Print Froggy Jumps: Open Heart Surgery Prep Quiz ()

1. What is the purpose of open heart surgery?

A

To remove plaque from the arteries

B

To repair or replace damaged heart valves or vessels

C

To treat a heart attack

2. What is the main goal of open heart surgery preparation?

A

To reduce the risk of infection after surgery

B

To minimize scarring

C

To ensure the patient is in optimal health for the procedure and mitigate risk of complications

3. Which diagnostic tests should be coordinated or completed 1-2 days before surgery?

A

Echo, carotid duplex, bedside spirometry, chest x-ray

B

Lower extremity dopplers, head CT, Abdominal X-ray/KUB

C

ABG, orthostatic blood pressures, psychological evaluation

4. Why is it important to stop smoking before open heart surgery?

A

Smoking can interfere with anesthesia

B

Smoking can cause lung infections

C

Smoking increases the risk of complications during and after surgery

5. What medications should be discontinued 1-2 days before surgery ?

A

Beta blockers, sodium channel blockers, calcium channel blockers

B

Antibiotics

C

Plavix, Brillinta, Effient, Lovenox, other anticoagulants

6. What dietary restrictions may be advised before open heart surgery?

A

Full liquid diet day before surgery

B

No food or drink after midnight; clear liquids up to 4 hours prior to surgery

C

No caffeine for 6 weeks prior to surgery

7. What is the purpose of shaving the surgical site before open heart surgery?

A

To improve surgical visibility

B

To reduce the risk of infection

C

To prevent hair from interfering with the procedure

8. The morning of surgery, diabetic patients should...

A

be given Lantus 40 units SQ

B

be started on insulin infusion order set at 0400

C

be on a carb controlled diet

9. What are common complications of open heart surgery?

A

Headache, dizziness, nausea

B

Infection, bleeding, blood clots

C

Joint pain, muscle weakness, fatigue

10. What should be done if there are signs of infection after open heart surgery?

A

Apply a cold compress to the area

B

Contact the healthcare provider immediately

C

Take over-the-counter pain medication

11. What is the purpose of open heart surgery prep?

A

To make the patient feel more comfortable.

B

To entertain the patient before the surgery.

C

To ensure the patient is in the best possible condition for the surgery.

12. When does the patient receive a CHG bath?

A

Day before surgery

B

Two days before and 1 day before surgery

C

Night before and morning of surgery

13. Why is it important to stop taking certain medications before open heart surgery?

A

To reduce the risk of bleeding and other complications during the surgery.

B

To avoid any allergic reactions to the medications.

C

To prevent the patient from becoming addicted to the medications.

14. What should the nurse do if the patient develops a fever before open heart surgery?

A

Contact their doctor immediately.

B

Administer fever reducing medication.

C

Ignore the fever and proceed with the surgery.

15. Which statement is correct?

A

The patient should have a standing weight the morning of surgery.

B

The patient should have a bed scale weight the morning off since they will be in ICU post-op.

C

The RN should ensure the weight from the prior day is documented.

16. Which statement is true regarding beta blockers the morning of surgery?

A

Beta blocker should be held the morning of surgery d/t risk of hypotension intraoperatively.

B

Beta blocker should be administered at 0600 with a sip of water.

C

Beta blockers are contraindicated for cardiac patients.

17. Which statements are true regarding infection mitigation?

A

MRSA swab should be obtained 1-2 days pre-op?

B

Povidone Iodine nasal swab should be applied to each nare 1 hour prior to surgery.

C

Both answers are correct.

18. Pre-op antibiotics should be...

A

Sent to the ICU

B

Sent to the O.R. with the patient

C

Returned to pharmacy

19. All patients drink 10 ounces of Ensure Clear at 0400 EXCEPT...

A

Diabetic patients

B

Pregnant patients

C

Patients older than 75 years

20. Clipper prep includes which body regions?

A

Anterior chest and groin

B

Anterior body, chin to toes

C

Anterior chest, posterior chest, and lower legs

21. Scheduled medications the morning of surgery should be...

A

Given at 0600 with sips of water

B

Held and not given until after surgery

C

Given at 0300 with water

22. Which blood products should be confirmed as available prior to surgery?

A

4 units PRBC's, 4 units FFP

B

2 units PRBC's, 4 units FFP

C

2 units PRBC's, 2 units Platelets

23. A patient does NOT require a pregnancy test if...

A

They are 32 years of age or older

B