Quiz 14: Care of Preoperative Patients

Nursing

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.

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.

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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