Medical-Surgical Nursing Study Set 1

Nursing

Quiz 13 :

Care of Preoperative Patients

Quiz 13 :

Care of Preoperative Patients

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The patient states the surgeon discussed the addition of a second procedure to the one indicated on the consent. The patient is visibly upset that the consent he is asked to sign with the surgical resident reflects only one procedure and cannot understand why the nurse and resident do not have the authority to "fix" the consent. In addition, he states he will not take his wedding ring off because it has never left his hand since his wife put it there 30 years ago. How would you address the patient's immediate concern regarding the consent?
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Answer:

A patient tells the nurse that the surgeon had discussed the addition of a second procedure to the procedure already mentioned in the consent form. The patient is upset that the second procedure is not mentioned in the consent form. He wants the resident doctor and the nurse to fix the problem and add the second procedure to the form.
The patient also refuses to remove his wedding ring after it had been put by his wife 30 years ago.
The nurse and resident doctor can solve the issue of the second procedure by contacting the primary health care provider of the patient. They can contact the doctor who has discussed about the second procedure with the patient.
After discussion with the respective doctor, the doctor himself can add the procedure in the consent form. If not, he can give permission to the resident doctor or the nurse to add the details in the consent form.

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Because of an unexpected emergency case, a client scheduled for colon surgery at 8 AM has been rescheduled for 11 AM. What is the nurse's best action related to preoperative prophylactic antibiotic administration according to the Surgical Care Improvement Project (SCIP) guidelines?
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A patient who has been scheduled for surgery at 8am has been rescheduled to 11 am. The best action of the nurse is discussed below.
Option A cannot be the correct option since giving the preoperative antibiotic at 7 am will not help the patient at 11 am at the time of the surgery.
Option B cannot be correct as the preoperative antibiotic was scheduled to be give an hour before the operation.
Option C is the correct option since the preoperative antibiotic needs to be given 1 hour before the surgery.
Option D cannot be the correct option since the antibiotic has to work and has to be given according to the doctor's orders one hour before surgery.
Hence, the correct option is C. antibiotic needs to be given 1 hour before surgery.

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The patient states the surgeon discussed the addition of a second procedure to the one indicated on the consent. The patient is visibly upset that the consent he is asked to sign with the surgical resident reflects only one procedure and cannot understand why the nurse and resident do not have the authority to "fix" the consent. In addition, he states he will not take his wedding ring off because it has never left his hand since his wife put it there 30 years ago. Under what conditions could the second procedure be performed?
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Essay
Answer:

Answer:

A patient tells the nurse that the surgeon had discussed the addition of a second procedure to the procedure already mentioned in the consent form. The patient is upset that the second procedure is not mentioned in the consent form. He wants the resident doctor and the nurse to fix the problem and add the second procedure to the form.
The patient also refuses to remove his wedding ring after it had been put by his wife 30 years ago.
The second procedure can be performed only after discussion with the primary health care provider. After that doctor confirms that the procedure can be done, then only it can be done.
After discussion with the respective doctor, the doctor himself can add the procedure in the consent form. Once the details are added, the procedure can be done.

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An 81-year-old client, scheduled for a long orthopedic procedure, appears to have a low body mass index. In addition to the body mass index value, which additional client information is most important for the nurse to report to the surgeon and perioperative team as indicating an increased risk for skin breakdown?
Multiple Choice
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The patient states the surgeon discussed the addition of a second procedure to the one indicated on the consent. The patient is visibly upset that the consent he is asked to sign with the surgical resident reflects only one procedure and cannot understand why the nurse and resident do not have the authority to "fix" the consent. In addition, he states he will not take his wedding ring off because it has never left his hand since his wife put it there 30 years ago. What remedy would you propose to prevent such occurrences in the future?
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The preoperative admitting nurse notices that the client scheduled for total joint replacement surgery in 2 hours has a smell of alcohol on his breath even though he has just stated that he has fasted completely for the past 10 hours. What is the nurse's best first action?
Multiple Choice
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The patient states the surgeon discussed the addition of a second procedure to the one indicated on the consent. The patient is visibly upset that the consent he is asked to sign with the surgical resident reflects only one procedure and cannot understand why the nurse and resident do not have the authority to "fix" the consent. In addition, he states he will not take his wedding ring off because it has never left his hand since his wife put it there 30 years ago. How will you respond to the patient's unwillingness to remove his wedding ring?
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