Perioperative Care Case Study Questions with Correct Answers

Perioperative Care Case Study Questions with Correct Answers The nurse begins the preoperative assessment by taking Ms. Jackson's vital signs. 1. Which vital sign requires follow-up by the nurse? A) BP of 160/88. B) Pulse of 68. C) Respirations of 14. D) Temperature of 97.2° F. - Correct Answer A) BP of 160/88. This blood pressure is elevated and requires further action by the nurse. The nurse reviews the medications taken by Ms. Jackson. Ms. Jackson states she has been taking two medications, hydrochlorothiazide (Hydrodiuril), a diuretic, and warfarin (Coumadin), an anticoagulant, every day for over a year. 2. What nursing action is most important? A) Observe the appearance of the client's oral mucosa. B) Assess the client for any signs of excessive bruising. C) Review common side effects of each of the medications. D) Explain the need to hold the warfarin prior to surgery. - Correct Answer D) Explain the need to hold the warfarin prior to surgery. Anticoagulants increase the risk for bleeding during surgery and the postoperative period, so the nurse must explain the need to hold the warfarin prior to surgery and instruct the client to contact the surgeon to determine how long before surgery the medication should be stopped. The nurse then reviews Ms. Jackson's preoperative lab test results, drawn earlier in the week. 3. Which serum lab value requires follow-up by the nurse? A) Sodium of 135 mEq/L. B) WBC of 14,000/mm3. C) Creatinine of