N444- Preoperative

A nurse is reviewing the phases of perioperative care with a new graduate nurse. Which statement by the new graduate indicates the need for further teaching?

• A) "The preoperative phase begins when the patient is scheduled for surgery."

• B) "The intraoperative phase begins when the patient enters the operating room."

• C) "The postoperative phase ends when the patient is discharged from the hospital."

• D) "Perioperative nursing involves care before, during, and after surgery."

Which patient statement during the preoperative assessment requires immediate follow-up by the nurse?

• A) "I have a mild rash when I eat strawberries."

• B) "I cannot blow up a balloon, and I get itchy after eating bananas or kiwi."

• C) "I have occasional heartburn after eating spicy foods."

• D) "I feel nervous about the surgery tomorrow."

A patient with acute appendicitis is scheduled for an appendectomy within a few hours. How should the nurse categorize this type of surgery?

• A) Emergent

• B) Urgent

• C) Elective

• D) Palliative

A nurse is reviewing preoperative test results. Which abnormal finding should be reported to the surgeon immediately?

• A) Hemoglobin: 12.5 g/dL

• B) Potassium: 2.9 mEq/L

• C) Blood glucose: 140 mg/dL

• D) White blood cell count: 9,000/mm³

A competent adult patient scheduled for surgery states, "I changed my mind; I don’t want the surgery." What is the nurse’s best response?

• A) "You have already signed the consent, so you must proceed."

• B) "I will notify the surgeon of your decision."

• C) "Let me call your family to help you decide."

• D) "You should reconsider because the doctor said it's necessary."

Which medication should be held before surgery due to increased risk of bleeding?

• A) Metoprolol

• B) Warfarin

• C) Levothyroxine

• D) Insulin

The nurse teaches a preoperative patient about deep breathing and coughing exercises. Why is this important?

• A) To reduce preoperative anxiety

• B) To prevent postoperative pneumonia and atelectasis

• C) To decrease pain after surgery

• D) To maintain normal blood glucose levels

Why is a patient instructed to remain NPO (nothing by mouth) before surgery?

• A) To prevent aspiration during anesthesia

• B) To reduce the risk of bleeding

• C) To improve wound healing

• D) To prevent electrolyte imbalances

Which action should the nurse complete first on the day of surgery?

• A) Verify informed consent is signed

• B) Administer preoperative medications

• C) Have the patient remove dentures and jewelry

• D) Assist the patient to the bathroom

What is the primary concern for an older adult undergoing surgery?

• A) Increased risk for postoperative confusion

• B) Increased pain tolerance

• C) Faster wound healing

• D) Lower risk of infection