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Exam (elaborations)

Nurs 340 Review Questions & 100% Correct Answer

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  • Course
  • Nurs 340
  • Institution
  • Nurs 340

Five minutes after receiving a preoperative sedative medication by IV injection, a patient asks to get up to go to the bathroom to urinate. What is the most appropriate action for the nurse to take? A. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety B...

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  • September 9, 2024
  • 74
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nurs 340
  • Nurs 340
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1 | P a g e | © copyright 2024/2025 | Grade A+




Nurs 340 Review Questions & 100%
Correct Answers
Five minutes after receiving a preoperative sedative medication by IV injection, a

patient asks to get up to go to the bathroom to urinate. What is the most

appropriate action for the nurse to take?




A. Offer the patient to use the urinal/bedpan after explaining the need to

maintain safety

B. Assist the patient to the bathroom and stay next to the door to assist patient

back to bed when done.

C. Allow the patient to go to the bathroom since the onset of the medication will

be more than 5 minutes.

D. Ask the patient to hold the urine for a short period since a urinary catheter will

be placed in the operating room


✓ :~~ A




Rationale: The prime issue after administration of either sedative or opioid

analgesic medications is safety. Because the medications affect the central

nervous system, the patient is at risk for falls and should not be allowed out of

bed, even with assistance. The other options would not be safe for the patient.




Master01 | September, 2024/2025 | Latest update

, 2 | P a g e | © copyright 2024/2025 | Grade A+


What is the primary reason for accurately recording the patient's current

medications during a preoperative assessment?




A. Some medications may alter the patient's perceptions about surgery.

B. Many anesthetics alter renal and hepatic function, causing toxicity of other

drugs.

C. Some medications may interact with anesthetics, altering the potency and

effect of the drugs.

D. Routine medications are withheld the day of surgery, requiring dosage and

schedule adjustments after surgery.

✓ :~~ C




Rationale: Drug interactions may occur between prescribed medications and

anesthetic agents used during surgery. For this reason, it is important to take a

careful medication history and check that they have been communicated to the

anesthesia care provider. Routine medications may or may not be prescribed for

use the day of surgery.




While performing preoperative teaching, the patient asks when she needs to stop

drinking water before the surgery. Based on the most recent practice guidelines

established by the American Society of Anesthesiologists, the nurse tells the

patient that?




Master01 | September, 2024/2025 | Latest update

, 3 | P a g e | © copyright 2024/2025 | Grade A+




A. she must be NPO after breakfast.

B. she needs to be NPO after midnight.

C. she can drink clear liquids up to 2 hours before surgery.

D. she can drink clear liquids up until she is moved to the OR.

✓ :~~ C




Rationale: Practice guidelines for preoperative fasting state the minimum fasting

period for clear liquids is 2 hours. Evidence-based practice no longer supports the

long-standing practice of requiring patients to be NPO after midnight.




The nurse is admitting a patient to the same-day surgery unit. The patient tells the

nurse that he was so nervous he had to take kava last evening to help him sleep.

Which nursing action would be most appropriate?




A. Tell the patient that using kava to help sleep is often helpful.

B. Inform the anesthesiologist of the patient's recent use of kava.

C. Tell the patient that the kava should continue to help him relax before surgery.

D. Inform the patient about the dangers of taking herbal medicines without

consulting his health care provider.




Master01 | September, 2024/2025 | Latest update

, 4 | P a g e | © copyright 2024/2025 | Grade A+


✓ :~~ B




Rationale: Kava may prolong the effects of certain anesthetics. Thus the

anesthesiologist needs to be informed of recent ingestion of this herbal

supplement. Patients should not take anything before surgery without the health

care provider's knowledge.




Which preoperative patient has the greatest risk of bleeding as a result of his or

her medication?




A. A woman who takes metoprolol (Lopressor) for the treatment of hypertension

B. A man whose type 1 diabetes is controlled with insulin injections four times

daily

C. A man who is taking clopidogrel (Plavix) after the placement of a coronary

artery stent

D. A man who recently started taking finasteride (Proscar) for the treatment of

benign prostatic hyperplasia

✓ :~~ C




Rationale: Any drug that inhibits platelet aggregation, such as clopidogrel (Plavix),

represents a bleeding risk. Insulin, metoprolol (Lopressor), and finasteride

(Proscar) are less likely to contribute to a risk for bleeding.




Master01 | September, 2024/2025 | Latest update

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