NURS 660 exam 2 perioperative practice exam questions and answers 2024

Which of the following are important to teach to patients about preoperatively? Select all that apply. - -how to effectively use the incentive spirometer -the importance of early ambulation -what devices and drains they can expect to be connected to following surgery -how to effectively cough and deep breathe -plan for postoperative pain control T/F: Legal informed consent must include adequate disclosure, patient understanding of information, and voluntary consent. - true Which of the following patients would be able to legally consent to a procedure? Select all that apply. - -A 24-year-old German-speaking patient who presented with a broken ankle from soccer with a hospital interpreter present. -A 34-year-old patient who presented with right lower quadrant pain -A 50-year-old patient alert and oriented, but unable to physically sign the document? Which of the following medications are commonly given to reduce anxiety and help sedate a patient beore surgery? - benzodiazepines A nurse caring for a preoperative patient who just received preoperative sedative medications to reduce anxiety. The patient then reports the urge to empty their bladder. What is the best response by the nurse? - assist the patient using a urinal or bedpan During the preoperative nursing assessment of a patient, which questions would the nurse ask to determine if the patient has a latex allergy? Select all that apply - -have you ever had hay fever or asthma? -do you work or have you worked in the rubber industry? -are you allergic to food items like eggs and chestnuts? A patient scheduled for surgery reveals to the nurse fears about the projected length of time off work needed for recovery, as the patient is the primary source of income for the family. Which follow-up action would the nurse implement? - consult a social worker to identify financial options for the patient When can a patient revoke the consent for the surgery? Select all that apply - -when the patient is partially informed -just before the scheduled surgery time -after the patient has signed the consent form -when the patient is in the preoperative holding area A patient with Alzheimer ' s dementia and confusion arrives via ambulance from a long-term care facility to the preoperative area for placement of a feeding tube, and there is no documentation of consent for the procedure. Which action would the nurse take? - Contact the family member identified as the patient's power of attorney on the patient's medical record so the surgeon can obtain consent. While collecting a preoperative history, the patient reports to the nurse a history of diffuse skin rashes when hospitalized in the past as well as food allergies to bananas and avocados. Which action would the nurse take? - ask additional questions to asssess for possible latex allergy When reviewing preoperative forms, the nurse notices that the patient's informed consent is not signed. Which action would the nurse take? - notify the health care provider to obtain consent for surgery Which potential complication might a patient experience if they consumes a meal heavy with garlic the day before a surgery? - an increase in bleeding during the srugery The nurse is preparing to administer a preoperative dose of cefazolin (an antibiotic) prior to an open cholecystectomy. Which explanation by the nurse about why the patient is receiving this medication is accurate? - "it will prevent postoperative surgical-site infection" After signing a witnessed consent for surgery, the patient decides they no longer want to have the procedure. The patient has one adult child but no other immediate family. Which action would the nurse take next? - inform the surgeon Which action would the nurse take when administering a preoperative medication orally? - give the medicine with a small sip of water A patient is instructed not to have anything to eat or drink eight hours prior to surgery. When arriving to the preoperative holding area, the patient informs the nurse they ate eggs and toast about two hours ago. Which response by the nurse is most appropriate? - "I will inform the anesthesia care provider and surgeon to see what the options are." While performing preoperative teaching, the patient asks when to stop drinking water before the surgery. Which response by the nurse is accurate? - "you can drink clear liquids up to two hours before surgery" Which action will the nurse take when the patient going for surgery wants to give their hearing aid to their spouse so it will not be lost during surgery? - encourage the patient to wear it for the surgery Which nursing actions are important to carry out when preparing a patient for surgery? Select all that apply. - -remove cosmetics, nail polish and artifical nails -remove jewelry in piercings if electrocautery devices will be used