A patient has been received in the preoperative holding area. Which interventions will the nurse perform in this environment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Review the patient's medical record to ensure all relevant material is present.
2. Instruct the patient to remove all jewelry.
3. Review the medical record to ensure preoperative medications have been administered.
4. Have the patient empty the bladder.
5. Confirm that the patient has been NPO for the prescribed amount of time.
1,3,4,5
Rationale 1: The preoperative nurse reviews the medical record to ensure that all documents and reports of studies are present and consistent with expectations.
Rationale 2: Jewelry should be removed (with the exception of a wedding ring) prior to transport to the holding area.
Rationale 3: Preoperative medications are often scheduled for 30 minutes to 1 hour before surgery. The preoperative nurse must verify that the medications were administered.
Rationale 4: Just before the patient is taken to the operating room, the nurse should have him or her empty the bladder. This helps to prevent inadvertent bladder injury.
Rationale 5: The preoperative nurse asks the patient again about NPO status.
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