Nsg 331 - Summer/Fall 2025 CH 17 EAQ Preoperative Care
Questions With Complete Solutions
A 17-year-old patient that is an emancipated minor with an arm
fracture is scheduled for surgery and shows the nurse a
statement from the court for verification. Which intervention by
the nurse is most appropriate?
a. Notify the health care provider that the patient is below 18
years old.
b. Witness the operative permit after the health care provider
obtains consent.
c. Call a parent or legal guardian to sign the permit because the
patient is under 18.
d. Investigate the state's nurse practice act related to
emancipated minors and informed consent. Correct Answers
ANS: B
An emancipated minor may sign his or her own permit. The
nurse should be available to witness the signature, but no further
action is required. The health care provider does not need to
know the patient is under 18. The parent or guardian does not
have the legal right to sign the consent. The nurse practice act
for each state may vary, but an emancipated minor may sign for
himself or herself legally.
,A diabetic patient taking insulin is scheduled for a
thyroidectomy. What should the nurse tell the patient about
insulin injections around the time of the surgery?
a. Insulin should be given only after the surgery.
b. Insulin should be stopped one day before surgery.
c. Insulin should be stopped at least one week before surgery.
d. Insulin will be given after arrival in the preoperative holding
area. Correct Answers ANS: D
Blood glucose levels should be well maintained in diabetic
patients, so they should be given a dose of insulin in the
preoperative holding room or operating room. Insulin is injected
subcutaneously. If insulin is given only after surgery,
maintaining the sugar level during surgery would be difficult.
Stopping insulin one day or one week before surgery is not
advised.
A nurse discusses pain medications when providing preoperative
teaching to a patient. The patient asks the nurse about the effects
of opioid medications. What should the nurse include in the
explanation? Select all that apply.
a. Opioids cause amnesia.
b. Opioids decrease intraoperative pain.
c. Opioids decrease the risk of infections.
,d. Opioids relieve pain during preoperative procedures.
e. Opioids decrease intraoperative anesthetic requirements.
Correct Answers ANS: B D E
Opioid drugs are often used before surgery to decrease
intraoperative pain and anesthetic requirements. They also help
relieve pain during preoperative procedures. Opioids do not
have amnestic or sedative actions. Opioids have no effect on the
risk of postoperative infections.
A nurse is preparing a patient for cataract surgery. The nurse
needs to instill different eye drops into the patient's eyes. How
many minutes should the nurse wait between each set of eye
drops?
a. 5 minutes
b. 10 minutes
c. 30 minutes
d. There is no wait time between instillations. Correct Answers
ANS: A
A nurse is providing teaching about the risk of postoperative
bleeding to a patient who is scheduled for surgery in two weeks.
What information should the nurse include?
a. Fish oils help prevent postoperative bleeding.
, b. Vitamin E helps prevent postoperative bleeding.
c. Stop taking herbal medicines; they may increase the risk of
postoperative bleeding.
d. Aspirin is an appropriate medication to take for pain; it does
not affect postoperative bleeding. Correct Answers ANS: C
Herbal medicines increase the risk of bleeding, so the patient
should be advised to stop all herbal supplements 2 to 3 weeks
before any surgical procedure. Aspirin has antiplatelet action
and can cause bleeding, so it should be avoided during
perioperative care. Other supplements that increase the risk of
bleeding include fish oil, garlic, vitamin E, and ginkgo.
A patient asks the nurse whether it is alright to take regularly
scheduled insulin on the morning of surgery. What is the most
appropriate nursing action?
a. Inform the patient to skip the insulin dose on the morning of
surgery.
b. Tell the patient to take half the usual dose on the morning of
surgery.
c. Tell the patient to take the same dose as he or she is currently
taking every day.
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