the nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement
by the client indicates further teaching is needed?
1-"I will be glad this is over so I can go home today."
2-"I will not be able to eat or drink anything prior to my surgery"
3-"I can practice relaxing by listening to my favorite music"
4-"I will need to get up and walk as soon as possible"
1
the nurse must obtain surgical consent forms for the scheduled surgery. which client would not be bale to consent legally
to surgery?
1-65 y.o who cannot read or write
2-30 yo client who does not understand english
3-the 16 yo who has a fractured ankle
4-the 80 year old client is not oriented to the day
2-16yo is not legally able to give permission to surgery unless the adolescent has been given an emancipated status by a judge.
not 4 because the client is able to give permission unless determine incompetent, not knowing the day of the week is not signficiant
the nurse is caring for a male client scheduled for abdominal surgery, which intervention should the nurse include in the
place of care? SATA
1-perform passive ROM exercises
2-discuss how to cough and deep breathe effectively
3-tell the can have a meal in the PACU
4- teach ways to manage postoperative pain
5-discuss events which occur in the post anesthesia unit
2,4,5
not one because it shouldn't be passive
not 3 because the client will be NPO until bowel sounds return which will not occur in the PACU
the nurse is completing a preoperative assessment on a male client who states I am allergic to codeine. which
intervention should the nurse implement first
1-apply an allergy bracelet on the clients wrist
2-label the clients allergies on the front of the chart
3-ask the client what happens when he takes the codeine
4-document the allergy on the medication administration record
3-the nurse should first assess the events which occurred when the client took this medication because many clients think a side effect such as nausea is
an allergic reaction
which violation of surgical asepsis would require immediate intervention by the circulating nurse
1-surgical supplies were cleaned and sterilized prior to the case
2-the circulating nurse is wearing a long sleeved sterile gown
3-masks covering the mouth and nose are being worn by the surgical team
4-the scrub nurse setting up the sterile field is wearing artificial nails
4- artificial nails harbor microorganisms, which increase the risk for infection
the circulating nurse assess tachycardia and hypotension in the intraoperative client, which interventions should the nurse
implement
1-prepare ice packs and mix dantrolene sodium
2-request the defibrillator he Brought into the OR
3-draw a PTT and prepare a heparin drip
4-obtain finger stick blood glucose immediately
1-unexplained tachycardia, hypotension, and elevated temperature are signs of malignant hyperthermia-which is treated with ice packs and dantrolene
sodium
by the client indicates further teaching is needed?
1-"I will be glad this is over so I can go home today."
2-"I will not be able to eat or drink anything prior to my surgery"
3-"I can practice relaxing by listening to my favorite music"
4-"I will need to get up and walk as soon as possible"
1
the nurse must obtain surgical consent forms for the scheduled surgery. which client would not be bale to consent legally
to surgery?
1-65 y.o who cannot read or write
2-30 yo client who does not understand english
3-the 16 yo who has a fractured ankle
4-the 80 year old client is not oriented to the day
2-16yo is not legally able to give permission to surgery unless the adolescent has been given an emancipated status by a judge.
not 4 because the client is able to give permission unless determine incompetent, not knowing the day of the week is not signficiant
the nurse is caring for a male client scheduled for abdominal surgery, which intervention should the nurse include in the
place of care? SATA
1-perform passive ROM exercises
2-discuss how to cough and deep breathe effectively
3-tell the can have a meal in the PACU
4- teach ways to manage postoperative pain
5-discuss events which occur in the post anesthesia unit
2,4,5
not one because it shouldn't be passive
not 3 because the client will be NPO until bowel sounds return which will not occur in the PACU
the nurse is completing a preoperative assessment on a male client who states I am allergic to codeine. which
intervention should the nurse implement first
1-apply an allergy bracelet on the clients wrist
2-label the clients allergies on the front of the chart
3-ask the client what happens when he takes the codeine
4-document the allergy on the medication administration record
3-the nurse should first assess the events which occurred when the client took this medication because many clients think a side effect such as nausea is
an allergic reaction
which violation of surgical asepsis would require immediate intervention by the circulating nurse
1-surgical supplies were cleaned and sterilized prior to the case
2-the circulating nurse is wearing a long sleeved sterile gown
3-masks covering the mouth and nose are being worn by the surgical team
4-the scrub nurse setting up the sterile field is wearing artificial nails
4- artificial nails harbor microorganisms, which increase the risk for infection
the circulating nurse assess tachycardia and hypotension in the intraoperative client, which interventions should the nurse
implement
1-prepare ice packs and mix dantrolene sodium
2-request the defibrillator he Brought into the OR
3-draw a PTT and prepare a heparin drip
4-obtain finger stick blood glucose immediately
1-unexplained tachycardia, hypotension, and elevated temperature are signs of malignant hyperthermia-which is treated with ice packs and dantrolene
sodium
