During the preoperative phase of patient education, a patient who is a known smoker should be instructed to
A) Reduce smoking to prevent the development of pneumonia.
B) Increase his exercise regime to promote pulmonary function.
C) Stop smoking at least 24 hours prior to surgery to promote pulmonary function.
D) Utilize the NicoDerm patch to enhance pulmonary function and decrease infection.
Ans: C
Feedback: Patients should be counseled to stop smoking at least 24 hours prior to surgery. The use of the NicoDerm patch would need to be recommended by the physician. The reduction of smoking will enhance pulmonary function, but in the preoperative period patients who smoke should be urged to stop 4 to 8 weeks before surgery. Since most patients do not comply with this recommendation, they should be instructed to stop at least 24 hours prior to surgery.
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