During preoperative assessment for a 7:30 AM (0730) surgery, the nurse finds the patient drank a cup of coffee this morning. The nurse reports this information to the anesthesia provider. Which action does the nurse anticipate next?

a. A delay in or cancellation of surgery
b. Questions regarding components of the coffee
c. Additional questions about why the patient had coffee
d. Instructions to determine what education was provided in the preoperative visit


ANS: A
The recommendations before nonemergent procedures requiring general and regional anesthesia or sedation/analgesia include fasting from intake of clear liquids for 2 or more hours. A delay in or cancellation of surgery will be in order for this case. Questions regarding components of the coffee, asking why, and evaluating the preoperative education may all be items to be addressed, especially from a performance improvement perspective, but at this time in caring for this patient, a delay or cancellation is in order to prevent aspiration.

Nursing

You might also like to view...

You are caring for a patient taking pentazocine (Talwin). What would be an appropriate nursing diagnosis for this patients care plan?

A) Fluid volume deficit related to diarrhea caused by medication B) Risk for pain related to administration of medication C) Monitor timing of analgesic doses. D) Impaired gas exchange related to respiratory depression

Nursing

The day following surgery, the nurse notes bloody drainage on the dressing. The nurse will record this drainage as:

a. serosanguineous. b. sanguineous. c. serous. d. purulent.

Nursing

A newborn is scheduled for casting to correct a talipes disorder. What should the nurse instruct the parents about the height of the cast?

A) To the calf B) Above the knee C) At the level of the hip D) Above the level of the waist

Nursing

Which type of research uses a less formal method of reporting data?

a. Ethnographic b. Grounded theory c. Historical d. Phenomenological

Nursing