Chapter 40 Perioperative Nursing
The preoperative phase encompasses which period of time?
1) Entry to the operating suite until admission to post anesthesia care
2) Entry into the operating suite until discharge from the hospital
3) The decision to have surgery until admission to post anesthesia care
4) The decision to have surgery until entry to the operating suite - answer4
A 2-year-old child is scheduled for a tonsillectomy. When determining the plan of care,
the nurse should:
1) Include the parents or caregivers in the plan of care.
2) Explain to the child that she will have a sore throat after surgery.
3) Tell the child that she can have her favorite foods for the first 24 hours after surgery.
4) Prepare the child for discharge from the hospital as soon as she is alert. - answer1
Which of the following is the most appropriate nursing goal for a 2-year-old who is to
have a tonsillectomy?
1) Separation anxiety will be minimal.
2) The child will verbalize understanding of expected pain.
3) The child will tolerate a normal diet 24 hours after surgery.
4) The parent will indicate readiness to assume the childs care. - answer1
The focus of nursing activities in the preoperative phase is to:
1) Admit the patient to the surgical suite.
2) Prepare the patient mentally and physically for surgery.
3) Set up the sterile field in the operating room.
4) Perform the primary surgical scrub to the surgical site. - answer2
, A patient is scheduled for abdominal surgery tomorrow. While gathering preoperative
data, the nurse learns that the patient takes the following medications daily: an
anticoagulant, a multivitamin, and vitamin E 1,500 IU. The patient reports that he
stopped taking the anticoagulant 4 days ago as instructed by the surgeon. He has
continued to take the multivitamin and vitamin E. Based on the information given, the
nurse notifies the surgeon because she:
1) Needs an order to restart the anticoagulant.
2) Is concerned about continued use of the multivitamin.
3) Is concerned about the vitamin E dosage.
4) Has canceled the surgery so more lab tests can be done. - answer3
A patient is admitted for hip surgery. The patient usually takes the following medications
daily: an anticoagulant, a multivitamin, and vitamin E 1,500 IU. He stopped taking his
anticoagulant 4 days ago as instructed by his surgeon, but has continued to take the
multivitamin and vitamin E. An important problem for this patient is which of the
following?
1) Potential complication: anemia
2) Risk for infection related to inadequate anticoagulant dosage
3) Risk for noncompliance related to inability to follow instructions
4) Risk for bleeding - answer4
A patient is admitted from a local skilled nursing facility to the outpatient surgery center
for surgical dbridement of a stage IV sacral pressure ulcer. The perioperative nurse
discovers that the patient does not have a signed consent form for the surgery on the
chart or in the surgery center. The patient says that she has not talked to the surgeon
and that she has many questions regarding her surgery. When informed of this, the
surgeon tells the nurse to have the patient sign the informed consent form, and he will
review it prior to the surgery. What should the nurse do?
1) Follow the surgeons orders, and ask the patient to sign the surgical consent form.
2) Inform the surgeon that she will have the patient sign after he discusses the surgery
with the patient.
3)Ensure that the signed surgical consent is witnessed by two nurses, because the
surgeon is not available.
The preoperative phase encompasses which period of time?
1) Entry to the operating suite until admission to post anesthesia care
2) Entry into the operating suite until discharge from the hospital
3) The decision to have surgery until admission to post anesthesia care
4) The decision to have surgery until entry to the operating suite - answer4
A 2-year-old child is scheduled for a tonsillectomy. When determining the plan of care,
the nurse should:
1) Include the parents or caregivers in the plan of care.
2) Explain to the child that she will have a sore throat after surgery.
3) Tell the child that she can have her favorite foods for the first 24 hours after surgery.
4) Prepare the child for discharge from the hospital as soon as she is alert. - answer1
Which of the following is the most appropriate nursing goal for a 2-year-old who is to
have a tonsillectomy?
1) Separation anxiety will be minimal.
2) The child will verbalize understanding of expected pain.
3) The child will tolerate a normal diet 24 hours after surgery.
4) The parent will indicate readiness to assume the childs care. - answer1
The focus of nursing activities in the preoperative phase is to:
1) Admit the patient to the surgical suite.
2) Prepare the patient mentally and physically for surgery.
3) Set up the sterile field in the operating room.
4) Perform the primary surgical scrub to the surgical site. - answer2
, A patient is scheduled for abdominal surgery tomorrow. While gathering preoperative
data, the nurse learns that the patient takes the following medications daily: an
anticoagulant, a multivitamin, and vitamin E 1,500 IU. The patient reports that he
stopped taking the anticoagulant 4 days ago as instructed by the surgeon. He has
continued to take the multivitamin and vitamin E. Based on the information given, the
nurse notifies the surgeon because she:
1) Needs an order to restart the anticoagulant.
2) Is concerned about continued use of the multivitamin.
3) Is concerned about the vitamin E dosage.
4) Has canceled the surgery so more lab tests can be done. - answer3
A patient is admitted for hip surgery. The patient usually takes the following medications
daily: an anticoagulant, a multivitamin, and vitamin E 1,500 IU. He stopped taking his
anticoagulant 4 days ago as instructed by his surgeon, but has continued to take the
multivitamin and vitamin E. An important problem for this patient is which of the
following?
1) Potential complication: anemia
2) Risk for infection related to inadequate anticoagulant dosage
3) Risk for noncompliance related to inability to follow instructions
4) Risk for bleeding - answer4
A patient is admitted from a local skilled nursing facility to the outpatient surgery center
for surgical dbridement of a stage IV sacral pressure ulcer. The perioperative nurse
discovers that the patient does not have a signed consent form for the surgery on the
chart or in the surgery center. The patient says that she has not talked to the surgeon
and that she has many questions regarding her surgery. When informed of this, the
surgeon tells the nurse to have the patient sign the informed consent form, and he will
review it prior to the surgery. What should the nurse do?
1) Follow the surgeons orders, and ask the patient to sign the surgical consent form.
2) Inform the surgeon that she will have the patient sign after he discusses the surgery
with the patient.
3)Ensure that the signed surgical consent is witnessed by two nurses, because the
surgeon is not available.
