Nursing 120 Med Surg 1 Quiz 1 Questions and Answers | Latest Answers 2023 | West Coast University | Rated 100%.

Nursing 120 Med Surg 1 Quiz 1 Questions and Answers | Latest Answers 2023 | West Coast University | Rated 100%. A patient is scheduled for surgery requiring general anesthesia at an ambulatory surgical center. The nurse asks him when he ate last. He replies that he had a light breakfast a couple of hours before coming to the surgery center. What should the nurse do first? a. Tell the patient to come back tomorrow, since he ate a meal. b. Proceed with the preoperative checklist, including site identification. c. Notify the anesthesia care provider of when and what the patient last ate. d. Have the patient void before administering any preoperative medications. Correct answer: c Rationale: The nothing-by-mouth (NPO) protocol of each surgical facility should be followed. Restriction of fluids and food is designed to minimize the potential risk of pulmonary aspiration and to decrease the risk of postoperative nausea and vomiting. If a patient has not followed the NPO instructions, surgery may be delayed or canceled. The nurse should notify the anesthesia care provider immediately. A patient who normally takes 40 units of glargine insulin (long acting) at bedtime asks the nurse what to do about her dose the night before surgery. The best response would be to have her a. skip her insulin altogether the night before surgery. b. take her usual dose at bedtime and eat a light breakfast in the morning. c. eat a moderate meal before bedtime and then take half her usual insulin dose. d. get instructions from her surgeon or health care provider on any insulin adjustments. Correct answer: d Rationale: Insulin is not usually omitted completely. The patient should obtain instructions from her health care provider or surgeon about any dosage adjustments that she should make the day before and the morning of surgery (if applicable).