Preoperative Care
50 questions available
Questions
What is the correct timeframe that defines the preoperative phase of the surgical experience?
View answer and explanationA 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?
View answer and explanationWho holds the primary responsibility for providing the detailed information necessary for a patient to give informed consent for a surgical procedure?
View answer and explanationA 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?
View answer and explanationFor a bariatric patient undergoing surgery, what is the reason for an increased risk of wound dehiscence or hernia?
View answer and explanationWhat is the primary purpose of the preoperative nurse asking a patient to state the planned surgery and site in their own words?
View answer and explanationWhat is the primary reason that a patient is instructed to be NPO (nothing by mouth) after midnight before surgery?
View answer and explanationAccording 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?
View answer and explanationWhat is the definition of a sentinel event in the context of surgery?
View answer and explanationIn 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?
View answer and explanationWhat is the primary role of a certified registered nurse anesthetist (CRNA) on the surgical team?
View answer and explanationWhy 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?
View answer and explanationWhich 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?
View answer and explanationWhat is the correct procedure for a preoperative nurse when a patient requiring informed consent does not speak English?
View answer and explanationWhat is the primary purpose of using an incentive spirometer after surgery?
View answer and explanationIn the context of the Jehovah's Witnesses community, what cultural consideration is critical for the preoperative nurse to be aware of?
View answer and explanationWhat is the primary reason for performing a bowel preparation with laxatives or enemas before an abdominal or pelvic procedure?
View answer and explanationWhat is a key responsibility of the preoperative nurse regarding a patient's advanced directive?
View answer and explanationWhich condition is a serious genetic disorder that causes a life-threatening elevation of body temperature and muscle spasms, requiring special precautions during anesthesia?
View answer and explanationIn the Unfolding Case Study, what was the patient's pain score on a 0-10 scale upon admission to the preoperative area?
View answer and explanationWhat is the primary purpose of applying thromboembolic deterrent (TED) hose or sequential compression devices (SCDs) during the preoperative phase?
View answer and explanationWhat is the primary goal of the preoperative assessment?
View answer and explanationWhich endocrine disorder is specifically mentioned as a condition where an adrenal crisis may be triggered by the stress of surgery or fasting?
View answer and explanationIn 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?
View answer and explanationWhat is a key difference in preoperative care for an emergency surgery compared to an elective surgery?
View answer and explanationWhat physical assessment finding in an older adult patient requires careful precaution during positioning and transfers due to age-related changes?
View answer and explanationWhat 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?
View answer and explanationBased on the Unfolding Case Study, what was the patient's Body Mass Index (BMI) on admission?
View answer and explanationWhat is the primary role of the preoperative nurse in the Clinical Judgment Measurement Model (CJMM) step of 'Recognize and Analyze Cues'?
View answer and explanationA 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?
View answer and explanationWhat is the correct action for the intraoperative team to take immediately before the first incision, as part of the surgical time-out?
View answer and explanationIn 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?
View answer and explanationWhich of the following is NOT listed as a goal of the National Patient Safety Goals for surgery?
View answer and explanationWhat is the primary reason for a preoperative nurse to perform a thorough psychosocial assessment?
View answer and explanationA 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?
View answer and explanationIn the 'Real RN Stories' with Nurse Ashley, a wrong-site surgery was prevented. What was the initial error in the patient's chart?
View answer and explanationIf a patient has a known allergy, where should this information be documented and displayed to ensure the safety of the entire team?
View answer and explanationWhich of these factors is NOT considered a special population requiring unique preoperative considerations according to the text?
View answer and explanationWhat is the purpose of a limb alert in preoperative care?
View answer and explanationIn the 'Unfolding Case Study,' what was the patient's heart rate upon admission to the preoperative area at 06:00?
View answer and explanationWhat information should the preoperative nurse obtain regarding a patient's medication history?
View answer and explanationWhich patient would require a cardiologist's clearance before an elective surgery?
View answer and explanationWhat type of surgical preparation is only warranted for procedures involving an abdominal or pelvic procedure?
View answer and explanationAccording 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?
View answer and explanationDuring a preoperative assessment, which finding would prompt the nurse to evaluate the patient using a Clinical Institute Withdrawal Assessment (CIWA) scale postoperatively?
View answer and explanationWhich patient care task is performed during the preoperative phase to specifically reduce the risk of surgical site infections (SSIs)?
View answer and explanationWhat is the primary role of a patient in the preoperative phase?
View answer and explanationAccording to Table 25.1, which medication is an example of an antiplatelet medication that is often contraindicated before surgery to reduce bleeding risk?
View answer and explanationWhat is the primary function of the preadmission assessment and interview?
View answer and explanationIn the Unfolding Case Study, what was the patient's oxygen saturation on room air upon admission to the preoperative area?
View answer and explanation