Questions: 5. During a preoperative assessment, why would the nurse ask the patient about his or her previous surgeries? A. To predict the patient's response to anesthesia B. To identify anatomic and physiologic alterations that may affect care C. To help estimate the amount of time the patient will be hospitalized D. To determine the amount of pain medication the patient will need 1. Why does the nurse place a patient on bed rest after administering preoperative medication? A. To ensure that the surgical site is not injured B. To protect the patient from injury C. To maintain a calm environment D. To maintain the intravenous infusion 2. At what point would the patient sign the consent form for a surgical procedure? A. After the surgeon explains the procedure B. During the preoperative consultation at the surgeon's office C. After receiving preoperative medication D. At the completion of the physical examination 3. A patient scheduled for same-day surgery tells the nurse that he had a "few sips" of coffee driving to the hospital. What would the nurse do first with this information? A. Document that the patient had coffee B. Notify the operating room C. Notify the surgeon D. Inform the recovery room nurse

The answer is B. To identify anatomic and physiologic alterations that may affect care

While previous surgeries might provide some insight into how a patient has responded to anesthesia in the past, this is not the primary reason for asking about past surgeries. Anesthesia responses can vary greatly between procedures and over time.

This is the correct answer. Previous surgeries can result in changes to the patient's anatomy or physiology, such as scar tissue or altered organ function, which could impact surgical planning and postoperative care.

The length of hospitalization is typically determined by the type of surgery and the patient's overall health, rather than their surgical history.

While past experiences with pain management can inform current care, the amount of pain medication needed is more directly related to the current procedure and the patient's current condition.

The answer is B. To protect the patient from injury

While protecting the surgical site is important, the primary reason for bed rest after preoperative medication is broader in scope.

This is the correct answer. Preoperative medications can cause drowsiness or dizziness, increasing the risk of falls or other injuries. Bed rest helps prevent these potential injuries.

While a calm environment is beneficial, it is not the primary reason for bed rest after medication.

While maintaining IV access is important, it is not the primary reason for bed rest after administering preoperative medication.

The answer is C. After receiving preoperative medication

The consent form should be signed after the patient fully understands the procedure, which typically occurs after the surgeon's explanation.

While consent can be discussed during the consultation, it is usually signed closer to the time of surgery to ensure the patient has all necessary information.

This is incorrect. Consent should be obtained before administering preoperative medication, as these medications can impair the patient's ability to make informed decisions.

The physical examination is part of the preoperative assessment, but consent should be obtained after the patient has been fully informed about the procedure.

The answer is C. Notify the surgeon

While documentation is important, the immediate priority is to address the potential impact on the surgery.

The operating room staff should be informed, but the surgeon needs to be notified first to make decisions about proceeding with the surgery.

This is the correct answer. The surgeon needs to be informed immediately, as the consumption of food or drink can increase the risk of aspiration during anesthesia, and the surgeon will decide whether to delay or proceed with the surgery.

The recovery room nurse should be informed, but this is not the immediate priority.