Nokea
Which of the following types of information should you teach preop patients?
- A. Preop prep
- B. What to expect in the OR
- C. Roles of the surgical team members
- D. Actions to prevent complications
- E. Name of each surgical team member
Correct Answer: A,B,D
Rationale: Teaching preoperative preparation, OR expectations, and complication prevention empowers patients and enhances recovery.
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Which of the following tests are performed on most surgical patients preop?
- A. Electrocardiogram, complete blood count, and urinalysis
- B. Magnetic resonance imaging, serum sodium level, and esophagogastroduodenoscopy
- C. Lumbar puncture, urine culture and sensitivity, and blood type
- D. Chest x-ray, finger stick blood sugar, and electrolytes
Correct Answer: A
Rationale: ECG, CBC, and urinalysis are standard preoperative tests to assess cardiac, hematologic, and renal function.
What are the primary responsibilities of the circulating nurse in surgery?
- A. Serving as the primary patient advocate
- B. Keeping notes of the surgical procedure
- C. Calling time outs
- D. Maintaining patient rights
Correct Answer: A,C,D
Rationale: The circulating nurse advocates for the patient, ensures safety protocols (time outs), and upholds patient rights.
Which of the following patients is scheduled for palliative surgery?
- A. A patient scheduled for tonsillectomy due to repeated throat infections
- B. A patient scheduled for repair of a gastric ulcer due to lack of healing with medication
- C. A patient scheduled for removal of an untreatable cancerous brain tumor due to its impingement on the optic nerve
- D. A patient scheduled for breast enlargement so that her body shape will be better balanced
- E. A patient scheduled for a hysterectomy (removal of female reproductive organs) due to severe endometriosis
Correct Answer: C
Rationale: Palliative surgery, like removing a tumor to relieve symptoms (e.g., optic nerve pressure), aims to improve quality of life, not cure.
What are the purposes for administering preop medication?
- A. Decrease risk of infection
- B. Prevent aspiration during anesthesia
- C. Decrease intraoperative anesthesia
- D. Convenience to surgical staff
Correct Answer: B,C
Rationale: Preop medications reduce aspiration risk (e.g., antacids) and minimize anesthesia needs (e.g., sedatives).
Which of the following pieces of medical history would be pertinent regarding a patient being assessed to undergo a major abdominal surgery?
- A. Recent seizures
- B. History of rubella
- C. Has had multiple lacerations sutured
- D. Takes medication for cardiac problems
- E. Is allergic to milk
Correct Answer: A,D
Rationale: Seizures and cardiac medications are critical to assess for surgical risks, such as anesthesia complications or cardiac stress.