As the nurse prepares a patient the morning of surgery, the patient refuses to remove a wedding ring, saying, I have never taken it off since the day I was married. Which response by the nurse is best?
a. Have the patient sign a release and leave the ring on.
b. Tape the wedding ring securely to the patient's finger.
c. Tell the patient that the hospital is not liable for loss of the ring.
d. Suggest that the patient give the ring to a family member to keep.
Question 2A patient has received atropine before surgery and complains of dry mouth. Which action by the nurse is best?
a. Check for skin tenting.
b. Notify the health care provider.
c. Ask the patient about any dizziness.
d. Tell the patient dry mouth is an expected side effect.
Question 3The nurse plans to provide preoperative teaching to an alert older man who has hearing and vision deficits. His wife usually answers most questions that are directed to the patient. Which action should the nurse take when doing the teaching?
a. Use printed materials for instruction so that the patient will have more time to review the material.
b. Direct the teaching toward the wife because she is the obvious support and caregiver for the patient.
c. Provide additional time for the patient to understand preoperative instructions and carry out procedures.
d. Ask the patient's wife to wait in the hall in order to focus preoperative teaching with the patient himself.
Question 4The outpatient surgery nurse reviews the complete blood cell (CBC) count results for a patient who is scheduled for surgery in a few days.
The results are white blood cell (WBC) count 10.2 103/L; hemoglobin 15 g/dL; hematocrit 45; platelets 150 103/L. Which action should the nurse take?
a. Call the surgeon and anesthesiologist immediately.
b. Ask the patient about any symptoms of a recent infection.
c. Discuss the possibility of blood transfusion with the patient.
d. Send the patient to the holding area when the operating room calls.
Question 5A patient who has diabetes and uses insulin to control blood glucose has been NPO since midnight before having a knee replacement surgery. Which action should the nurse take?
a. Withhold the usual scheduled insulin dose because the patient is NPO.
b. Obtain a blood glucose measurement before any insulin administration.
c. Give the patient the usual insulin dose because stress will increase the blood glucose.
d. Administer a lower dose of insulin because there will be no oral intake before surgery.
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