NURS 2500 - Chapters 20-22 Test
Questions All Solved Correct.
Five minutes after receiving a preoperative sedative medication by IV injection, a client asks to
get up to go to the bathroom to urinate. Which of the following actions is the most appropriate
for the nurse to implement?
Offer the client to use the urinal/bedpan after explaining the need to maintain safety.
Assist the client to the bathroom and stay next to the door to assist the client back to bed when
done.
Allow the client to go to the bathroom since the onset of the medication will be more than five
minutes.
Ask the client to hold the urine for a short period since a urinary catheter will be placed in the
operating room. - Answer Offer the client to use the urinal/bedpan after explaining the need
to maintain safety.
Which of the following statements is the primary reason for accurately recording the client's
current medications during a preoperative assessment?
Some medications may alter the client's perceptions about surgery.
Many anaesthetics alter renal and hepatic function, causing toxicity of other drugs.
Some medications may interact with anaesthetics, altering the potency and effect of the drugs.
Routine medications are withheld the day of surgery, requiring dosage and schedule
adjustments after surgery. - Answer Some medications may interact with anaesthetics,
altering the potency and effect of the drugs.
The nurse is preparing a client for surgery and the client refuses to remove a wedding ring.
Which of the following actions is the most appropriate for the nurse to implement?
Insist the client remove the ring for safety purposes.
Explain that the hospital will not be responsible for the ring.
Tape the ring securely to the finger and document this on the preoperative checklist.
, Note the presence of the ring in the nurse's notes of the chart and on the preoperative
checklist. - Answer Tape the ring securely to the finger and document this on the
preoperative checklist.
The nurse is performing preoperative teaching and the client asks when she needs to stop
drinking water before the surgery. Based on the most recent practice guidelines established by
the Canadian Anesthesiologists' Society, the nurse should teach the client which of the following
timeframes?
NPO after breakfast
NPO after midnight
Clear liquids up to 2 hours before surgery
Clear liquids up until she is transferred to the OR - Answer Clear liquids up to 2 hours before
surgery
The nurse is admitting a client to the same-day-surgery unit. The client tells the nurse that he
was so nervous he had to take kava last evening to help him sleep. Which of the following
nursing actions would be most appropriate?
Tell the client that using kava to help sleep is often helpful.
Inform the anaesthesiologist of the client's recent use of kava.
Tell the client that the kava should continue to help him relax before surgery.
Inform the client about the dangers of taking herbal medicines without consulting his health
care provider. - Answer Inform the anaesthesiologist of the client's recent use of kava.
Which of the following preoperative clients likely faces the greatest risk of bleeding as a result
of medication?
A woman who takes metoprolol (Lopresor) for the treatment of hypertension
A man whose type 1 diabetes is controlled with insulin injections four times daily
A man who is taking clopidogrel (Plavix) after the placement of a coronary artery stent
Questions All Solved Correct.
Five minutes after receiving a preoperative sedative medication by IV injection, a client asks to
get up to go to the bathroom to urinate. Which of the following actions is the most appropriate
for the nurse to implement?
Offer the client to use the urinal/bedpan after explaining the need to maintain safety.
Assist the client to the bathroom and stay next to the door to assist the client back to bed when
done.
Allow the client to go to the bathroom since the onset of the medication will be more than five
minutes.
Ask the client to hold the urine for a short period since a urinary catheter will be placed in the
operating room. - Answer Offer the client to use the urinal/bedpan after explaining the need
to maintain safety.
Which of the following statements is the primary reason for accurately recording the client's
current medications during a preoperative assessment?
Some medications may alter the client's perceptions about surgery.
Many anaesthetics alter renal and hepatic function, causing toxicity of other drugs.
Some medications may interact with anaesthetics, altering the potency and effect of the drugs.
Routine medications are withheld the day of surgery, requiring dosage and schedule
adjustments after surgery. - Answer Some medications may interact with anaesthetics,
altering the potency and effect of the drugs.
The nurse is preparing a client for surgery and the client refuses to remove a wedding ring.
Which of the following actions is the most appropriate for the nurse to implement?
Insist the client remove the ring for safety purposes.
Explain that the hospital will not be responsible for the ring.
Tape the ring securely to the finger and document this on the preoperative checklist.
, Note the presence of the ring in the nurse's notes of the chart and on the preoperative
checklist. - Answer Tape the ring securely to the finger and document this on the
preoperative checklist.
The nurse is performing preoperative teaching and the client asks when she needs to stop
drinking water before the surgery. Based on the most recent practice guidelines established by
the Canadian Anesthesiologists' Society, the nurse should teach the client which of the following
timeframes?
NPO after breakfast
NPO after midnight
Clear liquids up to 2 hours before surgery
Clear liquids up until she is transferred to the OR - Answer Clear liquids up to 2 hours before
surgery
The nurse is admitting a client to the same-day-surgery unit. The client tells the nurse that he
was so nervous he had to take kava last evening to help him sleep. Which of the following
nursing actions would be most appropriate?
Tell the client that using kava to help sleep is often helpful.
Inform the anaesthesiologist of the client's recent use of kava.
Tell the client that the kava should continue to help him relax before surgery.
Inform the client about the dangers of taking herbal medicines without consulting his health
care provider. - Answer Inform the anaesthesiologist of the client's recent use of kava.
Which of the following preoperative clients likely faces the greatest risk of bleeding as a result
of medication?
A woman who takes metoprolol (Lopresor) for the treatment of hypertension
A man whose type 1 diabetes is controlled with insulin injections four times daily
A man who is taking clopidogrel (Plavix) after the placement of a coronary artery stent
