Perioperative Nursing

The preoperative phase of surgery begins with...

• the decision to proceed with surgical intervention

• the patient being admitted to the pre-admission testing unit

• the patient being transferred to the OR suite

• the patient signing admission paperwork

Which of the following surgeries would be classified as emergent?

• Kidney stones

• Urethral stones

• Fractured skull

• Cataract

Which of the following conditions is commonly associated with obese patients and of primary concern when scheduled for surgery? Select all that apply

• Wound infection

• Sleep apnea

• Wound dehiscence

• Hypoventilation

Which health care provider informs the patient of the benefits and risks of surgery prior to going to surgery?

• Registered Nurse

• Surgeon

• OR administrator

• Licensed Physicians Assistant

Which of the following items is included in a valid informed consent? Select all that apply

• Patient must be 16 years of age or older

• Patient must be 18 years of age or older

• Consent must be freely given

• A physician must obtain informed consent

• A physician assistant may obtain informed consent

Patients who smoke are urged to stop...

• At least 60 days before surgery

• At least 30 days before surgery

• At least 7-10 days before surgery

• At least 14 days before surgery

ASA (aspirin) should be discontinued...

• 7-10 days before surgery

• 1-3 days before surgery

• At least 30 days before surgery

• At least 60 days before surgery

The use of herbal medicines should be discontinued...

• At least 2 days before surgery

• At least 2 weeks before surgery

• At least 30 days before surgery

• At least 7-10 days before surgery

Which of the following statements is the correct way for patients to splint incisions when they cough?

• Put the palms of the fingers together and interlace the fingers snugly and place hands across incision

• Hold one hand gently directly over the incision and breathe deeply before coughing

• Hold both hands on top of each other strongly exerting pressure over the incision

• Have the patient deep breathe while they provide medium pressure over the incision

Deep breathing is an important pre-operative teaching area. Which one of the following would be included in your teaching for the pre-operative patient?

• Take a deep breath and hold for 5 seconds, repeat 15 times twice daily

• Take a deep breath and hold for 10 seconds

• Take a deep breath and hold for 3 seconds, repeat 15 times twice daily

• Take a deep breath and hold for 5 seconds, repeat 5 times twice daily