Med Surge Exam 2 PERIOPERATIVE CARE
questions and answers graded A+ updated
1. The nurse in an ambulatory
C
surgery center has
The patient has received a sedative (diazepam)
administered the following
and should be transported either by stretcher
preoperative med- ications
(with side rails raised) or wheelchair and
to a 42-year-old female
accompanied by either OR statt, OR transport
patient scheduled for
general surgery: diazepam personnel, or the nurse.
(Valium), ce- fazolin (Ancef),
and famotidine (Pepcid).
What mode of trans-
portation to the operating
room (OR) would be the most
appropri- ate for the nurse to
arrange for this patient?
a. Seated in a wheelchair
accom- panied by a
responsible family member
b. Ambulatory and
accompanied by a hospital
escort and a family
member
c. Stretcher with side rails up
and accompanied by OR
transporta- tion personnel
d. Ambulatory accompanied by
an OR staff member or
transporta- tion personnel
B
2. Lorazepam (Ativan) 1 mg IV is
The nurse should instruct the patient to void before
or- dered for a 45-year-old
ad- ministering preoperative medications that may
male pa- tient before a
interfere
scheduled surgery.
,Med Surge Exam 2 PERIOPERATIVE CARE
questions and answers graded A+ updated
Which of the following is the most with balance and increase the fall risk when
ambulating
appropriate action for the to the bathroom. Lorazepam is a benzodiazepine
nurse to take before the that may be used for sedation and amnesia
administration of this before surgery. Lorazepam does not attect serum
medication? potassium, is not con-
,Med Surge Exam 2 PERIOPERATIVE CARE
questions and answers graded A+ updated
a.Ask the patient about an allergy traindicated in patients with allergies to iodine
or shellfish,
to iodine or shellfish. and is not indicated to prevent or treat nausea.
b. Encourage or assist the
patient to the bathroom to
void.
c. Explain that the medication
is used to prevent
postoperative nausea.
d. Check the laboratory results
for the most recent serum
potassium level.
C
3. The nurse is assigned to
If the patient does not speak English, it is essential
pro- vide preoperative
that the services of a competent translator be
teaching to a 54-year-old
obtained. Hospitals are required to provide
man who is sched- uled for
translators for common languages other than
coronary artery bypass
surgery. The patient speaks English. Demonstration and return demon-
only
Spanish but the nurse only speaks stration is the most ettective teaching method
for use of
English. What is the best speaking patient in the
method for the nurse to teach preoperative area to translate
the patient how to use an as the nurse describes the
incentive spirome- ter? procedure.
a. Give the patient a c. Have the hospital
pamphlet written in translator available while the
Spanish with direc- tions on nurse demon- strates the
the use of the incentive procedure and the pa-
spirometer.
b. Ask another Spanish-
, Med Surge Exam 2 PERIOPERATIVE CARE
questions and answers graded A+ updated
equipment such as the incentive spirometer
and should be done in the preoperative period if
possible.
questions and answers graded A+ updated
1. The nurse in an ambulatory
C
surgery center has
The patient has received a sedative (diazepam)
administered the following
and should be transported either by stretcher
preoperative med- ications
(with side rails raised) or wheelchair and
to a 42-year-old female
accompanied by either OR statt, OR transport
patient scheduled for
general surgery: diazepam personnel, or the nurse.
(Valium), ce- fazolin (Ancef),
and famotidine (Pepcid).
What mode of trans-
portation to the operating
room (OR) would be the most
appropri- ate for the nurse to
arrange for this patient?
a. Seated in a wheelchair
accom- panied by a
responsible family member
b. Ambulatory and
accompanied by a hospital
escort and a family
member
c. Stretcher with side rails up
and accompanied by OR
transporta- tion personnel
d. Ambulatory accompanied by
an OR staff member or
transporta- tion personnel
B
2. Lorazepam (Ativan) 1 mg IV is
The nurse should instruct the patient to void before
or- dered for a 45-year-old
ad- ministering preoperative medications that may
male pa- tient before a
interfere
scheduled surgery.
,Med Surge Exam 2 PERIOPERATIVE CARE
questions and answers graded A+ updated
Which of the following is the most with balance and increase the fall risk when
ambulating
appropriate action for the to the bathroom. Lorazepam is a benzodiazepine
nurse to take before the that may be used for sedation and amnesia
administration of this before surgery. Lorazepam does not attect serum
medication? potassium, is not con-
,Med Surge Exam 2 PERIOPERATIVE CARE
questions and answers graded A+ updated
a.Ask the patient about an allergy traindicated in patients with allergies to iodine
or shellfish,
to iodine or shellfish. and is not indicated to prevent or treat nausea.
b. Encourage or assist the
patient to the bathroom to
void.
c. Explain that the medication
is used to prevent
postoperative nausea.
d. Check the laboratory results
for the most recent serum
potassium level.
C
3. The nurse is assigned to
If the patient does not speak English, it is essential
pro- vide preoperative
that the services of a competent translator be
teaching to a 54-year-old
obtained. Hospitals are required to provide
man who is sched- uled for
translators for common languages other than
coronary artery bypass
surgery. The patient speaks English. Demonstration and return demon-
only
Spanish but the nurse only speaks stration is the most ettective teaching method
for use of
English. What is the best speaking patient in the
method for the nurse to teach preoperative area to translate
the patient how to use an as the nurse describes the
incentive spirome- ter? procedure.
a. Give the patient a c. Have the hospital
pamphlet written in translator available while the
Spanish with direc- tions on nurse demon- strates the
the use of the incentive procedure and the pa-
spirometer.
b. Ask another Spanish-
, Med Surge Exam 2 PERIOPERATIVE CARE
questions and answers graded A+ updated
equipment such as the incentive spirometer
and should be done in the preoperative period if
possible.
