UNIT 1: MED SURG – PERIOPERATIVE questions with correct answers

The nurse is providing preoperative care for a client who will have an arthroscopy of the left knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what will the nurse be required to do? A - Ensure that the correct procedure is noted in the client's history. B - Remind the surgeon that the client will have a left knee arthroscopy. C - Verify with the client that a left knee arthroscopy will be performed. D - Mark the left knee site with the client awake and the surgeon present. Answer D - Mark the left knee site with the client awake and the surgeon present. The nurse will be required to mark the left knee site with the client awake and the surgeon present. The Joint Commission NSPG requires that the surgical site be marked by an independent licensed professional and should, when possible, involve the client. The surgeon is accountable and should be present.The EMR should identify the correct procedure, but is not a specific JCAHO requirement. The nurse will verify the procedure with the client when possible, but this is not a requirement. Communication with the surgeon is ideal, but is not specifically required. The nurse is educating a client who is about to undergo cardiac surgery with general anesthesia. Which statement by the client indicates the need for further instruction? A - "I will wake up with a tube in my throat."