Evolve HESI Practice Exam

What would signify that a patient is properly prepared for surgery regarding heart sounds?

1. Normal heart sounds and stable vitals

2. Increased heart rate and anxiety

3. Abnormal heart sounds with medications administered

4. Decreased awareness of surroundings

The correct answer is: Normal heart sounds and stable vitals

The indication that a patient is properly prepared for surgery regarding heart sounds is characterized by normal heart sounds and stable vital signs. Normal heart sounds imply that the heart is functioning adequately without any significant abnormalities, such as murmurs or gallops, which could suggest underlying cardiac issues that might complicate surgery or affect anesthetic management. Stable vital signs further reflect the patient's physiological status, showing that the body is adequately compensating under the stress of pre-surgical preparations. This proper assessment ensures that the surgical team is aware that the patient's cardiovascular system is functioning optimally, which is critical for minimizing operative risk and promoting a smooth recovery after surgery. In contrast, other options present scenarios that indicate potential complications or inadequate preparation. For instance, an increased heart rate and anxiety could suggest stress or other physiological responses that may require further evaluation. Abnormal heart sounds with medications administered could indicate underlying cardiac problems that might necessitate additional interventions before proceeding with surgery. A decreased awareness of surroundings might point to sedation or altered mental status, which could complicate the surgical process and warrant further investigation to ensure patient safety.