Certified Post Anesthesia Nurse (CPAN) Practice Exam

Which statement indicates that the patient understands medication instructions for the day of surgery?

1. I will only have a small amount of water with the medications I take on the morning of surgery

2. Since I have A-Fib, I need to take my warfarin on the morning of surgery

3. I will take my vitamins and herbal supplements on the morning of surgery

4. Since I am diabetic, I need to take my insulin and eat breakfast every day

The correct answer is: I will only have a small amount of water with the medications I take on the morning of surgery

The statement that demonstrates the patient’s understanding of medication instructions for the day of surgery is that the patient will only have a small amount of water with the medications taken on the morning of surgery. This reflects an understanding of the fasting guidelines that are typically recommended prior to surgical procedures. Patients are often instructed not to consume solid food or large amounts of liquid to minimize the risk of aspiration during anesthesia. Drinking a small amount of water helps ensure that the patient can take necessary medications while adhering to these guidelines. Other options reflect misunderstandings about medication management on the day of surgery. Taking warfarin on the surgery day might not align with medical advice, especially since it can increase bleeding risks; similarly, taking vitamins and herbal supplements may not be advisable as they can interfere with anesthesia or surgical outcomes. The statement concerning insulin implies that the patient hasn't recognized the need to adjust insulin dosage in anticipation of fasting, which is crucial for maintaining safe blood glucose levels during the perioperative period.