Perioperative Care NCLEX Questions -

Perioperative Care NCLEX Questions -

MED SURG FINAL

A patient is to have a left inguinal hernia repair at the outpatient surgical clinic.Preoperatively, it is most important for the nurse to determine whether the

• patient has had any experience with outpatient surgery

in the past.

• patient's medical plan covers outpatient surgery.
• patient plans to stay overnight at the surgical center.
• patient has someone available for transportation and care at home. - D

The nurse is assessing a 36-year-old woman who has been admitted for knee surgery. Which information obtained during the preoperative assessment should be reported to the surgeon before surgery?

• The patient's lack of knowledge about postoperative pain control measures
• The patient's statement that her last menstrual period was 8 weeks previously
• The patient's history of a postoperative infection following a prior

cholecystectomy

• The patient's concern that she will be unable to care for her children

postoperatively - B During the preoperative assessment of a patient scheduled for a colon resection, the patient tells the nurse about using St. John's wort to prevent depression. The nurse should alert the staff in the postanesthesia recovery area that the patient may

• have more postoperative bleeding than expected
• take longer to recover from the anesthesia
• have hypertensive episodes 1 / 2

• experience increased pain - B

The nurse asks a hospitalized patient to sign the operative permit as directed in the health care provider's preoperative orders. The patient tells the nurse, "I do not really understand what is involved in the surgery." The nurse should

• postpone the consent form signing and notify the holding room staff that the

health care provider needs to discuss the surgery with the patient.

• explain what the planned surgical procedure entails before having the patient

sign the consent form.

• have the patient sign the form and ask the health care provider to visit the patient

before surgery to further explain the procedure.

• Have the patient sign the from and then Notify the health care provider that the

informed consent process is not complete. - A During the preoperative interview with the nurse, a patient scheduled for an elective hysterectomy to treat benign tumors of the uterus tells the nurse that she just does not know whether she can go through with the surgery because she knows she will die in surgery as her mother did. The most appropriate response by the nurse is

• "Tell me more about what happened to your mother."
• "You will receive medications to reduce your anxiety."
• "Surgical techniques have improved a lot in recent years."
• "Many people have fears and anxieties about surgery." - A

The patient's statement may indicate an unusually high anxiety level or a family history of problems such as malignant hyperthermia, which will require precautions during surgery. The other statements are accurate, but the nurse's initial response should be further assessment.Which information about medication use in a preoperative patient is most important to communicate to the health care provider?

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