Perioperative NCLEX style questions and answers 100% pass

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Perioperative NCLEX style questions and answers 100% pass Which teaching by the nurse during the preoperative period best informs the patient regarding the primary purpose of an incentive spiromete... r? ✔✔The PURPOSE (key word!) of the incentive spirometer is that it will encourage lung expansion, thus decreasing atelectasis. Proper use entails holding the breath 3 to 5 seconds at a time, setting daily goals, and sealing the lips tightly around the mouth piece are all directions on how to use the device, but do not describe its function. (be careful of key words in question!) The nurse interviews a patient scheduled to undergo general anesthesia for a hernia repair. Which information is most important to communicate to the surgeon and anesthesiologist before surgery? a. The patient drinks 3 or 4 cups of coffee every morning before going to work. b. The patient takes a baby aspirin daily but stopped taking aspirin 10 days ago. c. The patient drank 4 ounces of apple juice 3 hours before coming to the hospital. d. The patient's father died after receiving general anesthesia for abdominal surgery. ✔✔D. The patient's father died after receiving general anesthesia for abdominal surgery. The information about the patient's father suggests that there may be a family history of malignant hyperthermia and that precautions may need to be taken to prevent this complication. Current research indicates that having clear liquids 3 hours before surgery does not increase the risk for aspiration in most patients. Patients are instructed to discontinue aspirin 1 to 2 weeks before surgery. The patient should be offered caffeinated beverages postoperatively to prevent a caffeinewithdrawal headache, but this does not have preoperative implications. A patient who takes a diuretic and a beta-blocker to control blood pressure is scheduled for breast reconstruction surgery. Which patient information is most important to communicate to the health care provider before surgery? a. Hematocrit 36% b. Blood pressure 144/82 c. Pulse rate 58 beats/minute d. Serum potassium 3.2 mEq/L ✔✔d. Serum potassium 3.2 mEq/L ANS: D The low potassium level may increase the risk for intraoperative complications such as dysrhythmias. Slightly elevated blood pressure is common before surgery because of anxiety. The lower heart rate would be expected in a pat [Show More]

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