Chapter 20: Nursing Management: Preoperative Care Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition Exam 1 Solved 100% Correct!!

1. During the preoperative interview, a patient scheduled for an elective hysterectomy to treat benign tumours of the uterus tells the nurse that she does not know whether she can go through with the surgery because she knows she will die in surgery, as her mother did. What is the most appropriate response? a. "Tell me more about what happened to your mother." b. "Have you discussed these feelings with anyone else?" c. "I am sure surgical techniques have improved since your mother had surgery." d. "Think positively! Positive thoughts have been shown to influence a positive surgical outcome." - ANS: A Anxiety can arise from lack of knowledge, which may range from not knowing what to expect during the surgical experience to uncertainty about the outcome of surgery and the potential findings; therefore, it is important that the nurse help explore the patient's feelings. Also, further assessment may uncover a history of malignant hyperthermia, which will require precautions during the surgery. PTS: 1 DIF: Cognitive Level: Application REF: page 424 OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-31 2. A 74-year-old man is to have a left inguinal hernia repair at the outpatient surgical clinic. Preoperatively, what is it most important for the nurse to determine? a. The patient has had outpatient surgery in the past. b. The patient's medical plan covers outpatient surgery. c. The patient plans to stay overnight at the surgical centre. d. A family member or friend is available for transportation and care at home. - ANS: D Priority assessment is related to the need to have a responsible adult present for transportation home after surgery. Other preoperative information can include the day-of-surgery events such as patient registration, parking, what to wear, and what to bring, but these are not the priority.PTS: 1 DIF: Cognitive Level: Application REF: page 429 OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-31 3. A 36-year-old woman has been admitted to the hospital for knee surgery. Which of the following information that was obtained by the nurse during the preoperative assessment should be reported to the surgeon before surgery is performed? a. Lack of knowledge about postoperative pain control b. Knowledge of the possibility of an early, unplanned pregnancy c. History of a postoperative infection following a prior cholecystectomy d. Concern that she will be physically limited in caring for her children for a period postoperatively - ANS: B