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RNSG 1341 Exam 1 study Sheet MedSurg
Questions and Correct Answers
What is the process for consenting to surgery by an emancipated
minor? Ans: An emancipated minor is one who is younger than the
legal age of consent but is recognized as having the legal capacity
to provide consent. Procedures for obtaining consent vary among
states and agencies. Follow your state's nurse practice act and
agency policies that apply to a specific situation.
Where are the incisions with a laparoscopic cholecystectomy? Ans:
- surgery will involve multiple small incisions
- A laparoscopic cholecystectomy is a surgery during which the
doctor removes your gallbladder. This procedure uses several
small cuts instead of one large one. A laparoscope, a narrow tube
with a camera, is inserted through one incision. This allows your
doctor to see your gallbladder on a screen.
Which diagnostic studies may be done to reveal kidney disease?
Ans: Assess for a history of renal or urinary tract diseases, such as
chronic kidney disease or repeated urinary tract infections. Record
the present disease state and current treatment.
What should the nurse do when it is discovered that s/he has
seasonal and food allergies? Ans: Record all drug intolerances and
allergies and, if needed, place an allergy identification band on the
patient on the day of surgery.
If a preoperative patient reports being highly anxious about the
upcoming surgery, what is the best way to promote a good surgical
© 2025 All rights reserved
, 2 | Page
outcome Ans: You can decrease some anxiety for the patient by
giving information about what to expect. This is often done
through classes or Web-based or audiovisual teaching materials
before surgery. Inform the surgeon if the patient needs more
information or has excessive anxiety.
Effect of ginko before surgery Ans: Avoid garlic, vitamin E, ginkgo,
and fish oils because they can increase bleeding.
What will happen if the patient ingests a lot of liquids just before
surgery? Ans: Restricting fluids and food is designed to reduce the
risk for pulmonary aspiration and nausea and vomiting
Pre-op considerations for older adults? Ans: - requires careful
evaluation
- primary HCP is usually not the surgeon
- there are often several HCP involved in care
- be aware of anxieties and fears
- Assess and record baseline sensory and cognitive function
- may need more time to complete preoperative testing and
understand preoperative instructions. These changes also require
you to pay more attention to promote patient safety and prevent
injury.
- When older adults live in a long-term care or assisted living
facility, you may need to coordinate transportation from these
facilities so that timely arrival allows for surgery preparation.
© 2025 All rights reserved
RNSG 1341 Exam 1 study Sheet MedSurg
Questions and Correct Answers
What is the process for consenting to surgery by an emancipated
minor? Ans: An emancipated minor is one who is younger than the
legal age of consent but is recognized as having the legal capacity
to provide consent. Procedures for obtaining consent vary among
states and agencies. Follow your state's nurse practice act and
agency policies that apply to a specific situation.
Where are the incisions with a laparoscopic cholecystectomy? Ans:
- surgery will involve multiple small incisions
- A laparoscopic cholecystectomy is a surgery during which the
doctor removes your gallbladder. This procedure uses several
small cuts instead of one large one. A laparoscope, a narrow tube
with a camera, is inserted through one incision. This allows your
doctor to see your gallbladder on a screen.
Which diagnostic studies may be done to reveal kidney disease?
Ans: Assess for a history of renal or urinary tract diseases, such as
chronic kidney disease or repeated urinary tract infections. Record
the present disease state and current treatment.
What should the nurse do when it is discovered that s/he has
seasonal and food allergies? Ans: Record all drug intolerances and
allergies and, if needed, place an allergy identification band on the
patient on the day of surgery.
If a preoperative patient reports being highly anxious about the
upcoming surgery, what is the best way to promote a good surgical
© 2025 All rights reserved
, 2 | Page
outcome Ans: You can decrease some anxiety for the patient by
giving information about what to expect. This is often done
through classes or Web-based or audiovisual teaching materials
before surgery. Inform the surgeon if the patient needs more
information or has excessive anxiety.
Effect of ginko before surgery Ans: Avoid garlic, vitamin E, ginkgo,
and fish oils because they can increase bleeding.
What will happen if the patient ingests a lot of liquids just before
surgery? Ans: Restricting fluids and food is designed to reduce the
risk for pulmonary aspiration and nausea and vomiting
Pre-op considerations for older adults? Ans: - requires careful
evaluation
- primary HCP is usually not the surgeon
- there are often several HCP involved in care
- be aware of anxieties and fears
- Assess and record baseline sensory and cognitive function
- may need more time to complete preoperative testing and
understand preoperative instructions. These changes also require
you to pay more attention to promote patient safety and prevent
injury.
- When older adults live in a long-term care or assisted living
facility, you may need to coordinate transportation from these
facilities so that timely arrival allows for surgery preparation.
© 2025 All rights reserved
