Question 1

A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery.Which result warrants immediate communication with the surgical team?

Accepted Answer

A)  Creatinine: 1.2 mg/dL 
B)  Hemoglobin: 14.8 mg/dL 
C)  Potassium: 2.9 mEq/L 
D)  Sodium: 134 mEq/L

Question 2

A nurse is concerned that a preoperative client has a great deal of anxiety about the upcoming procedure.What action by the nurse is best?

Accepted Answer

A)  Ask the client to describe current feelings. 
B)  Determine if the client wants a chaplain. 
C)  Reassure the client this surgery is common. 
D)  Tell the client there is no need to be anxious.

Question 3

A client waiting for surgery is very anxious.What intervention can the nurse delegate to the unlicensed assistive personnel (UAP)?

Accepted Answer

A)  Assess the client's anxiety. 
B)  Give the client a back rub. 
C)  Remind the client to turn. 
D)  Teach about postoperative care.

Question 4

A client has been given hydroxyzine (Atarax)in the preoperative holding area.What action by the nurse is most important for this client?

Accepted Answer

A)  Document giving the drug. 
B)  Raise the siderails on the bed. 
C)  Record the client's vital signs. 
D)  Teach relaxation techniques.

Question 5

A client who collapsed during dinner in a restaurant arrives in the emergency department.The client is going to surgery to repair an abdominal aortic aneurysm.What medication does the nurse prepare to administer as a priority for this client?

Accepted Answer

A)  Hydroxyzine (Atarax) 
B)  Lorazepam (Ativan) 
C)  Metoclopramide (Reglan) 
D)  Morphine sulfate

Question 6

A new perioperative nurse is receiving orientation to the surgical area and learns about the Surgical Care Improvement Project (SCIP)goals.What major areas do these measures focus on preventing? (Select all that apply.)

Accepted Answer

A)  Hemorrhage 
B)  Infection 
C)  Serious cardiac events 
D)  Stroke 
E)  Thromboembolism

Question 7

A client in the preoperative holding room has received sedation and now needs to urinate.What action by the nurse is best?

Accepted Answer

A)  Allow the client to walk to the bathroom. 
B)  Delegate assisting the client to the nurse's aide. 
C)  Give the client a bedpan or urinal to use. 
D)  Insert a urinary catheter now instead of waiting.

Exam 14: Care of Preoperative Patients

A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery.Which result warrants immediate communication with the surgical team?

A nurse is concerned that a preoperative client has a great deal of anxiety about the upcoming procedure.What action by the nurse is best?

A client waiting for surgery is very anxious.What intervention can the nurse delegate to the unlicensed assistive personnel (UAP) ?

A client has been given hydroxyzine (Atarax) in the preoperative holding area.What action by the nurse is most important for this client?

A client who collapsed during dinner in a restaurant arrives in the emergency department.The client is going to surgery to repair an abdominal aortic aneurysm.What medication does the nurse prepare to administer as a priority for this client?

A new perioperative nurse is receiving orientation to the surgical area and learns about the Surgical Care Improvement Project (SCIP) goals.What major areas do these measures focus on preventing? (Select all that apply.)

A client in the preoperative holding room has received sedation and now needs to urinate.What action by the nurse is best?