EAQ 17, final
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Questions and Answers

Which medicine is used for conscious sedation?

  • Phenytoin
  • Midazolam (correct)
  • Furosemide
  • Tobramycin

Which is the primary goal of including family members or significant others in postoperative teaching?

  • They can coach and encourage the patient after surgery. (correct)
  • They can teach the patient what to do after the surgery
  • It relieves anxiety over their family members
  • It frees up th recovery nurse for other tasks

The nurse works in an ambulatory surgical center. The nurse checks the vital signs of patients in the preoperative period. What would the vital signs indicate?

  • Patient's stability (correct)
  • Fear and stress
  • Health of the patient (correct)
  • Baseline for intraoperative assessment (correct)

What patient preparation is needed on the day of a surgery involving general anesthesia?

<p>Provide a partial bath (B)</p> Signup and view all the answers

What is most likely to be effective in meeting a patient's teaching and learning needs preoperatively?

<p>Teaching the patient and family (B)</p> Signup and view all the answers

Which conditions may increase the risk for infection in a patient after surgery? SATA

<p>Chemotherapy (A), Diabetes mellitus (C), Bone marrow alterations (D)</p> Signup and view all the answers

Advanced age causes an increased risk during surgery for which condition?

<p>Hypothermia (B)</p> Signup and view all the answers

The nurse tells the health care provider that a patient scheduled for surgery is on active radiation therapy. For what is the patient at risk?

<p>Poor wound healing (B)</p> Signup and view all the answers

A patient scheduled for elective surgery had a light meal an hour before surgery. The nurse documents and reports this to the anesthesia provider. Which risk might the nurse anticipate during surgery?

<p>Aspiration (B)</p> Signup and view all the answers

Which medical conditions increase the risk of surgery? SATA

<p>Diabetes mellitus (A), Upper respiratory tract infection (B), Fever (C), Obstructive sleep apnea (D)</p> Signup and view all the answers

Which risks are associated with clot formation in the older adult after surgery?

<p>Increased calcium and cholesterol deposits in the small arteries (D)</p> Signup and view all the answers

Which range includes the normal values of prothrombin time (PT)?

<p>11 to 12.5 seconds (C)</p> Signup and view all the answers

While providing perioperative care to a 78-year-old patient, the nurse instructs the patient to ambulate and then sit in a chair every 2 hours following surgery. Which rationale explains this nursing intervention (select all that apply)?

<p>To maintain optimal residual capacity of the lungs (B), To decrease gastric reflux and indigestion (C), To reduce the risk of pressure ulcers (D)</p> Signup and view all the answers

Which question would the nurse ask a patient when performing the assessment of cardiac history (select all that apply)?

<p>&quot;Which medications are you taking?&quot; (B), &quot;Do you have any trouble breathing?&quot; (C), &quot;On a scale of 0 to 10, how severe would you rate your pain?&quot; (D)</p> Signup and view all the answers

Which action would the nurse take after administering preoperative medications?

<p>Restrict the patient from leaving the bed. (B)</p> Signup and view all the answers

A patient is scheduled for cholecystectomy. The patient has been hypertensive for the past 15 years. In what category should the patient be placed based on physical status classification of the American Society of Anesthesiologist (ASA)?

<p>ASA III (P3) (B)</p> Signup and view all the answers

Which patient is at risk for a latex allergy (select all that apply)?

<p>The patient with a history of spina bifida (A), The patient who has a spinal cord injury (B), The patient who has a urogenital abnormality (D)</p> Signup and view all the answers

Which method is most effective for the nurse to validate informed consent?

<p>Ask the patient what is understood regarding the procedure (C)</p> Signup and view all the answers

The nurse is preparing a patient for colon surgery. The nurse administers enemas to the patient until the enema return solution contains no solid fecal material. Which rationale explains this intervention?

<p>It prevents fecal contamination (D)</p> Signup and view all the answers

A patient schedules for surgery has a history of epileptic seizures and has been taking phenytoin for a prolonged time. Which condition is the patient at risk of?

<p>Anesthesia complications (D)</p> Signup and view all the answers

Which action by a nursing student indicated a need for correction regarding the patient's care (select all that apply)?

<p>Discussing the patient's case on social media (A), Educating the patient about preanesthesia in the public hospital hall (C)</p> Signup and view all the answers

A patient with acquired immunodeficiency syndrome (AIDS) is at an increased risk of which condition following surgery?

<p>Infection (A)</p> Signup and view all the answers

Which information about general anesthesia would the nurse include in the preoperative teaching (select all that apply)?

<p>The entire body is anesthetized (A), The anesthesia is administered intravenously or by inhalation (B), Drug calculation is based on the patient's condition, weight, and duration of surgery (D)</p> Signup and view all the answers

Which statement describes an advantage of conscious sedation versus general anesthesia (select all that apply)?

<p>The patient independently maintains the airway (A), The patient has the ability to respond to verbal stimuli (B), There is a reduction of fear and anxiety (C)</p> Signup and view all the answers

Which laboratory finding supports the nurse's conclusion that a patient is at an increased risk of bleeding during surgery?

<p>Platelet count, 100,000 cells/mm^3 (B)</p> Signup and view all the answers

Which special precaution is required for a patient who is latex sensitive scheduled for surgery (select all that apply)?

<p>Use stopcocks to inject medications (A), Remove all latex products from the operating room (C), Use a nonlatex breathing circuit with a plastic mask and bag (D)</p> Signup and view all the answers

Which nursing action is appropriate to relieve anxiety in a patient scheduled for surgery the next morning?

<p>Administer alprazolam to the patient (B)</p> Signup and view all the answers

A patient is scheduled for coronary artery bypass graft surgery. While going through the patient's medical records, the nurse finds that the patient has a medical condition that may affect the outcome of the surgery. Which condition is the patient likely suffering from?

<p>Thrombocytopenia (B)</p> Signup and view all the answers

Which action would be part of a preoperative pain assessment (select all that apply)?

<p>Teaching the patient to use a pain scale (A), Asking the patient about past surgical experiences (B), Educating the patient about operational procedures (D)</p> Signup and view all the answers

The nurse records the blood pressure of a preoperative patient as 150/110 mm Hg. Which condition might the nurse anticipate in the patient during surgery?

<p>Inadequate tissue oxygenation (B)</p> Signup and view all the answers

Which actin by a patient on the day of surgery indicated a need for further learning?

<p>Avoiding emptying the bladder before surgery (D)</p> Signup and view all the answers

Which type of medical condition causes an increased risk of infection and delayed wound healing after surgery?

<p>Bone marrow depression (B)</p> Signup and view all the answers

After a surgical patient has been given preoperative sedatives, which safety precaution should a nurse take?

<p>Reinforce to the patient to remain in bed or on the stretcher (A)</p> Signup and view all the answers

Conscious sedation is being considered for a patient undergoing a cervical dilation and endometrial biopsy in the health care provider's office. The patient asks the nurse, "What is conscious sedation?" How would the nurse respond?

<p>&quot;It enables the patient to respond to commands and tolerate painful procedures&quot; (B)</p> Signup and view all the answers

After assessing a 5-foot-6-inch (167.7 cm), 19-year-old patient who has appendicitis, the nurse documents the body weight of the patient as 90 kg (194.8 pounds). Which factor puts the patient at risk of death?

<p>Blood pressure of 150/98 mm Hg (D)</p> Signup and view all the answers

The nurse is reviewing the medical records of four patients preoperatively. Which patient will the nurse carefully observe for a drop in oxygen saturation during surgery?

<p>Patient A (Opioids and Obstructive Sleep Apnea) (A)</p> Signup and view all the answers

The laboratory findings of a patient scheduled for a colostomy show a hemoglobin (Hgb) level of 7 g/dL and a red blood cell (RBC) count of 3 million cells/mcL. Which nursing action is appropriate in this situation?

<p>Monitoring oxygen saturation (A)</p> Signup and view all the answers

The nurse is reviewing the laboratory reports of four patients. Which patient is at risk for cardiac dysrhythmias?

<p>Patient B (Potassium 2.6mEq/L) (B)</p> Signup and view all the answers

A patient is scheduled for surgery. The patient has been fasting the whole night. The surgery was postponed for 3 hours, and the patient feels hungry. What is the most appropriate nursing action?

<p>Give clear liquids to the patient. (A)</p> Signup and view all the answers

Which patient is the most susceptible to infection and impaired wound healing following surgery?

<p>A patient who has diabetes mellitus (B)</p> Signup and view all the answers

Which action by a student nurse needs correction regarding preoperative care?

<p>Instructing the patient to avoid foods rich in carbs and immune-enhancing vitamins 1 week before surgery (C)</p> Signup and view all the answers

A patient with a reduced glomerular filtration rate is at an increased risk of which complication during surgery?

<p>fluid and electrolyte imbalance (D)</p> Signup and view all the answers

A patient diagnosed with appendicitis is advised to have surgery. After collecting the patient's medical history, the nurse anticipates that the surgery will be postponed. Which option may necessitate surgical postponement?

<p>The patient takes aspirin for cardiovascular disease. (C)</p> Signup and view all the answers

conditions is the three-enema limit aiming to prevent? SATA

<p>Hypokalemia (B), Fluid and electrolyte imbalance (D)</p> Signup and view all the answers

The chest x-ray of a patient shows stiffened lung tissue and enlarged air spaces. For what risk does this put the patient during surgery?

<p>Reduced blood oxygenation (D)</p> Signup and view all the answers

The nurse completes bowel preparation for the patient who is scheduled for colon surgery. What is the rationale for this nursing intervention?

<p>To prevent contamination of surgical wound (D)</p> Signup and view all the answers

While performing preoperative assessment, the nurse inspects the bony prominences of a 73-year-old patient for signs of pressure. For which condition is the nurse evaluating?

<p>Sensory loss (B), Fragility of the skin (D)</p> Signup and view all the answers

The nurse is reviewing medical reports of four patients. Which patient is at an increased risk for clot formation in the lower extremities after surgery?

<p>A patient who has increased calcium levels (A)</p> Signup and view all the answers

Which complications might the patient experience during and after surgery?

<p>Hypoxia (A), Decreased cardiac output (C), Increased blood pressure (D)</p> Signup and view all the answers

Flashcards

Conscious Sedation

A method of sedation where the patient remains awake but relaxed, enabling them to tolerate procedures.

Postoperative Family Teaching Goal

To support the patient's recovery and encourage the patient through coaching and encouragement.

Preoperative Vital Signs

Checking vital signs to determine the patient's stability before surgery.

General Anesthesia Patient Preparation

Giving a partial bath to the patient on the day of general anesthesia to reduce infection risk.

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Effective Preoperative Teaching

Involving both the patient and their family in teaching and learning sessions.

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Surgical Infection Risk Factors

Conditions that raise the risk of postoperative infections, including chemotherapy.

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Surgery Risk in the Elderly

Advanced age increases the risk of hypothermia during surgery.

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Radiation Therapy and Surgery Risk

Active radiation therapy increases the risk of poor wound healing after surgery.

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Preoperative Meal and Aspiration

A light meal before surgery increases the risk of aspiration during general anesthesia.

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Medical Conditions Increasing Surgery Risk

Conditions like diabetes mellitus increase the risk of complications during surgery.

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Clot Formation Risk in Older Adults

Older adults are at an increased risk of clot formation post-surgery because of artery deposits.

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Prothrombin Time (PT) Range

Normal PT values fall within 11 to 12.5 seconds.

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Perioperative Ambulation

Encouraging ambulation and sitting every 2 hours post-surgery maintains lung function.

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Cardiac History Questions

To assess cardiac history, ask about medications and past medical conditions.

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Post-Preoperative medication action

Restricting movement to ensure patient safety and reduce the risk of injury. Restricting leaving the bed.

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ASA Physical Status Classification

Patients with long-term hypertension are categorized as ASA III (P3).

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Latex Allergy Risk Factors

Patients with a history of spina bifida may experience a latex allergy.

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Validating Informed Consent

Confirming the patient's understanding of the procedure through questioning.

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Preoperative Bowel Preparation

Bowel preparation for colon surgery involves enemas until the returned fluid is clear.

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Epilepsy and Anesthesia Risk

Patients with epilepsy, taking phenytoin, are at risk for complications during anesthesia.

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Inappropriate Patient Case Discussion

Discussing patient cases on social media is inappropriate and unprofessional.

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AIDS and Postoperative Infection

Patients with AIDS are more susceptible to postoperative infections.

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General Anesthesia Teaching

Teaching includes the complete body's effect, causing unconsciousness and relaxation.

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Conscious Sedation Advantage

Conscious sedation allows for patient airway management by maintaining wakefulness.

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Bleeding Risk Laboratory Finding

A platelet count below the typical range indicates an increased risk of bleeding.

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Latex Allergy Precautions

Patients with latex allergies need special precautions such as stopcocks with medications.

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Anxiety Relief in Preoperative Patients

Preoperative anxiety can be relieved by medications like alprazolam.

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Surgery Outcomes and Thrombocytopenia

A patient with thrombocytopenia (low platelets) may affect the outcome of surgery.

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Preoperative Pain Assessment Includes

Preoperative pain assessment includes educating the patient on the use of a pain scale.

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Preoperative High Blood Pressure Risk

Preoperative blood pressure above normal can lead to inadequate tissue oxygenation.

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