The surgical unit nurse has just received a patient with a ...

[segrsyd]

The surgical unit nurse has just received a patient with a history of smoking from the postanesthesia care unit. Which action is most important at this time?
 
  a. Auscultate for adventitious breath sounds.
  b. Obtain the patient's blood pressure and temperature.
  c. Remind the patient about harmful effects of smoking.
  d. Ask the health care provider about prescribing a nicotine patch.

Question 2

A 38-year-old female is admitted for an elective surgical procedure. Which information obtained by the nurse during the preoperative assessment is most important to report to the anesthesiologist before surgery?
 
  a. The patient's lack of knowledge about postoperative pain control measures
  b. The patient's statement that her last menstrual period was 8 weeks previously
  c. The patient's history of a postoperative infection following a prior cholecystectomy
  d. The patient's concern that she will be unable to care for her children postoperatively

[bpool94]

Answer to Question 1

ANS: A
The nurse should first ensure a patent airway and check for breathing and circulation (airway, breathing, and circulation ABCs). Circulation and temperature can be assessed after a patent airway and breathing have been established. The immediate postoperative period is not the optimal time for patient teaching about the harmful effects of surgery. Requesting a nicotine patch may be appropriate, but is not a priority at this time.

Answer to Question 2

ANS: B
This statement suggests that the patient may be pregnant, and pregnancy testing is needed before administration of anesthetic agents. Although the other data may also be communicated with the surgeon and anesthesiologist, they will affect postoperative care and do not indicate a need for further assessment before surgery.

[segrsyd]

Thank you

[bpool94]

No problemo