question 14

What is the correct procedure for a preoperative nurse when a patient requiring informed consent does not speak English?

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Question 15

What is the primary purpose of using an incentive spirometer after surgery?

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Question 16

In the context of the Jehovah's Witnesses community, what cultural consideration is critical for the preoperative nurse to be aware of?

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Question 17

What is the primary reason for performing a bowel preparation with laxatives or enemas before an abdominal or pelvic procedure?

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Question 18

What is a key responsibility of the preoperative nurse regarding a patient's advanced directive?

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Question 19

Which condition is a serious genetic disorder that causes a life-threatening elevation of body temperature and muscle spasms, requiring special precautions during anesthesia?

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Question 20

In the Unfolding Case Study, what was the patient's pain score on a 0-10 scale upon admission to the preoperative area?

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Question 21

What is the primary purpose of applying thromboembolic deterrent (TED) hose or sequential compression devices (SCDs) during the preoperative phase?

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Question 22

What is the primary goal of the preoperative assessment?

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Question 23

Which endocrine disorder is specifically mentioned as a condition where an adrenal crisis may be triggered by the stress of surgery or fasting?

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Question 24

In the Unfolding Case Study, the nurse notes the patient's history of being a grade school teacher and a track and field athlete. This information falls under which category of the preoperative assessment?

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Question 25

What is a key difference in preoperative care for an emergency surgery compared to an elective surgery?

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Question 26

What physical assessment finding in an older adult patient requires careful precaution during positioning and transfers due to age-related changes?

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Question 27

What is the primary reason for completing a pregnancy test on a woman of childbearing age on the day of surgery, even if she had a recent negative test?

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Question 28

Based on the Unfolding Case Study, what was the patient's Body Mass Index (BMI) on admission?

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Question 29

What is the primary role of the preoperative nurse in the Clinical Judgment Measurement Model (CJMM) step of 'Recognize and Analyze Cues'?

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Question 30

A patient with a BMI of 47 is scheduled for surgery. This patient is at an increased risk for which specific complication related to high blood pressure and airway obstruction from excess fat?

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Question 31

What is the correct action for the intraoperative team to take immediately before the first incision, as part of the surgical time-out?

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Question 32

In the 'Real RN Stories' with Nurse Joseph, what specific supplement did the patient Kelly initially hesitate to mention that could have interfered with her anesthesia?

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Question 33

Which of the following is NOT listed as a goal of the National Patient Safety Goals for surgery?

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Question 34

What is the primary reason for a preoperative nurse to perform a thorough psychosocial assessment?

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Question 35

A patient is identified as having a history of daily alcohol use during the preoperative assessment. This information is most critical for which member of the surgical team?

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Question 36

In the 'Real RN Stories' with Nurse Ashley, a wrong-site surgery was prevented. What was the initial error in the patient's chart?

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Question 37

If a patient has a known allergy, where should this information be documented and displayed to ensure the safety of the entire team?

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Question 38

Which of these factors is NOT considered a special population requiring unique preoperative considerations according to the text?

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Question 39

What is the purpose of a limb alert in preoperative care?

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Question 40

In the 'Unfolding Case Study,' what was the patient's heart rate upon admission to the preoperative area at 06:00?

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Question 41

What information should the preoperative nurse obtain regarding a patient's medication history?

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Question 42

Which patient would require a cardiologist's clearance before an elective surgery?

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Question 43

What type of surgical preparation is only warranted for procedures involving an abdominal or pelvic procedure?

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Question 44

According to the Unfolding Case Study, the patient's lab results from 3/12/24 showed a hemoglobin (Hgb) of 12 g/dl and a hematocrit (Hct) of 41 percent. How are these results classified?

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Question 45

During a preoperative assessment, which finding would prompt the nurse to evaluate the patient using a Clinical Institute Withdrawal Assessment (CIWA) scale postoperatively?

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Question 46

Which patient care task is performed during the preoperative phase to specifically reduce the risk of surgical site infections (SSIs)?

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Question 47

What is the primary role of a patient in the preoperative phase?

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Question 48

According to Table 25.1, which medication is an example of an antiplatelet medication that is often contraindicated before surgery to reduce bleeding risk?

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Question 49

What is the primary function of the preadmission assessment and interview?

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Question 50

In the Unfolding Case Study, what was the patient's oxygen saturation on room air upon admission to the preoperative area?

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