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1. A nurse is caring for a client who is preoperative and is asking multiple
questions about the risks of the procedure. Which of the following actions
should the nurse take?
1. Explain the risks and benefits of the surgery to the client
2. Ask the surgeon to speak to the client for further clarification
3. Reassure the client that the procedure is necessary for recovery
4. Notify the circulation nurse that the client has questions about the proce-
dure.: 2. Ask the surgeon to speak to the client for further clarification. The nurse should notify the surgeon that
the client has questions about the procedure. It is the responsibility of the surgeon to explain the risks and benefits
of the surgery.
1. It is not the nurse's responsibility to explain the risks and benefits of the surgery. The nurse should verify that the
client signs the consent form prior to transfer to surgery.
3. This response dismisses the client's concerns and is an example of false reassurance.
4. The nurse should verify that the client signs the consent form prior to transfer to surgery. The circulating nurse is
not responsible for explaining the risks and benefits of the procedure to the client. This action is the responsibility of
the surgeon.
2. A client is transferred from the surgical suite to the PACU following an oral
surgery. while monitoring the client's vital signs, the nurse finds that the
client's tongue has become swollen and is obstructing the airway. Which of
the following actions should the the nurse take first?
1. Contact the anesthesiologist
2. Assist with the endotracheal intubation
3. Increase the client's flow of oxygen
4. Use the head-tilt, chin-lift method to open the airway: 4. The first action the nurse
should take when using the airway, breathing, circulation approach to client care is to establish a patent airway by
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, tilting the client's head back and pushing the lower jaw forward.
1. The nurse should contact the anesthesiologist to provide emergency treatment. However, there is another action
the nurse should take first.
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