Exam 17: Preoperative Care

The nurse obtains a health history from a patient who is scheduled for elective hip surgery in 1 week. The patient reports use of garlic and ginkgo biloba. Which action by the nurse is most appropriate?

The surgical unit nurse has just received a patient with a history of smoking from the postanesthesia care unit. Which action is most important at this time?

The outpatient surgery nurse reviews the complete blood cell (CBC)count results for a patient who is scheduled for surgery. The results are white blood cell (WBC)count 10.2 * 10³/µL; hemoglobin 15 g/dL; hematocrit 45%; platelets 150 * 10³/µL. Which action should the nurse take?

Five minutes after receiving the ordered preoperative midazolam by IV injection,the patient asks to get up to go to the bathroom to urinate. Which action by the nurse is most appropriate?

The nurse is preparing a patient on the morning of surgery. The patient refuses to remove a wedding ring,saying,"I've never taken it off since the day I was married." Which response by the nurse is best?

A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery. Which action should the nurse take?

A patient who is scheduled for a therapeutic abortion tells the nurse,"Having an abortion is wrong." Which functional health pattern should the nurse further assess?

A patient who takes a diuretic and a b-blocker to control blood pressure is scheduled for breast reconstruction surgery. Which patient information is most important to communicate to the health care provider before surgery?

The nurse plans to provide preoperative teaching to an alert older man who has hearing and vision deficits. His wife answers most questions that are directed to the patient. Which action should the nurse take when doing the teaching?

The nurse interviews a patient scheduled to undergo general anesthesia for a bilateral hernia repair. Which information is most important to communicate to the surgeon and anesthesiologist before surgery?

A patient arrives at the outpatient surgical center for a scheduled laparoscopy under general anesthesia. Which information requires the nurse's preoperative intervention to maintain patient safety?

A patient who has not had any prior surgeries tells the nurse doing the preoperative assessment about allergies to avocados and bananas. Which action is most important for the nurse to take?

A patient has received atropine before surgery and complains of dry mouth. Which action by the nurse is most appropriate?

When caring for a preoperative patient on the day of surgery,which actions included in the plan of care can the nurse delegate to unlicensed assistive personnel (UAP)?

The nurse is preparing to witness the patient signing the operative consent form when the patient says,"I don't understand what the doctor said about the surgery." Which action should the nurse take next?

A patient undergoing an emergency appendectomy has been using St. John's wort to prevent depression. Which complication would the nurse expect in the postanesthesia care unit?

A patient scheduled for an elective hysterectomy tells the nurse,"I am afraid that I will die in surgery like my mother did!" Which initial response by the nurse is appropriate?

Which statement by a patient scheduled for surgery is most important to report to the health care provider?

Which information in the preoperative patient's medication history is most important to communicate to the health care provider?

A 38-yr-old woman is admitted for an elective surgical procedure. Which information obtained by the nurse during the preoperative assessment is most important to communicate to the anesthesiologist and surgeon before surgery?