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concept in nursing 2
Preoperative phase of surgery
| Question | Answer |
|---|---|
| Which surgical settings are preferred sites for a patient who needs cataract surgery? | -Specialty clinic -Same-day surgery -Outpatient surgery |
| Which conditions undergo surgery in inpatient settings rather than ambulatory settings? | -Acute medical conditions -Chronic diseases -Organ transplantations |
| Which surgical procedures are commonly performed in an ambulatory care setting? | -Cataract -Lesion removal - Endoscopy |
| Which surgical setting will the surgeon select for a patient’s leg amputation? | Inpatient surgery |
| Which activities take place after patient admission to the presurgical care unit? | -Preoperative forms are completed. -Anesthesia performs a risk assessment. -Potential health problems are identified. |
| What is the rationale for assessing the patient’s level of consciousness prior to surgery? | Provides a postoperative base for comparison |
| It is important for the nurse to assess for sleep apnea preoperatively because of its association with which postoperative complication? | Oxygen desaturation Airway obstruction |
| Which factors determine the type of diagnostic tests completed prior to surgery? | -Surgery to be performed -Overall health status -Patient’s medical history |
| Which patients will most likely undergo human chorionic gonadotropin testing prior to surgery? | -A 42-year-old female undergoing a hysterectomy -A 15-year-old female undergoing an appendectomy |
| Which nursing diagnosis will the preoperative nurse select for a patient with diabetes? | Risk for Unstable Blood Glucose |
| Which nursing diagnosis will the preoperative nurse select for a patient with a history of chronic pain scheduled for a painful procedure? | Risk for Acute Pain |
| Which nursing diagnosis will the preoperative nurse individualize for a patient with a coagulation disorder who is scheduled for surgery? | Risk for Bleeding |
| Which nursing diagnosis will the preoperative nurse select for a patient whose surgery was delayed for six hours? | Risk for Fluid Volume Deficit |
| Which nursing diagnosis will the preoperative nurse select for a patient requesting information about preventing skin cancer after surgery to remove a skin lesion? | Readiness for Enhanced Knowledge |
| Which goal is measurable for the nursing diagnosis of Deficient Knowledge about surgical procedure related to lack of previous experience? | Patient will verbalize understanding of the surgical procedure. |
| Which data supports the achievement of the preoperative goal, “Patient will exhibit vital signs within normal limits during the preoperative period”? | HR 72 bpm; BP 110/70 mm Hg |
| A patient has the goal of, “Patient will verbalize understanding of scheduled surgical procedure.” Which nursing diagnosis does this goal address? | Deficient Knowledge |
| Which person will the preoperative nurse collaborate with when a patient has a concern about postoperative ambulatory care? | PACU nurse |
| Which actions will the preoperative nurse perform when a patient is scheduled for admission to the nursing unit following surgery? | -Verify patient information in electronic record -Confirm arrangements were made with dietary services |
| Which patient teaching does the preoperative nurse complete immediately prior to surgery? | -Preoperative procedures -Intraoperative routines -Postoperative expectations |
| Which topics will the preoperative nurse include in patient teaching? | -Deep breathing -Leg exercises -Pain management -Incentive spirometer |
| Inform patients about eating or remaining NPO before surgery | Diet |
| Teach patients the need to bathe with antimicrobial soap | Hygiene |
| Witness patient signing form following discussion with surgeon | informed consent |
| omplete the preoperative requirements prior to patient transfer to surgery | Preoperative checklist |
| Which preoperative interventions reduce the risk for surgical infection? | Bathing with antimicrobial soap |
| Which nursing interventions reduce patient preoperative stress and anxiety? | -Acknowledge the patient's fears as real -Address the patient's fears by being supportive |
Created by:
Lightnning54
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