A 48-year-old male client with a history of chronic obstructive pulmon

A 48-year-old male client with a history of chronic obstructive pulmonary disease (COPD) is scheduled for an inguinal hernia repair.

The nurse instructs that client that he can expect the health care provider to order which of the following tests before surgery?
1. Human immunodeficiency virus (HIV) antibody
2. Prolactin level
3. Pulmonary function test
4. Glucose tolerance test

ANSWER

ANS: 3
Pulmonary function testing and occasionally arterial blood gas analysis are often performed be-fore surgery on clients with preexisting lung disease. An HIV-antibody test diagnoses HIV. It is not a test that is normally ordered before surgery. Prolactin levels are used to diagnose and mon-itor prolactin-secreting pituitary adenomas. A glucose tolerance test is used to assist in the diag-nosis of diabetes mellitus and is also used in the evaluation of hypoglycemia. It is not a test that is normally ordered before surgery.