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Questions and Answers

What is a major consideration when managing cardiovascular disease in the surgical setting?

  • Stopping all medications preoperatively
  • Requiring patients to fast before surgery
  • Avoiding all forms of stress preoperatively
  • Optimizing blood pressure before surgery (correct)
  • Which condition is NOT a risk factor for increased surgical complications?

  • Diabetes
  • Healthy cardiovascular function (correct)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Hypertension
  • Which preoperative management is most critical for a patient with diabetes?

  • Instructing to eat a large meal before surgery
  • Avoiding any form of exercise prior to surgery
  • Discontinuing all diabetic medications
  • Adjusting insulin and monitoring glucose levels (correct)
  • What effect does respiratory disease have on surgical risks?

    <p>Increases the risk of postoperative respiratory failure</p> Signup and view all the answers

    What is a common postoperative complication for diabetic patients?

    <p>Increased risk of infection</p> Signup and view all the answers

    Which of the following is an important strategy for managing heart failure in the surgical context?

    <p>Use of diuretics and careful fluid management</p> Signup and view all the answers

    How does chronic obstructive pulmonary disease (COPD) affect surgical patients?

    <p>It increases the risk for postoperative pneumonia</p> Signup and view all the answers

    What is one of the key factors to monitor for diabetic patients during surgery?

    <p>Blood glucose levels</p> Signup and view all the answers

    What is the primary mechanism of action of beta-blockers in the preoperative period?

    <p>Block beta-adrenergic receptors to reduce heart rate and blood pressure</p> Signup and view all the answers

    Why is it important to continue beta-blockers in patients with a history of myocardial infarction during the perioperative phase?

    <p>To decrease the risk of perioperative cardiac events</p> Signup and view all the answers

    What is a common nursing consideration when administering anticoagulants prior to surgery?

    <p>Ensuring reversal agents are available if needed</p> Signup and view all the answers

    When should warfarin typically be discontinued before surgery?

    <p>5-7 days before surgery</p> Signup and view all the answers

    What is a primary indication for using insulin in the preoperative setting for diabetic patients?

    <p>Managing blood glucose during fasting</p> Signup and view all the answers

    What kind of monitoring is essential when administering insulin to a patient preoperatively?

    <p>Monitoring blood glucose levels frequently</p> Signup and view all the answers

    Which of the following represents a common anticoagulant that may be used in the preoperative phase?

    <p>Enoxaparin</p> Signup and view all the answers

    What is a critical nursing consideration when using beta-blockers in the preoperative period?

    <p>Holding the medication if the patient has a low heart rate or blood pressure</p> Signup and view all the answers

    What is the primary mechanism of action for Cefazolin?

    <p>Inhibits bacterial cell wall synthesis</p> Signup and view all the answers

    When should antibiotics be administered preoperatively for prophylaxis?

    <p>60 minutes before the surgical incision</p> Signup and view all the answers

    Which sedative is most commonly used for preoperative anxiety reduction?

    <p>Midazolam</p> Signup and view all the answers

    What is a critical nursing consideration when administering Lorazepam?

    <p>Monitor for respiratory depression</p> Signup and view all the answers

    Which medication is preferred for its efficacy and lower side effect profile in preventing nausea?

    <p>Ondansetron</p> Signup and view all the answers

    What is the reversal agent that should be available when using benzodiazepines?

    <p>Flumazenil</p> Signup and view all the answers

    Which of the following antibiotics is used specifically for MRSA coverage?

    <p>Vancomycin</p> Signup and view all the answers

    What side effect should be monitored for when administering Metoclopramide?

    <p>Extrapyramidal symptoms</p> Signup and view all the answers

    What preoperative intervention is essential for a patient with Obstructive Sleep Apnea?

    <p>Employing CPAP machines</p> Signup and view all the answers

    Which of the following actions is NOT a part of health teaching in the preoperative phase?

    <p>Performing the surgery</p> Signup and view all the answers

    What is a priority assessment performed preoperatively to evaluate a patient's blood status?

    <p>CBC or hemoglobin level</p> Signup and view all the answers

    Which statement best describes a common psychological concern for preoperative patients?

    <p>Anxiety about unknown experiences</p> Signup and view all the answers

    What should be ensured regarding the surgical consent form?

    <p>The procedure matches the consent</p> Signup and view all the answers

    To minimize a patient's anxiety, which action is NOT recommended?

    <p>Promoting isolation</p> Signup and view all the answers

    Which laboratory test is specifically recommended for female patients in the preoperative phase?

    <p>Pregnancy test</p> Signup and view all the answers

    What aspect of airway management is critical for patients undergoing anesthesia?

    <p>Assessing for sleep apnea risks</p> Signup and view all the answers

    During preoperative patient preparation, what should be applied if indicated?

    <p>An allergy band</p> Signup and view all the answers

    Which of the following should NOT be part of preoperative patient documentation?

    <p>Patient's social background</p> Signup and view all the answers

    What is the primary purpose of Naloxone?

    <p>Reversing opioid overdose</p> Signup and view all the answers

    Flumazenil is contraindicated in which condition?

    <p>Benzodiazepine dependence</p> Signup and view all the answers

    Which statement best describes the mechanism of action of reversal agents?

    <p>They act as competitive antagonists at specific receptors.</p> Signup and view all the answers

    What is an important nursing consideration when administering Naloxone?

    <p>Titrating the dose carefully to avoid withdrawal</p> Signup and view all the answers

    Who is responsible for managing anesthesia and monitoring vital signs during surgery?

    <p>Anesthesiologist/CRNA</p> Signup and view all the answers

    What is a crucial role of the circulating nurse?

    <p>Coordinating care and documenting the procedure</p> Signup and view all the answers

    Which intervention is NOT typically associated with the preoperative phase?

    <p>Administering postoperative medications</p> Signup and view all the answers

    What is a key expected outcome of effective preoperative teaching?

    <p>Demonstration of preoperative exercises</p> Signup and view all the answers

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