Patient Assessment and Preparation Flashcards
7 cards from real DAANCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment and Preparation flashcards as text
A patient reports taking warfarin daily. What is the most important pre-anesthesia consideration?
Answer: Obtain a current INR value and consult with the patient's physician
Current INR must be evaluated and the prescribing physician consulted before proceeding with sedation to assess bleeding risk.
Which ASA physical status classification describes a patient with well-controlled type 2 diabetes and mild hypertension?
Answer: ASA II
ASA II applies to patients with mild systemic disease that is well-controlled and presents no functional limitation.
During pre-anesthesia assessment, a patient's blood pressure reads 178/104 mmHg on two separate readings. What is the appropriate action?
Answer: Postpone elective sedation and refer for medical evaluation
A blood pressure of 178/104 mmHg indicates stage 2 hypertension, and elective procedures should be deferred pending medical clearance.
Which of the following best describes the purpose of the Mallampati classification in pre-anesthesia assessment?
Answer: Predicts difficulty of airway management
The Mallampati classification scores oropharyngeal visibility to predict potential difficulty with airway management during sedation.
A patient discloses a latex allergy during the health history review. Which preparation step is most critical?
Answer: Schedule the patient as the first case of the day to ensure a latex-free environment
Scheduling the patient first minimizes latex particle accumulation in the environment, reducing risk of allergic reaction.
What fasting guideline applies to clear liquids before moderate sedation in a healthy adult undergoing elective dental treatment?
Answer: 2 hours NPO for clear liquids
Current AAPD and ASA guidelines allow clear liquids up to 2 hours before moderate sedation in healthy patients.
During pre-procedure preparation, you note the patient's oxygen saturation is 93% on room air at rest. How should this be interpreted?
Answer: Abnormal; postpone sedation and seek medical evaluation
A resting SpO2 of 93% is below the normal threshold of 95% or greater and warrants medical evaluation before elective sedation.
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