Exam 18: Nursing Management: Preoperative Care

A diabetic patient well controlled with insulin injections has been NPO since midnight before having a mastectomy. The nurse will anticipate the need to

When the nurse in the clinic is doing a preoperative assessment for a patient who is scheduled for outpatient surgery in 1 week, which information about the patient is most important to communicate to the staff at the outpatient surgery center before the patient arrives for surgery?

During the preoperative interview with the nurse, a patient scheduled for an elective hysterectomy to treat benign tumors of the uterus tells the nurse that she just does not know whether she can go through with the surgery because she knows she will die in surgery as her mother did. The most appropriate response by the nurse is

The nurse is obtaining the health history for a patient who is scheduled for outpatient knee surgery. Which statement by the patient is most important to report to the health care provider?

A patient is to have a left inguinal hernia repair at the outpatient surgical clinic. Preoperatively, it is most important for the nurse to determine whether the

A patient is to receive atropine before surgery. The nurse teaches the patient to expect

The nurse asks a hospitalized patient to sign the operative permit as directed in the health care provider's preoperative orders. The patient tells the nurse, "I do not really understand what is involved in the surgery." The nurse should

When the nurse is performing a physical examination of a patient who smokes and who is being admitted on the day of surgery, it is especially important to

Appropriate preoperative teaching for a patient scheduled for abdominal surgery includes

Ten minutes after receiving the ordered preoperative opioid by intravenous (IV) injection, the patient asks to get up to go to the bathroom to urinate. The most appropriate action by the nurse is to

The nurse is assessing a 36-year-old woman who has been admitted for knee surgery. Which information obtained during the preoperative assessment should be reported to the surgeon before surgery?

An 82-year-old man is admitted to the hospital the evening before a prostatectomy. He is alert and oriented but has difficulty seeing and hearing. His wife answers most questions directed to the patient. To accomplish preoperative teaching with the patient, the nurse plans to

The nurse is reviewing the complete blood cell count (CBC) results for a patient who is scheduled for surgery in a few days. The results include red blood cell count (RBC), 4.6 * 10⁶/µl ; white blood cell count (WBC), 10.2 * 10³/µl; hemoglobin, 15 g/dl; hematocrit, 45%; platelets, 150 * 10³/µl. Which action should the nurse take?

Any patient guilt about having a therapeutic abortion may be identified when the nurse assesses the functional health pattern of

During the preoperative assessment of a patient scheduled for a colon resection, the patient tells the nurse about using St. John's wort to prevent depression. The nurse should alert the staff in the postanesthesia recovery area that the patient may

A 24-year-old patient who uses a diuretic for blood pressure control is scheduled for abdominal surgery. Which patient information should be communicated to the health care provider prior to surgery?

As the nurse prepares a patient the morning of surgery, the patient refuses to remove a wedding ring, saying, "I have never taken it off since the day I was married." The nurse should

A patient is seen at the health care provider's office several weeks before hip surgery for preoperative assessment. The patient reports use of echinacea, saw palmetto, and glucosamine/chondroitin. The nurse should

Which information about medication use in a preoperative patient is most important to communicate to the health care provider?

When the nurse interviews a 53-year-old patient who is to have abdominal surgery using a general anesthetic, which information is most important to communicate to the surgeon and anesthesiologist before surgery?