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UPDATED 2024/2025 NURSING 120 MED SURG 1 QUIZ 1 QUESTIONS AND ANSWERS 100% CORRECT GRADED A+

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The patient tells the nurse in the preoperative setting that she has noticed she has a reaction when wearing rubber gloves. What is the most appropriate intervention? a. Notify the surgeon so the case can be cancelled. b. Ask additional questions to assess for a possible latex allergy. c. ...

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  • 1 novembre 2023
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  • 2023/2024
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NURSING 120 MED SURG 1 QUIZ 1 2023
QUESTIONS AND ANSWERS 100% CORRECT
GRADED A+
The patient tells the nurse in the preoperative setting that
she has noticed she has a reaction when wearing rubber
gloves. What is the most appropriate intervention?

a. Notify the surgeon so the case can be cancelled.

b. Ask additional questions to assess for a possible latex allergy.

c. Notify the OR staff immediately so that latex-free supplies can be used.

d. No intervention is needed because the patient's rubber sensitivity
has no bearing on surgery.

Correct answer: b
Rationale: The nurse should ask additional screening questions to
determine the patient's risk for a latex allergy. Latex precaution
protocols should be used for patients identified as having a positive latex
allergy test result or a history of signs and symptoms related to latex
exposure. Many health care facilities have created latex-free product
carts that can be used for patients with latex allergies.


A 59-year-old man is scheduled for a herniorrhaphy in 2
days. During the preoperative evaluation, he reports that
he takes ginkgo daily. What is the priority intervention?

a. Inform the surgeon, since the procedure may need to be rescheduled.

b. Notify the anesthesia care provider, since this herb interferes
with anesthetics.

c. Ask the patient if he has noticed any side effects from taking this
herbal supplement.

d. Tell the patient to continue to take the herbal supplement up to the
day before surgery.

,NURSING 120 MED SURG 1 QUIZ 1 2023
QUESTIONS AND ANSWERS 100% CORRECT
GRADED A+
Correct answer: a
Rationale: Ginkgo can increase bleeding during and after surgery. The
surgeon should determine how long it should be discontinued before
surgery.


A 17-year-old patient with a leg fracture is scheduled for surgery. She
reports that she is living with a friend and is an emancipated minor. She
has a statement from the court for verification. Which intervention is most
appropriate?

a. Witness the permit after consent is obtained by the surgeon.
b. Call a parent or legal guardian to sign the permit, since the
patient is under 18.

c. Obtain verbal consent, since written consent is not necessary
for emancipated minors.

d. Investigate your state's nurse practice act related to emancipated
minors and informed consent.

Correct answer: a
Rationale: An emancipated minor may sign his or her own permit. The
nurse should be available to witness the signature, but no further action
is required.


A priority nursing intervention to assist a preoperative patient in coping
with fear of postoperative pain would be to

a. informs the patient that pain medication will be available.

b. teach the patient to use guided imagery to help manage pain.

c. describe the type of pain expected with the patient's particular surgery.

d. explain the pain management plan, including the use of a pain

, NURSING 120 MED SURG 1 QUIZ 1 2023
QUESTIONS AND ANSWERS 100% CORRECT
GRADED A+
rating scale.

Correct answer: d
Rationale: If a patient has fear of pain and discomfort after surgery, the
nurse should reassure the patient that a pain management plan will be in
place. The nurse should teach the patient to ask for medications after
surgery when pain is present and assure him or her that taking these
medications will not contribute to an addiction. The nurse should
instruct the patient on the use of some form of pain rating scale (e.g., 0 to
10, FACES)
and to request pain medication before the pain becomes severe.

A patient is scheduled for surgery requiring general anesthesia at an
ambulatory surgical center. The nurse asks him when he ate last. He
replies that he had a light breakfast a couple of hours before coming to
the surgery center. What should the nurse do first?

a. Tell the patient to come back tomorrow, since he ate a meal.

b. Proceed with the preoperative checklist, including site identification.

c. Notify the anesthesia care provider of when and what the patient last ate.
d. Have the patient void before administering any preoperative
medications.

Correct answer: c
Rationale: The nothing-by-mouth (NPO) protocol of each surgical
facility should be followed. Restriction of fluids and food is designed to
minimize the potential risk of pulmonary aspiration and to decrease the
risk of postoperative nausea and vomiting. If a patient has not followed
the NPO instructions, surgery may be delayed or canceled. The nurse
should notify the anesthesia care provider immediately.


A patient who normally takes 40 units of glargine insulin (long acting) at
bedtime asks the nurse what to do about her dose the night before surgery.
The best response would be to have her

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