A 26-year old client comes into the clinic prior to a tonsillectomy. Which action is priority during this phase of
surgery?
a. Intraoperative consent signed
b. Intraoperative medication
c. Preoperative assessment
d. Postoperative assessment - ansc. Preoperative assessment
The client is in the preoperative phase of surgery and must be assessed and prepared for surgery. The client
may have labs drawn, medication administered, and consent forms signed. The intraoperative phase is the
actual surgery; the client is anesthetized, prepped, draped, and surgery performed. The postoperative phase is
the recovery phase of surgery where the client continues to recover until maximum health is achieved.
A 43-year old client is undergoing a CABG. What priority understanding does the nurse have about
perioperative documentation?
a. If it was not written, it was not done
b. It includes all steps of the nursing process
c. It's a legal document subject to internal review
d. It keeps the nurse and patient safe - ansb. It includes all steps of the nursing process
, All answers are correct; however, the priority understanding of perioperative documentation is that it includes
all steps of the nursing process including assessment, diagnosis, identified outcomes, planning,
implementation, and evaluation.
A 5-year old client scheduled for a tonsillectomy asks the nurse if the operation is going to hurt. What is the
best response by the nurse?
a. Yes, but it will hurt less than the sore throat you have now
b. No, you will have no pain
c. Yes, but we will give you medicine to stop the pain before it starts
d. Yes, but don't worry. I can give you a shot to help with the pain - ansc. Yes, but we will give you medicine to
stop the pain before it starts
Nurses preparing children for surgery should be honest regarding expectations about postoperative pain and
how the care team is ready to respond and treat pain. The nurse should acknowledge that there will be pain
but also explain that medicine can be used to stop the pain before it starts. Denying the presence of pain is not
an honest response. Saying that the pain will be less than the client's current sore throat does not address how
pain will be managed. Responding that pain medication will be provided with a shot could cause the child
alarm.
A 55-year old woman with sleep apnea is having a double mastectomy with reconstruction performed today.
What priority complication is important for this client?
a. Loss of blood and infection complications
b. Infection and airway complications
c. Injury and loss of blood complications