Preoperative Nursing Flashcard

Front

The nurse is preparing a client for surgery. What is the most effective method for obtaining an accurate blood pressure reading from the client?

Back

Use a cuff that is wide enough to cover two-thirds of the client's upper arm.

Front

Which of the following items on a client's pre-surgery laboratory results would indicate a need to contact the surgeon? Blood urea nitrogen (BUN) 17 mg/dl, Hemoglobin 9.5 mg/dl, Platelet count of 250,000/cu.mm, Total cholesterol of 325 mg/dl.

Back

Hemoglobin 9.5 mg/dl.

Front

To prevent complications of immobility, which activities would help the nurse plan for the first postoperative day after a colon resection? Options: Turn, cough, and deep breathe every 30 minutes around the clock. Get the client out of bed and ambulate to a bedside chair. Provide a passive range of motion three times a day. It is not necessary to worry about complications of immobility on the first postoperative day.

Back

Get the client out of bed and ambulate to a bedside chair.

Front

In the recovery room, the postoperative client suddenly becomes cyanotic. What is the most appropriate nursing action? Options: Start administration of oxygen through a nasal cannula., Call for assistance., Reposition the head and determine patency of the airway., Insert an oral airway and suction the nasopharynx.

Back

Reposition the head and determine patency of the airway.

Front

A client is scheduled for surgery in the morning. Preoperative orders have been written. What is most important to do before surgery?

Back

Have all consent forms signed.

Front

The nurse is caring for a first-day postoperative surgical client. Prioritize the patient's desired dietary progression. Arrange in sequence the dietary progression from 1 to 4: 1. Full liquid; 2. NPO; 3. Clear liquid; 4. Soft

Back

2, 3, 1, 4

Front

A postoperative client receives a dinner tray with gelatin, pudding, and vanilla ice cream. Based on the foods on the client's tray, what would the nurse anticipate the client's current diet order to be?

Back

Full liquid diet

Front

The nurse is preparing the preoperative client for surgery. The following statements indicate the client is knowledgeable about his impending surgery, except: "After surgery, I will need to wear the pneumatic compression device while sitting in the chair." "The skin prep area is going to be longer and wider than the anticipated incision." "I cannot have anything to drink or eat after midnight on the night before the surgery." "To ensure my safety, a 'time out' will be conducted in the operating room."

Back

I cannot have anything to drink or eat after midnight on the night before the surgery.

Front

Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours before surgery? To prevent malnutrition, To prevent electrolyte imbalance., To prevent aspiration pneumonia., To prevent intestinal obstruction.

Back

To prevent aspiration pneumonia.

Front

When is the best time to provide preoperative teachings on deep breathing, coughing, and turning exercises?

Back

Before administration of preoperative medications