Lewis Ch. 17 - Preoperative Care
A 38-yr-vintage girl is admitted for an non-obligatory surgical treatment. Which information
received by the nurse during the preoperative assessment is most crucial to record to the
anesthesiologist earlier than surgical treatment?
A. The patient's lack of know-how about postoperative pain manage measures
b. The affected person's statement that her closing menstrual period changed into 8 weeks
formerly
c. The patient's history of a postoperative contamination following a previous cholecystectomy
d. The affected person's situation that she may be unable to take care of her youngsters
postoperatively - ANS-ANS: B
This announcement shows that the affected person may be pregnant, and being pregnant
testing is wanted before management of anesthetic agents. Although the alternative records can
also be communicated with the medical professional and anesthesiologist, they will have an
effect on postoperative care and do no longer indicate a need for further evaluation earlier than
surgical procedure
A affected person arrives on the ambulatory surgery center for a scheduled laparoscopy manner
in outpatient surgical operation. Which statistics is of most situation to the nurse?
A. The patient is planning to power home after surgical procedure.
B. The patient had a sip of water 4 hours before arriving.
C. The patient's coverage does no longer cowl outpatient surgical procedure.
D. The patient has no longer had surgical operation using fashionable anesthesia before. -
ANS-ANS: A
After outpatient surgical treatment, the patient have to no longer pressure domestic and will
need help with transportation and home care. The patient's enjoy with surgical procedure is
classed, but it does now not have as tons application to the affected person's physiologic
protection. The patient's insurance coverage is vital to establish, but this isn't always usually the
nurse's function or a concern in nursing care. Having clear beverages some hours earlier than
surgical treatment does now not commonly growth chance for aspiration
A patient has received atropine before surgery and complains of dry mouth. Which movement
by means of the nurse is high-quality?
A. Check for pores and skin tenting.
B. Notify the fitness care issuer.
C. Ask the affected person about any dizziness.
D. Tell the patient dry mouth is an expected side effect. - ANS-ANS: D
Anticholinergic medications lower oral secretions, so the patient is taught that a dry mouth is an
expected aspect impact. The dry mouth is not a symptom of dehydration in this case. Therefore
there's no on the spot need to test for pores and skin camping. The health care issuer does no
, longer need to be notified about an anticipated aspect effect. Weakness, forgetfulness, and
dizziness are facet consequences related to other preoperative medicinal drugs inclusive of
opioids and benzodiazepines
A affected person scheduled for an elective hysterectomy tells the nurse, "I am afraid that I will
die in surgical operation like my mother did!" Which reaction by the nurse is maximum
appropriate?
A. "Tell me greater approximately what occurred on your mom."
b. "You will acquire medicinal drugs to lessen your anxiety."
c. "You need to talk to the health practitioner once more approximately the surgical procedure."
d. "Surgical strategies have improved loads in latest years." - ANS-ANS: A
The patient's assertion might also indicate an strangely excessive tension stage or a circle of
relatives records of problems consisting of malignant hyperthermia, with a purpose to require
precautions for the duration of surgical procedure. The different statements can also cope with
the patient's worries, but similarly assessment is wanted first
A affected person undergoing an emergency appendectomy has been the use of St. John's wort
to save you melancholy. Which worry could the nurse expect inside the postanesthesia care
unit?
A. Increased pain
b. Hypertensive episodes
c. Longer time to get over anesthesia
d. Increased danger for postoperative bleeding - ANS-ANS: C
St. John's wort may also lengthen the results of anesthetic retailers and growth the time to
waken absolutely after surgery. It isn't associated with improved bleeding risk, high blood
pressure, or accelerated pain
A patient who has diabetes and makes use of insulin to govern blood glucose has been NPO
given that nighttime earlier than having a knee alternative surgical treatment. Which motion
should the nurse take?
A. Withhold the usual scheduled insulin dose due to the fact the patient is NPO.
B. Obtain a blood glucose measurement before any insulin administration.
C. Give the affected person the usual insulin dose due to the fact stress will growth the blood
glucose.
D. Administer a lower dose of insulin because there can be no oral intake before surgical
procedure. - ANS-ANS: B
Preoperative insulin administration is individualized to the patient, and the modern-day blood
glucose will offer the maximum reliable statistics approximately insulin wishes. It isn't always
feasible to are expecting whether the patient will require no insulin, a lower dose, or a better
dose without blood glucose tracking
A affected person who has in no way had any earlier surgeries tells the nurse doing the
preoperative assessment approximately an allergic reaction to bananas and avocados. Which
action is most essential for the nurse to take?
A 38-yr-vintage girl is admitted for an non-obligatory surgical treatment. Which information
received by the nurse during the preoperative assessment is most crucial to record to the
anesthesiologist earlier than surgical treatment?
A. The patient's lack of know-how about postoperative pain manage measures
b. The affected person's statement that her closing menstrual period changed into 8 weeks
formerly
c. The patient's history of a postoperative contamination following a previous cholecystectomy
d. The affected person's situation that she may be unable to take care of her youngsters
postoperatively - ANS-ANS: B
This announcement shows that the affected person may be pregnant, and being pregnant
testing is wanted before management of anesthetic agents. Although the alternative records can
also be communicated with the medical professional and anesthesiologist, they will have an
effect on postoperative care and do no longer indicate a need for further evaluation earlier than
surgical procedure
A affected person arrives on the ambulatory surgery center for a scheduled laparoscopy manner
in outpatient surgical operation. Which statistics is of most situation to the nurse?
A. The patient is planning to power home after surgical procedure.
B. The patient had a sip of water 4 hours before arriving.
C. The patient's coverage does no longer cowl outpatient surgical procedure.
D. The patient has no longer had surgical operation using fashionable anesthesia before. -
ANS-ANS: A
After outpatient surgical treatment, the patient have to no longer pressure domestic and will
need help with transportation and home care. The patient's enjoy with surgical procedure is
classed, but it does now not have as tons application to the affected person's physiologic
protection. The patient's insurance coverage is vital to establish, but this isn't always usually the
nurse's function or a concern in nursing care. Having clear beverages some hours earlier than
surgical treatment does now not commonly growth chance for aspiration
A patient has received atropine before surgery and complains of dry mouth. Which movement
by means of the nurse is high-quality?
A. Check for pores and skin tenting.
B. Notify the fitness care issuer.
C. Ask the affected person about any dizziness.
D. Tell the patient dry mouth is an expected side effect. - ANS-ANS: D
Anticholinergic medications lower oral secretions, so the patient is taught that a dry mouth is an
expected aspect impact. The dry mouth is not a symptom of dehydration in this case. Therefore
there's no on the spot need to test for pores and skin camping. The health care issuer does no
, longer need to be notified about an anticipated aspect effect. Weakness, forgetfulness, and
dizziness are facet consequences related to other preoperative medicinal drugs inclusive of
opioids and benzodiazepines
A affected person scheduled for an elective hysterectomy tells the nurse, "I am afraid that I will
die in surgical operation like my mother did!" Which reaction by the nurse is maximum
appropriate?
A. "Tell me greater approximately what occurred on your mom."
b. "You will acquire medicinal drugs to lessen your anxiety."
c. "You need to talk to the health practitioner once more approximately the surgical procedure."
d. "Surgical strategies have improved loads in latest years." - ANS-ANS: A
The patient's assertion might also indicate an strangely excessive tension stage or a circle of
relatives records of problems consisting of malignant hyperthermia, with a purpose to require
precautions for the duration of surgical procedure. The different statements can also cope with
the patient's worries, but similarly assessment is wanted first
A affected person undergoing an emergency appendectomy has been the use of St. John's wort
to save you melancholy. Which worry could the nurse expect inside the postanesthesia care
unit?
A. Increased pain
b. Hypertensive episodes
c. Longer time to get over anesthesia
d. Increased danger for postoperative bleeding - ANS-ANS: C
St. John's wort may also lengthen the results of anesthetic retailers and growth the time to
waken absolutely after surgery. It isn't associated with improved bleeding risk, high blood
pressure, or accelerated pain
A patient who has diabetes and makes use of insulin to govern blood glucose has been NPO
given that nighttime earlier than having a knee alternative surgical treatment. Which motion
should the nurse take?
A. Withhold the usual scheduled insulin dose due to the fact the patient is NPO.
B. Obtain a blood glucose measurement before any insulin administration.
C. Give the affected person the usual insulin dose due to the fact stress will growth the blood
glucose.
D. Administer a lower dose of insulin because there can be no oral intake before surgical
procedure. - ANS-ANS: B
Preoperative insulin administration is individualized to the patient, and the modern-day blood
glucose will offer the maximum reliable statistics approximately insulin wishes. It isn't always
feasible to are expecting whether the patient will require no insulin, a lower dose, or a better
dose without blood glucose tracking
A affected person who has in no way had any earlier surgeries tells the nurse doing the
preoperative assessment approximately an allergic reaction to bananas and avocados. Which
action is most essential for the nurse to take?
