Exam (elaborations)
The Perioperative Experience Questions and Answers 2024
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The Perioperative Experience
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The Perioperative ExperienceSurgery - answer the art science of treating diseases, injuries, and deformities by
operation and instrumentation.
This type of surgery is used to determine the presence of a pathalogic condition; (eg:
lymph node biopsy)
1. Diagnosis
2. Cure
3. Palliation
4. Prevention
5. Exploration
6. Cosmetic improvement - answer1. Diagnosis- Determine the presence and extent of
a pathologic condition
A Doctor performs this type of surgery to alleviate symptoms without curing. (eg: cutting
a nerve root to remove symptoms of pain)
1. Diagnosis
2. Cure
3. Palliation
4. Prevention
5. Exploration
6. Cosmetic improvement - answer3. Palliation- alleviate symptoms without curing.
The type of surgery that will eliminate or repair a pathologic condition is; (eg; remove a
ruptured appendix)
1. Diagnosis
2. Cure
3. Palliation
4. Prevention
5. Exploration
6. Cosmetic improvement - answer2. Cure- eliminate or repair a pathologic condtion
The Nurse must ensure this documents are in the patient's chart, prior to surgery; -
answersigned informed consent, lab and diagnostic data, H&P, baseline vital signs &
completed nursing notes.
When reviewing the preoperative forms, the nurse notices that the informed consent
form is not present or signed. What is the best action for the nurse to take?
A. Have the patient sign the consent form.
B. Have the family sign the form for the patient.
C. Call the surgeon to obtain consent for surgery.
, D. Teach the patient about the surgery and get verbal permission. - answerC. Call the
surgeon to obtain consent for surgery.
The informed consent for the surgery must be obtained by the physician. The nurse can
witness the signature on the consent form and verify that the patient (or caregiver if
patient is a minor, unconscious, or mentally incompetent to sign) understands the
informed consent. Verbal consents are not enough. The state's nurse practice act and
agency policies must be followed.
It is 6:00 AM. The anesthesiologist prescribes preoperative medications for a patient
who is scheduled for surgery at 7:30 AM: cefazolin (Ancef) IV to be infused 30 minutes
before surgery; midazolam (Versed) before surgery and scopolamine patch (Transderm
Scop) behind the ear. Which medication should the nurse administer first?
A. Cefazolin (Ancef)
B. Fentanyl (Sulimaze)
C. Midazolam (Versed)
D. Scopolamine (Transderm Scop) - answerD. Scopolamine (Transderm Scop)
The scopolamine patch (Transderm Scop) will be administered first to allow enough
time for the serum level to become therapeutic. The cefazolin (Ancef) will be given at
7:00 AM to allow infusion 30 minutes before surgery. Fentanyl (Sulimaze) is a narcotic
and was not ordered preoperatively. The midazolam (Versed), a short-acting
benzodiazepine, is used as a sedative.
What is the primary reason for accurately recording the patient's current medications
during a preoperative assessment?
A. Some medications may alter the patient's perceptions about surgery.
B. Many anesthetics alter renal and hepatic function, causing toxicity of other drugs.
C. Some medications may interact with anesthetics, altering the potency and effect of
the drugs.
D. Routine medications are withheld the day of surgery, requiring dosage and schedule
adjustments after surgery. - answerC. Some medications may interact with anesthetics,
altering the potency and effect of the drugs.
Drug interactions may occur between prescribed medications and anesthetic agents
used during surgery. For this reason, it is important to take a careful medication history
and check that they have been communicated to the anesthesia care provider. Routine
medications may or may not be prescribed for use the day of surgery.
As the nurse is preparing a patient for outpatient surgery, the patient wants to give his
hearing aid to his wife so it will not be lost during surgery. Which action by the nurse
should be taken in this situation?
A.Give the hearing aid to the wife as he wishes.
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