Perioperative Review

An inpatient is scheduled to have surgery tomorrow. The nurse takes an incentive spirometer to the patient's room to provide education on its use in the postoperative period. Which of the following are instructions the nurse should include?

A presurgical patient has signed the informed consent form, after which, the nurse signs the consent form. What is the purpose of the nurse's signature?

A patient is scheduled for surgery in one hour and has had NPO after midnight orders. Blood was drawn for labwork 30 minutes ago. Under which of the following circumstances should the nurse contact the surgeon to inform them prior to the patient going to surgery? Select all that apply.

The patient is scheduled for an upper endoscopy and a colonoscopy at 1200 today. At 1000 the patient returned from hemodialysis during which heparin was administered. What is the primary risk for this patient?

Which of the following may be allowed by the surgeon for a patient who is to have nothing by mouth (NPO) for a procedure involving sedation?

Which of the following are considered to be advance directives? Select all that apply.

Prior to surgery and prior to the patient receiving any [blank_start]sedative medication[blank_end], the patient [blank_start]marks[blank_end] the surgical site and the surgeon confirms it with [blank_start]marking[blank_end] as well. This is to ensure that the correct site is [blank_start]operated on[blank_end].

The nurse knows that infection is a primary risk to a surgical patient. Which of the following interventions is most important to protect a surgical patient from infection?

Which of the following should the preoperative nurse replace prior to allowing the patient to be transported to surgery? Select all that apply.

Which of the following is included in the group of three signs that, together, can be an early indication of malignant hyperthermia? Select all that apply.

The surgical nurse is discussing the monitoring of end-tidal carbon dioxide (etCO2) during surgery with a student. Which of the following should the nurse include in the education?

Malignant hyperthermia is an emergency situation that any person undergoing surgery can experience.

The nurse is discussing patient controlled analgesia with a patient and his family members prior to surgery. When the nurse stresses the requirement that only the patient push the button for a dose of pain medication, which concept is being discussed?

The longer the surgical procedure, the higher the risk for: (select all that apply)

The nurse is receiving hand-off report from another nurse about a patient who had abdominal surgery 12 hours ago, is stable, and is ambulating several times a day without difficulty. Which of the following should the receiving nurse question and ask for clarification about?

Which of the following would NOT be expected for a patient who had open abdominal surgery 24 hours ago?

Which of the following increase the risk of delayed surgical wound healing? Select all that apply.

Which of the following are acceptable actions to delegate to unlicensed personnel such as a patient care assistant or medical assistant who has received the proper training?

It important for a nurse to recall the anatomical [blank_start]numbering[blank_end] of fingers and [blank_start]toes[blank_end] for confirmation of [blank_start]surgical site[blank_end] when one of these digits will be operated on.

Which of the following are true regarding malignant hyperthermia? Select all that apply.