Preoperative Teaching (PP) Flashcards
The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient’s laboratory tests and allergies and prepares the patient for surgery. In which perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
b. Preoperative
Which nursing goal is a priority for assessing the patient before surgery?
a. Plan for care after the procedure.
b. Establish a patient’s baseline of normal function.
c. Educate the patient and family about the procedure.
d. Gather appropriate equipment for the patient’s needs.
b. Establish a patient’s baseline of normal function.
The nurse caring for a preoperative patient teaches the principles and demonstrates leg exercises for the patient. The patient is unable to perform leg exercises correctly. What is the nurse’s best next step?
a. Encourage the patient to practice at a later date.
b. Assess for the presence of anxiety, pain, or fatigue.
c. Ask the patient why exercises are not being done.
d. Evaluate the educational methods used to educate the patient.
b. Assess for the presence of anxiety, pain, or fatigue.
The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which will be the best explanation for diet progression after surgery?
a. “Start with clear liquids, soup, and crackers. Advance to a normal diet as
tolerated.”
b. “Stay with ice chips for several hours. After that, you can have whatever you
want.”
c. “Stay on clear liquids for 24 hours. Then you can progress to a normal diet.”
d. “Start with clear liquids for 2 hours and then full liquids for 2 hours. Then
progress to a normal diet.”
a. “Start with clear liquids, soup, and crackers. Advance to a normal diet as
tolerated. ”
The nurse explains the pain-relief measures available after surgery during preoperative teaching for a surgical patient. Which comment from the patient indicates the need for additional education on this topic?
a. “I will be asked to rate my pain on a pain scale.”
b. “I will have minimal pain because of the anesthesia.”
c. “I will take the pain medication as the provider prescribes it.”
d. “I will take my pain medications before doing postoperative exercises.”
b. “I will have minimal pain because of the anesthesia.”
The nurse is making a preoperative education appointment with a patient. The patient asks if a family member should come to the appointment. Which is the best response by the nurse?
a. “There is no need for an additional person at the appointment.”
b. “Your family can come and wait with you in the waiting room.”
c. “We recommend including family members at this appointment.”
d. “It is required that you have a family member at this appointment.”
c. “We recommend including family members at this appointment.”
The nurse is reviewing the surgical consent with the patient during preoperative education and finds the patient does not understand what procedure will be performed. What is the nurse’s best next step?
a. Notify the health care provider about the patient’s question.
b. Explain the procedure that will be completed.
c. Continue with preoperative education.
d. Ask the patient to sign the form.
a. Notify the health care provider about the patient’s question.
During preoperative assessment for a 7:30 AM (0730) surgery, the nurse finds the patient drank a cup of coffee this morning. The nurse reports this information to the anesthesia provider. Which action does the nurse anticipate next?
a. A delay in or cancellation of surgery
b. Questions regarding components of the coffee
c. Additional questions about why the patient had coffee
d. Instructions to determine what education was provided in the preoperative visit
a. A delay in or cancellation of surgery
The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next?
a. Notify the operating suite that the medication has been given.
b. Instruct the patient to call for help to go to the restroom.
c. Waste any unused medication according to policy.
d. Ask the patient to sign the consent for surgery.
b. Instruct the patient to call for help to go to the restroom.
The nurse has completed a preoperative assessment for a patient going to surgery and gathers assessment data. Which will be the most important next step for the nurse to take?
a. Notify the operating suite that the patient has a latex allergy.
b. Document that the patient had a bath at home this morning.
c. Administer the ordered preoperative intravenous antibiotic.
d. Ask the nursing assistive personnel to obtain vital signs.
a. Notify the operating suite that the patient has a latex allergy.
The nurse is caring for a patient in the preoperative holding area of an ambulatory surgery center. Which nursing action will be most appropriate for this area?
a. Counting the sterile surgical instruments
b. Emptying the urinary drainage bag
c. Checking the surgical dressing
d. Appling a warm blanket
d. Appling a warm blanket
The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the nurse trying to achieve? (Select all that apply.)
a. Induce shivering.
b. Reduce blood loss.
c. Induce pressure ulcers.
d. Reduce cardiac arrests.
e. Reduce surgical site infection.
b. Reduce blood loss.
d. Reduce cardiac arrests.
e. Reduce surgical site infection.
The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment. Which points should the nurse include in the teaching session? (Select all that apply.)
a. The operative suite will be very dark.
b. The family is not allowed in the operating suite.
c. The operating table or bed will be comfortable and soft.
d. The nurses will be there to assist you through this process.
e. The surgical staff will be dressed in special clothing with hats and masks.
b. The family is not allowed in the operating suite.
d. The nurses will be there to assist you through this process.
e. The surgical staff will be dressed in special clothing with hats and masks.
