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WorksheetsPerioperative Post Lecture Assessment
Total questions: 15
Worksheet time: 15mins
A 68-year-old male scheduled for hernia repair at an ambulatory surgical center expresses concern that he will not have enough care at home and asks if he can stay in the hospital after the surgery. Which response would the nurse provide?
a. “Who is available to help you at home after the surgery?”
b. “I’m sure you will be able to manage at home after surgery. It is a simple procedure.”
c. “We will teach you everything you need to know to be able to care for yourself after surgery.”
d. “Your health insurance will pay for inpatient care only if complications develop during surgery.”
Which preoperative instruction is appropriate for all patients?
Techniques of deep breathing and coughing.
Descriptions of the planned surgical procedure.
Physical procedures or preparation required before surgery.
Withholding of all oral fluids or food after midnight on the day of surgery.
During admission of the patient to the holding area or operating room before surgery, the perioperative nurse must:
verify the patient’s understanding of the risks of surgery.
ensure the patient’s identity with a formal identification process.
prepare the skin by scrubbing the surgical site with an antimicrobial agent.
perform a preoperative assessment with a patient history and physical examination.
During the administration of any regional anesthetic, it is most important that the nurse:
monitor for ascending neurologic depression and unconsciousness.
ensure that airway equipment, emergency drugs, and monitors are immediately available.
monitor the patient’s response to the anesthesia, assessing the extent of loss of sensation.
ensure that reversal drugs such as anticholinesterase agents (e.g., neostigmine) are available in case of respiratory arrest.
A patient becomes restless and agitated in the postanesthesia care unit (PACU) as he begins to regain consciousness. Which action would the nurse take first?
Turn the patient to a lateral position.
Check the patient’s oxygen saturation.
Orient the patient and tell him surgery is over.
Give the ordered postoperative pain medication.
While in the PACU, the patient’s blood pressure drops from an admission pressure of 126/82 to 106/78 with a pulse change of 70 to 94. After administering oxygen, which action would the nurse take next?
Increase the rate of the IV fluids.
Notify the anesthesia care provider.
Perform neurovascular checks on the lower extremities.
Use a cardiac monitor to assess the patient’s heart rhythm.
The nurse is preparing to discharge a patient from the ambulatory surgery center following an inguinal hernia repair. The nurse delays the release of the patient upon discovering that the patient:
had IV morphine 45 minutes ago.
has an oxygen saturation of 92%.
has not voided since before surgery.
had an episode of vomiting 30 minutes ago.
A 38-yr-old woman is admitted for an elective surgical procedure. Which information obtained by the nurse during the preoperative assessment must be communicated to the anesthesiologist and surgeon before surgery?
The patient’s concern about being able to resume lifting heavy items
The patient’s report that her last menstrual period was 8 weeks ago
The patient’s history of an infection following a cholecystectomy
The patient’s lack of knowledge about postoperative pain control
Which topic would the nurse discuss preoperatively with a patient who is scheduled for an open cholecystectomy?
Medications to be used during surgery
Care for the surgical incision
Deep breathing and coughing
Oral antibiotic therapy after discharge
Five minutes after receiving the ordered preoperative midazolam by IV injection, the patient asks to get up to go to the bathroom to urinate. Which action would the nurse take?
Assist the patient to ambulate to the bathroom.
Tell the patient that a catheter will be placed in the operating room.
Perform a straight catheterization.
Offer the patient a urinal or bedpan.
A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery. Which action would the nurse take?
Give half the usual dose of insulin because there will be no oral intake before surgery.
Give the patient the usual insulin dose because stress will increase the blood glucose.
Obtain a blood glucose measurement before any insulin administration.
Withhold the usual scheduled insulin dose because the patient is NPO.
A patient who has not had any prior surgeries tells the nurse doing the preoperative assessment about allergies to avocados and bananas. Which action is most important for the nurse to take?
Reassure the patient that all allergies are noted on the health record.
Notify the dietitian about the specific food allergies.
Ask whether the patient uses antihistamines to reduce allergic reactions.
Alert the surgery center about a possible latex allergy.
The outpatient surgery nurse reviews the complete blood cell (CBC) count results for a patient who is scheduled for surgery. The results are white blood cell (WBC) count 10.2 × 10³/μL; hemoglobin 15 g/dL; hematocrit 45%; platelets 150 × 10³/μL. Which action would the nurse take?
Discuss the possibility of blood transfusion with the patient.
Ask the patient about any symptoms of a recent infection.
Notify the surgeon and anesthesiologist immediately.
Continue to prepare the patient for the surgical procedure.
Which statement by a patient scheduled for knee surgery is important to report to the health care provider before surgery?
I have knee pain whenever I walk or jog.
I had a heart valve replacement last year.
I have a strong family history of cancer.
I had bacterial pneumonia 3 months ago.
Which information in the preoperative patient's medication history is important to communicate to the health care provider before surgery?
The patient took a prescribed sedative the previous night.
The patient uses acetaminophen for aches and pains.
The patient quit using cocaine 10 years ago
The patient takes garlic capsules every day.
