Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease that is a threat to life?

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Perioperative Care Questions Quizlet Questions

Question 1 of 5

Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease that is a threat to life?

Correct Answer: C

Rationale: 4,' as ASA 4 denotes a severe systemic disease threatening life (e.g., recent MI), per the American Society of Anesthesiologists requiring urgent intervention. '2' (A) is mild. '3' (B) is severe but not critical. '5' (D) is moribund. In nursing, ASA 4 signals intensive care needs; C aligns with NCLEX Perioperative, matching severity to intraoperative precautions.

Question 2 of 5

Which identifier should the nurse use during the initial time-out to determine the right patient?

Correct Answer: A

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

Question 3 of 5

A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?

Correct Answer: C

Rationale: Can you share with me what you've been told about your surgery?,' as it invites the client to express knowledge and fears, fostering discussion unlike 'everyone's nervous' (A), dismissive, 'explain procedure' (B), or 'postop care' (D), both presumptive. In nursing, open-ended questions reduce anxiety; C aligns with NCLEX Perioperative, enhancing communication.

Question 4 of 5

Which statements best describe the preoperative period? (Select all that apply.)

Correct Answer: D

Rationale: The preoperative period begins when the patient is scheduled for surgery and ends when they are transferred to the surgical suite . It is a phase focused on preparation, including establishing the need for surgery and providing testing and education (not listed but implied). Choice A is incorrect because the preoperative period does not start with a surgeon's appointment, which is part of the decision-making process, not the formal preoperative phase. Choice B is true but incomplete alone, while choice C is accurate but not the sole descriptor. Choice D is the most precise starting point, as scheduling initiates the preoperative timeline, during which assessments, consents, and preparations occur. This period ensures the patient is physically and mentally ready for surgery, with safety protocols like lab tests and patient education occurring systematically after scheduling.

Question 5 of 5

The nurse has received a patient in the holding area who is scheduled for a left femoral-popliteal bypass. What are the priority safety measures for this patient before surgery? (Select all that apply.)

Correct Answer: B

Rationale: Priority safety measures include positive identification with name and date of birth and surgeon-marked operative limb , confirmed by the patient . Room number isn't a reliable identifier. The rationale emphasizes error prevention: wrong-site surgery is a critical risk, mitigated by Joint Commission protocols like marking and dual identification. Name and birth date ensure accuracy over room-based checks, while patient confirmation reinforces consent and awareness. These steps, part of the preoperative checklist, align with nursing's role in advocating for safety, reducing perioperative harm through systematic verification.

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