WorksheetsPreOP/IntraOP
Total questions: 14
Worksheet time: 14mins
The 84 year old client is scheduled for a hip replacement surgery. In planning the client's care, the nurse is aware that the elderly are at higher risk for which surgical complication
Acute Renal failure
Requiring increased amounts of narcotics
Diarrhea
Hyperthermia
A patient who is NPO scheduled for surgery is scheduled to receive prednisone PO. What is the nurse's next step?
Immediately stop the medication as the patient is NPO
Administer the medication
Consult with the provider about the medication and need for administration
Give the dose after surgery
Brain Break! Draw your favorite animal
Why is a surgical time-out important ?
The operative client is scheduled to have a PCA pump post operatively for pain control. Which option listed below is incorrect about the use of PCA pumps?
if the client is asleep, the nurse or family member can administer a dose of medication so the pain stays at a tolerable level.
The client’s pump will have a setting that prevents the patient from having too many consecutive administrations
the nurse should have a standing order for naloxone in case of an emergency
The nurse can use the information stored on the pump to assess pain management
A patient is preparing for abdominal surgery and is undergoing pre-operative teaching. Which of the following instructions should be emphasized? Select all that apply
Incentive spirometer teaching
Remaining in bed until discharge
Be sure to eat a high carb meal immediately after surgery
Deep breathing teaching
Leg exercise teaching
What is one sign that malignant hyperthermia is occurring during surgery ?
The client is going to have a scheduled surgery. The surgery team has called the unit and asked the nurse to complete the consent for surgery. What does the nurse do next?
Complete the consent and bring the client down to the pre op area for their surgery
page the charge nurse to complete the consent form with the client
Remind the surgery team that the surgeon must complete the consent form with the client
I need to review this content
A client receiving general anesthesia has an increase in body temperature during the procedure. Which medication will the nurse recognize as a likely contributor to malignant hyperthermia?
Nitrous Oxide
Oxygen
Acetaminophen
Isoflurane
During the preoperative assessment, the client mentions allergies to avocados, bananas, and kiwi. What is the priority action by the nurse?
Notify the team to remove all latex products
Notify the dietary department
Notify the physician about medication allergies
Document this in the chart
A patient with a history of chronic obstructive pulmonary disease (COPD) is scheduled for surgery. What is the most important preoperative assessment for this patient?
Evaluation of renal function
Assessment of respiratory function
Checking for allergies to anesthesia
Assessment of nutritional status
During the postoperative phase, a patient complains of severe pain despite having a PCA pump. What is the first action the nurse should take?
Check the PCA pump settings and function
Administer an additional dose of pain medication orally
Inform the physician immediately
Reassure the patient and wait for the PCA to take effect
What is keeping you motivated this semester?
When preparing a diabetic patient for surgery, which of the following actions is most critical for the nurse to perform?
Adjust the patient's insulin dose the day before surgery
Ensure the patient fasts for at least 12 hours before surgery
Monitor blood glucose levels and report any abnormalities
Teach the patient about postoperative wound care
