DETAILED EXPLANATIONS 2026
◉ Normal BUN levels
Answer: 10-20 or 8-8
◉ Normal creatinine levels
Answer: .6-1.2
◉ What are High BMI clients at risk for and why?
Answer: slow wound healing
◉ What are pediatrics and older adults more at risk for during
surgery?
Answer: Hypothermia
◉ Who is included in the site marking?
Answer: surgeon and pt
◉ Can you shave hair the morning before surgery?
Answer: NO!
,only clip
◉ What is the legal age in Alabama and Nation wide to sign consent?
Answer: Alabama- 14
Nation Wide- 18
◉ Who Responsibility is it to explain the consent?
Answer: Surgeon
◉ Can the nurse witness consent?
Answer: Yes
◉ What has to be explained on an informed consent?
Answer: Reason for surgery
Type and extent of surgery
Risks of procedure
Person who will be performing the procedure
Benefits and Alternative options and their associated risks
Risks associated with Anesthesia
Instructions that the patient may withdraw consent
A statement informing the patient if the protocol differs from
customary procedure
,An offer to answer questions about procedure
◉ A 16 year old client will require surgery to realign the bones in a
fractured tibia sustained while backpacking with a youth group. In
this case, from whom is it most appropriate to obtain consent to
perform the surgical procedure?
A. The client
B. The client's parent
C. The client's physician
D. The client's youth leader
Answer: B
◉ What is necessary for wound healing?
Answer: Protein
◉ When should you urge the pt to stop smoking?
Answer: 4-8 weeks before surgery
absolutely 24 hours before!
◉ When should the pt stop taking herbal medications and OTC?
Answer: At least 7-10 days or 2 weeks before surgery
, ◉ When should you stop heparin drip
Answer: 6-8 hours before surgery after consulting with the primary
care team
◉ When should the patient be NPO?
Answer: after midnight or 8 hours prior to surgery
◉ What should be done in bowl preparation?
Answer: Cleansing enema or laxatives evening before surgery
◉ Why do we do bowl preparation?
Answer: -decrease the bacterial count within the intestinal tract
-to empty the intestine of stool before the surgeon plans on cutting
into the small or large intestine
-Helps reduce the possibility of infection in the postoperative period
◉ What may the pt be asked to do to prep their skin for surgery?
Answer: asked to wash with antiseptic solution (Chlorhexidine)
twice usually 1 to 2 days before surgery and the morning of surgery
◉ What type of scrub is done in the OR?
Answer: Sterile Betadine scrub