During preoperative assessment, a patient reports an allergy to shellfish. What is the MOST important nursing action?
Cnamb Preoperative Assessment
Question · Easy
New nurse takes a lie detector test
Short
Which laboratory value would require immediate notification of the surgeon before an elective procedure?
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A patient is taking warfarin (Coumadin) and has an INR of 3.5 scheduled for elective hernia repair. What is the appropriate nursing action?
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During medication reconciliation, a patient reports taking St. John's Wort for depression. Why is this important to report to the anesthesia provider?
Question · Medium
A patient with a history of obstructive sleep apnea (OSA) is scheduled for ambulatory surgery. What is the priority nursing consideration?
4 say they're disinfectants. 1 is lying.
The nurse is completing a preoperative assessment on a patient who states they have not followed the NPO guidelines and ate a light breakfast 2 hours ago. What is the appropriate nursing action?
Chapter 1: Preoperative Health Assessment & Diagnostic Evaluation
1.1 Patient Health History, Physical Assessment & Medication Reconciliation
A patient with a BMI of 52 presents for laparoscopic cholecystectomy in an ambulatory surgery center. What is the nurse's priority assessment regarding anesthesia risk?
Question · Hard
Which nursing diagnosis is MOST appropriate for a preoperative patient who expresses fear about the surgical outcome?
Cnamb Preoperative Plan Care
What is the primary goal of preoperative patient teaching regarding deep breathing exercises?
A patient is scheduled for outpatient shoulder arthroscopy. Which discharge planning intervention should be initiated preoperatively?
1.2 Laboratory, Diagnostic & Cardiac Data Review in Ambulatory Surgery
A diabetic patient is scheduled for morning surgery. What preoperative nursing instruction regarding insulin is MOST appropriate?
Which nursing intervention is appropriate when caring for a preoperative patient whose religious beliefs prohibit blood transfusions?
A patient with chronic pain on high-dose opioids is scheduled for elective surgery. Which preoperative pain management planning is MOST appropriate?
During the surgical time-out, what information is verified by the surgical team?
Cnamb Intraoperative Care
1.3 Allergy Screening, Sensitivity Identification & Latex Precautions
A sterile team member's gown becomes contaminated when they touch their face mask. What is the appropriate action?
What is the purpose of maintaining normothermia (normal body temperature) during surgery?
When performing the surgical count, which items are included?
A patient is positioned in lithotomy for a gynecologic procedure. What is the priority nursing consideration regarding positioning?
Chapter 2: Risk Stratification, Anesthesia Screening & Pre-Op Clearance
2.1 ASA Physical Status Classification & ASC Patient Candidacy Criteria
During laparoscopic surgery using electrosurgery, a fire starts in the sterile field. What is the FIRST priority action?
The surgeon requests a specific suture that is not on the preference card. What is the appropriate nursing response?
During a procedure using moderate sedation, the patient's respiratory rate decreases to 8 breaths/minute. What is the appropriate nursing intervention?
A laser is being used during ENT surgery. What safety measures are required for the patient and OR personnel?
2.2 Obstructive Sleep Apnea, Cardiovascular & Metabolic Risk Stratification
During a lengthy procedure, the patient develops pressure ulcer on the occiput despite standard padding. What additional nursing interventions should be implemented?
What is the primary criterion for discharge from the PACU after ambulatory surgery?
Cnamb Postoperative Transfer
A patient in PACU reports pain of 8/10 after knee arthroscopy. What is the priority nursing intervention?
A patient develops nausea and vomiting in the PACU. Which nursing intervention is MOST appropriate?
Chapter 3: Ambulatory Surgical Care Planning & Infection Prophylaxis
3.1 Perioperative Nursing Diagnoses & Individualized Ambulatory Care Plans
What discharge instructions should be provided to a patient who received general anesthesia for ambulatory surgery?
A patient meets all Aldrete criteria for discharge but lives alone with no support at home. What is the appropriate nursing action?
What does SBAR stand for in healthcare communication?
Cnamb Communication
When transferring a patient from OR to PACU, what information is included in the handoff report?
3.2 Surgical Site Infection (SSI) Prevention Bundles & Prophylactic Antibiotic Timing
A family member in the waiting room becomes angry about surgical delays. What is the MOST appropriate nursing response?
Which statement demonstrates therapeutic communication with an anxious preoperative patient?
During the surgical time-out, the circulating nurse notes the consent form lists "right knee" but the site marking says "left knee." What is the appropriate action?
A surgeon is using inappropriate language toward staff during a difficult procedure. What is the appropriate nursing response?
Chapter 4: Patient Education, Vulnerable Populations & Discharge Prep
4.1 Preoperative Patient & Escort Education, Fasting Guidelines & NPO Rules
What is the purpose of a surgical preference card?
Cnamb Personnel Materials Mgmt
Why is inventory rotation (FIFO - First In, First Out) important in the operating room?
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