Which statement by a patient scheduled for surgery is most important to report to the health care provider?
a. "I had a heart valve replacement last year."
b. "I had bacterial pneumonia 3 months ago."
c. "I have knee pain whenever I walk or jog."
d. "I have a strong family history of breast cancer."
ANS: A
A patient with a history of valve replacement is at risk for endocarditis associated with invasive procedures and may need antibiotic prophylaxis. A current respiratory infection may affect whether the patient should have surgery, but a history of pneumonia is not a reason to postpone surgery. The patient's knee pain is the likely reason for the surgery. A family history of breast cancer does not have any implications for the current surgery.
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