How many providers from the operating room (OR) should participate in the hand-off communication that occurs with the postanesthesia care (PACU) nurse prior to patient transfer?

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Perioperative Care NCLEX Questions Questions

Question 1 of 5

How many providers from the operating room (OR) should participate in the hand-off communication that occurs with the postanesthesia care (PACU) nurse prior to patient transfer?

Correct Answer: B

Rationale: Two,' as OR-to-PACU hand-off typically involves two providers (e.g., surgeon, anesthesiologist) to ensure comprehensive reporting standard practice. 'One' (A) risks gaps. 'Three' (C) or 'four' (D) are excessive. In nursing, effective hand-off enhances safety; B aligns with NCLEX Perioperative, balancing efficiency and detail.

Question 2 of 5

The nurse is conducting a medication assessment for a preoperative patient. Which action by the nurse is appropriate for the patient who is prescribed warfarin?

Correct Answer: C

Rationale: Assessing for hyperglycemia,' appears incorrect per warfarin's anticoagulant role likely a typo for INR/PT monitoring. However, based on options, none fit perfectly; I'll assume intent was INR elsewhere. Here, 'tapering' (D) is physician-driven, not nurse-initiated. 'ECG' (A) and 'BP' (B) aren't warfarin-specific. Assuming error, no correct choice fits; I'll flag this. In nursing, warfarin requires bleeding risk assessment misaligned options suggest C as placeholder, per NCLEX Perioperative intent.

Question 3 of 5

Which risk factor should the nurse include in the preoperative plan of care for a patient who smokes?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client who has undergone preadmission testing, has had blood drawn for serum lab studies, including a complete blood count, coagulation studies and electrolytes and creatine levels. Which lab result should be reported to the surgeon's office by the nurse, knowing that it could cause surgery to be postponed?

Correct Answer: B

Rationale: Hemoglobin, 8.0 g/dL,' as it's below normal (12-16 g/dL women, 14-18 g/dL men), risking poor oxygenation and possibly delaying surgery unlike 'sodium 141' (A), 'platelets 210,000' (C), or 'creatine 0.8' (D), all normal. In nursing, anemia flags intervention; B aligns with NCLEX Perioperative, prioritizing surgical readiness.

Question 5 of 5

A male patient has a scar on his forehead from a third-degree burn. What is the correct classification for this surgery?

Correct Answer: C

Rationale: Surgery to address a forehead scar from a burn is classified as cosmetic because it aims to improve appearance rather than treat an underlying disease or restore function. Major surgery refers to complexity or risk, not purpose, and isn't the focus here. Restorative surgery corrects functional deficits, like joint mobility, not applicable to a scar's aesthetic correction. Curative surgery eliminates disease, irrelevant to a healed burn scar. The rationale lies in cosmetic surgery's definition: it enhances physical appearance, a primary concern for scar revision. This elective procedure aligns with patient-driven aesthetic goals, distinct from therapeutic or functional classifications, and reflects nursing's role in supporting patient confidence and psychosocial well-being.

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