Five minutes after receiving a preoperative sedative medication by IV injection, a patient asks to get up to go to the bathroom to urinate. What is the most appropriate action for the nurse to take?1. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.2. Assist the patient to the bathroom and stay next to the door to assist patient back to bed when done.3. Allow the patient to go to the bathroom since the onset of the medication will be more than 5 minutes.4. Ask the patient to hold the urine for a short period since a urinary catheter will be placed in the operating room.1. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.

a. The prime issue after administration of either sedative or opioid analgesic medications is safety. Because the medications affect the central nervous system, the patient is at risk for falls and should not be allowed out of bed, even with assistance. The other options would not be safe for the patient.

What is the primary reason for accurately recording the patient's current medications during a preoperative assessment?1. Some medications may alter the patient's perceptions about surgery.2. Many anesthetics alter renal and hepatic function, causing toxicity of other drugs.3. Some medications may interact with anesthetics, altering the potency and effect of the drugs.4. Routine medications are withheld the day of surgery, requiring dosage and schedule adjustments after surgery.2. Some medications may interact with anesthetics, altering the potency and effect of the drugs

a. Drug interactions may occur between prescribed medications and anesthetic agents used during surgery. For this reason, it is important to take a careful medication history and check that they have been communicated to the anesthesia care provider. Routine medications may or may not be prescribed for use the day of surgery.