The preoperative client asks the nurse for some tea before ...

[jrubin]

The preoperative client asks the nurse for some tea before surgery. The nurse explains that it is important to have NPO prior to surgery to prevent:
 
  1. abdominal cramping.
  2. hyperglycemia.
  3. urine formation.
  4. aspiration.

Question 2

During the preoperative assessment, the nurse learns that a client had gestational diabetes with her three pregnancies. For which test should the nurse obtain an order for this client?
 
  1. Partial thromboplastin time (PTT)
  2. Urinalysis
  3. Electrolytes
  4. Blood glucose

[Joc]

Answer to Question 1

Answer: 4

1. Abdominal cramping would not be life-threatening.
2. Tea would not cause hyperglycemia.
3. It would not be desirable to prevent urine formation.
4. Keeping a client NPO for at least 8-10 hours prior to surgery reduces the risk of aspirating stomach contents.

Answer to Question 2

Answer: 4

1. Clotting studies may be ordered routinely for any patient preoperatively.
2. Urinalysis may be ordered routinely for any patient preoperatively.
3. Electrolytes may be ordered routinely for any patient preoperatively.
4. Clients with a history of diabetes mellitus should have blood glucose levels monitored before, during, and after surgery.