Preoperative Care Discussion Paper

Preoperative Care Discussion Paper
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. An overweight patient (BMI 28.1 kg/m2
) is scheduled for a laparoscopic cholecystectomy at an outpatient surgery setting. The nurse
knows that
a. surgery will involve multiple small incisions.
b. this setting is not appropriate for this procedure.
c. surgery will involve removing a portion of the liver.
d. the patient will need special preparation because of obesity.
2. The patient tells the nurse in the preoperative setting that she has
noticed she has a reaction when wearing rubber gloves. What is the
most appropriate intervention?
a. Notify the surgeon so the case can be cancelled.
b. Ask additional questions to assess for a possible latex allergy.
c. Notify the OR staff immediately so that latex-free supplies can
be used.
d. No intervention is needed because the patient’s rubber sensitivity has no bearing on surgery
3. A 59-year-old man is scheduled for a herniorrhaphy in 2 days.
During the preoperative evaluation he reports that he takes ginkgo
daily. What is the priority intervention?
a. Inform the surgeon, since the procedure may need to be
rescheduled.
b. Notify the anesthesia care provider, since this herb interferes
with anesthetics.
c. Ask the patient if he has noticed any side effects from taking this
herbal supplement.
d. Tell the patient to continue to take the herbal supplement up to
the day before surgery.
4. A 17-year-old patient with a leg fracture is scheduled for surgery.
She reports that she is living with a friend and is an emancipated
minor. She has a statement from the court for verification. Which
intervention is most appropriate?
a. Witness the permit after consent is obtained by the surgeon.
b. Call a parent or legal guardian to sign the permit, since the
patient is under 18.
c. Obtain verbal consent, since written consent is not necessary for
emancipated minors.
d. Investigate your state’s nurse practice act related to emancipated
minors and informed consent.