8/12/23, 6:49 AM PREOPERATIVE NURSING CARE

PREOPERATIVE NURSING CARE

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1. As a nurse, what is the importance of a thorough preoperative * 1 point

assessment?

a. To identify and correct problems before surgery and establish a baseline for
postoperative comparison

b. To save time doing an assessment after the patient returns from surgery

c. To provide the doctor with information that may have been missed during the
preadmission assessment

d. To ensure that postoperative complications don’t occur

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2. Before administering preoperative medication to a client, nurse Jonalyn * 1 point

should plan to:

a. Verify the consent

b. Check the vital signs

c. Have the client void

d. Remove the client’s dentures

3. A client with Cataract is about to undergo surgery. Nurse Princess is * 1 point

preparing plan of care. Which of the following nursing diagnosis is most
appropriate to address the long term need of this type of patient?

a. Anxiety related to the operation and its outcome

b. Sensory perceptual alteration related to lens extraction and replacement

c. Knowledge deficit related to the pre-operative and post-operative self-care

d. Body Image disturbance related to the eye packing after surgery

4. On the morning of Mrs. Sy’s planned cholecystectomy, she awakens with * 1 point
a pain in her right scapular area and thinks she slept in poor position. While
doing the pre-op check list you note that on her routine CB report her WBC is
15,000. Your responsibility at this point is:

a. To notify the surgeon at once; this is an elevated WBC indicating an

inflammatory reaction

b. To record this finding in a prominent place on the pre-op checklist and in your
pre-op notes

c. To call the laboratory for a STAT repeat WBC

d. None. This is not an unusual finding

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5. Mrs. Sy is scheduled for surgery 2 days later and is to be given atropine * 1 point
0.3 mg IM and Demerol 50 mg IM one hour preoperatively. Which nursing
actions follow the giving of the pre-op medication?

a. Have her void soon after receiving the medication

b. Allow her family to be with her before the medication takes effect

c. Bring her valuables to the nursing station

d. Reinforce pre-op teaching

6. A patient is admitted to the same day surgery unit for liver biopsy. Which * 1 point
of the following laboratory tests assesses coagulation? SATA.

a. Partial thromboplastin time.

b. Prothrombin time.

c. Platelet count.

d. Hemoglobin

7. A client with a perforated gastric ulcer is scheduled for emergency * 1 point

surgery. The client cannot sign the operative consent form because he has
been sedated with opioid analgesics. The nurse should take which of the
following actions in the care of this client?

a. Obtain a telephone consent from the family member witnessed by two persons.

b. Obtain a court order for the surgery.

c. Send the client to surgery without the consent form being signed.

d. Have the hospital chaplain sign the informed consent immediately

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8. A preoperative client expresses anxiety to the nurse about the upcoming * 1 point
surgery. Which of the following responses by the nurse is most likely to
stimulate further discussion between the client and the nurse?

a. “I will be happy to explain the entire surgical procedure to you.”

b. “Let me tell you about the care you’ll receive after surgery and the amount of
pain you can anticipate.”

c. “If it’s any help, everyone is nervous before surgery.”

d. “Can you share with me what you’ve been told about your surgery?”

9. A nurse is preparing the client for transfer to the operating room (OR). * 1 point

The nurse should take which of the following actions in the care of this
client at this time?

a. Administer all the daily medications.

b. Ensure that the client has voided.

c. Verify that the client has not eaten for the last 24 hours.

d. Practice postoperative breathing exercises.

10. A nurse is reviewing the physician’s order sheet for the preoperative * 1 point
client, which states that the client must be on nothing per mouth (NPO)
status after midnight. The nurse would clarify whether which of the
following medications should be given to the client and not withheld?

a. Conjugated estrogen (Premarin)

b. Atenolol (Tenormin)

c. Cyclobenzaprine (Flexeril)

d. Ferrous sulfate

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