Chapter 20: Nursing Management:
Preoperative Care Lewis et al.:
Medical-Surgical Nursing in Canada, 3rd
Edition
1. During the preoperative interview, a affected person scheduled for an optional hysterectomy
to deal with benign tumours of the uterus tells the nurse that she does now not recognise
whether or not she can go through with the surgical operation because she is aware of she can
die in surgical treatment, as her mother did. What is the most suitable reaction?
A. "Tell me extra approximately what befell for your mother."
b. "Have you mentioned those feelings with all of us else?"
c. "I am certain surgical strategies have improved considering your mother had surgery."
d. "Think undoubtedly! Positive mind have been shown to influence a fine surgical outcome." -
ANS-ANS: A
Anxiety can stand up from lack of expertise, which may also variety from no longer knowing
what to anticipate during the surgical revel in to uncertainty about the final results of surgical
operation and the capability findings; therefore, it's miles critical that the nurse assist explore the
affected person's feelings. Also, in addition assessment may additionally find a records of
malignant hyperthermia, which will require precautions at some stage in the surgery.
PTS: 1 DIF: Cognitive Level: Application REF: web page 424
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-31
2. A 74-year-vintage man is to have a left inguinal hernia restore on the outpatient surgical
health facility. Preoperatively, what's it most important for the nurse to determine?
A. The patient has had outpatient surgical treatment in the past.
B. The affected person's clinical plan covers outpatient surgery.
C. The affected person plans to live overnight on the surgical centre.
D. A member of the family or buddy is available for transportation and care at home. -
ANS-ANS: D
Priority evaluation is related to the need to have a accountable grownup gift for transportation
domestic after surgical procedure. Other preoperative data can consist of the day-of-surgery
events which includes affected person registration, parking, what to put on, and what to carry,
however those are not the priority.
PTS: 1 DIF: Cognitive Level: Application REF: page 429
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-31
, 3. A 36-year-old lady has been admitted to the health center for knee surgical treatment. Which
of the subsequent statistics that was obtained through the nurse throughout the preoperative
assessment have to be suggested to the health care professional before surgery is achieved?
A. Lack of knowledge about postoperative pain manipulate
b. Knowledge of the possibility of an early, unplanned pregnancy
c. History of a postoperative contamination following a previous cholecystectomy
d. Concern that she might be bodily limited in worrying for her kids for a duration postoperatively
- ANS-ANS: B
If the patient states that she might be pregnant, information have to be right now given to the
health care provider to keep away from maternal and next fetal exposure to anaesthetics at
some point of the primary trimester.
PTS: 1 DIF: Cognitive Level: Application REF: page 429, Table 20-6
OBJ: three TOP: Nursing Process: Implementation MSC: CRNE: CH-27
4. Why is it in particular vital for the nurse to determine the affected person's current use of
medications all through the preoperative evaluation?
A. These medications may also adjust the affected person's perceptions approximately surgery.
B. Anaesthetics adjust renal and hepatic function, causing toxicity through different drugs.
C. Other medications may additionally purpose interactions with anaesthetics, altering the
potency and impact of the medicine.
D. Routine medicinal drugs are generally withheld the day of surgical procedure, requiring
dosage and agenda changes. - ANS-ANS: C
All findings of the medicine history ought to be documented and communicated to the
intraoperative and postoperative employees. Although the anaesthesiologist will decide the
suitable agenda and dose of the affected person's habitual medications before and after surgical
operation primarily based on the medication history, the nurse must make sure that all of the
patient's medicinal drugs are identified, administer the medications as ordered, and monitor the
patient for ability interactions and complications.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 425
OBJ: 2 TOP: Nursing Process: Assessment MSC: CRNE: CH-31
5. During a preoperative evaluation, which of the following suggested hypersensitive reactions
does the nurse understand as a chance for latex allergic reaction inside the patient?
A. Iodine
b. Penicillin
c. Dairy merchandise
d. Bananas - ANS-ANS: D
An allergic reaction to bananas places the patient at danger for a latex allergy. Additional hazard
factors consist of meals hypersensitive reactions to papain (meat tenderizer), avocados, kiwis,
papayas, chestnuts, potatoes, tomatoes, celery, peaches, and different fruit with stones.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 425
OBJ: 3 TOP: Nursing Process: Assessment MSC: CRNE: CH-1
Preoperative Care Lewis et al.:
Medical-Surgical Nursing in Canada, 3rd
Edition
1. During the preoperative interview, a affected person scheduled for an optional hysterectomy
to deal with benign tumours of the uterus tells the nurse that she does now not recognise
whether or not she can go through with the surgical operation because she is aware of she can
die in surgical treatment, as her mother did. What is the most suitable reaction?
A. "Tell me extra approximately what befell for your mother."
b. "Have you mentioned those feelings with all of us else?"
c. "I am certain surgical strategies have improved considering your mother had surgery."
d. "Think undoubtedly! Positive mind have been shown to influence a fine surgical outcome." -
ANS-ANS: A
Anxiety can stand up from lack of expertise, which may also variety from no longer knowing
what to anticipate during the surgical revel in to uncertainty about the final results of surgical
operation and the capability findings; therefore, it's miles critical that the nurse assist explore the
affected person's feelings. Also, in addition assessment may additionally find a records of
malignant hyperthermia, which will require precautions at some stage in the surgery.
PTS: 1 DIF: Cognitive Level: Application REF: web page 424
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-31
2. A 74-year-vintage man is to have a left inguinal hernia restore on the outpatient surgical
health facility. Preoperatively, what's it most important for the nurse to determine?
A. The patient has had outpatient surgical treatment in the past.
B. The affected person's clinical plan covers outpatient surgery.
C. The affected person plans to live overnight on the surgical centre.
D. A member of the family or buddy is available for transportation and care at home. -
ANS-ANS: D
Priority evaluation is related to the need to have a accountable grownup gift for transportation
domestic after surgical procedure. Other preoperative data can consist of the day-of-surgery
events which includes affected person registration, parking, what to put on, and what to carry,
however those are not the priority.
PTS: 1 DIF: Cognitive Level: Application REF: page 429
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-31
, 3. A 36-year-old lady has been admitted to the health center for knee surgical treatment. Which
of the subsequent statistics that was obtained through the nurse throughout the preoperative
assessment have to be suggested to the health care professional before surgery is achieved?
A. Lack of knowledge about postoperative pain manipulate
b. Knowledge of the possibility of an early, unplanned pregnancy
c. History of a postoperative contamination following a previous cholecystectomy
d. Concern that she might be bodily limited in worrying for her kids for a duration postoperatively
- ANS-ANS: B
If the patient states that she might be pregnant, information have to be right now given to the
health care provider to keep away from maternal and next fetal exposure to anaesthetics at
some point of the primary trimester.
PTS: 1 DIF: Cognitive Level: Application REF: page 429, Table 20-6
OBJ: three TOP: Nursing Process: Implementation MSC: CRNE: CH-27
4. Why is it in particular vital for the nurse to determine the affected person's current use of
medications all through the preoperative evaluation?
A. These medications may also adjust the affected person's perceptions approximately surgery.
B. Anaesthetics adjust renal and hepatic function, causing toxicity through different drugs.
C. Other medications may additionally purpose interactions with anaesthetics, altering the
potency and impact of the medicine.
D. Routine medicinal drugs are generally withheld the day of surgical procedure, requiring
dosage and agenda changes. - ANS-ANS: C
All findings of the medicine history ought to be documented and communicated to the
intraoperative and postoperative employees. Although the anaesthesiologist will decide the
suitable agenda and dose of the affected person's habitual medications before and after surgical
operation primarily based on the medication history, the nurse must make sure that all of the
patient's medicinal drugs are identified, administer the medications as ordered, and monitor the
patient for ability interactions and complications.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 425
OBJ: 2 TOP: Nursing Process: Assessment MSC: CRNE: CH-31
5. During a preoperative evaluation, which of the following suggested hypersensitive reactions
does the nurse understand as a chance for latex allergic reaction inside the patient?
A. Iodine
b. Penicillin
c. Dairy merchandise
d. Bananas - ANS-ANS: D
An allergic reaction to bananas places the patient at danger for a latex allergy. Additional hazard
factors consist of meals hypersensitive reactions to papain (meat tenderizer), avocados, kiwis,
papayas, chestnuts, potatoes, tomatoes, celery, peaches, and different fruit with stones.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 425
OBJ: 3 TOP: Nursing Process: Assessment MSC: CRNE: CH-1
