NCLEX PN - Perioperative Care
Questions and Answers Solved
Correctly
the nurse is developing a plan of care for a client who is scheduled for surgery.
the nurse should include which activity in the nursing care plan
...
NCLEX PN - Perioperative Care
Questions and Answers Solved
Correctly
the nurse is developing a plan of care for a client who is scheduled for surgery.
the nurse should include which activity in the nursing care plan for the client on the day of surgery?
A) have the client void immediately before surgery
B) avoid oral hygiene and rinsing with moutwash
C) verify that the client has not eaten for the last 24 hours
D) report immediately any slight increase in blood pressure or pulse ✔✔A) have the client void
immediately before surgery
rationale
the nurse should assist the client with voiding immediately before surgery so that the bladder will
be empty.
oral hygiene is allowed, but the client should not swallow any water.
the client usually has a restriction of food and fluids for 8 hours before surgery rather than 24
hours.
a slight increase in blood pressure and pulse is common during the peroperative period; this is
generally the result of anxiety.
the nurse is caring for a client who is scheduled for surgery.
the client is concerned about the surgical procedure. which action should alleviate the client's fears
and misconceptions about surgery?
A) tell the client that preoperative fear is normal
B) explain all nursing care and possible discomfort that may result
C) ask the client to discuss information known about the planned surgery
D) provide explanations about the procedures involved in the planned surgery ✔✔C) ask the client
to discuss information known about the planned surgery
rationale
explanations should begin with the information that the client knows.
option A is a block to communication and options B and D may produce additional anxiety in the
client.
the nurse is collecting data from a client who is scheduled for surgery in 1 week in the ambulatory
care surgical center.
the nurse notes that the client has a history of arthritis and has been taking acetylsalicylic acid
(aspirin).
the nurse reports the information to the health care provider and anticipates that the provider will
prescribe which?
A) discontinue the aspirin immediately
B) continue to take the aspirin as prescribed
C) discontinue the aspirin 48 hours before the scheduled surgery
D) decrease the dose of the aspirin to half of what is normally taken ✔✔C) discontinue the aspirin
48 hours before the scheduled surgery
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