COMPREHENSIVE AND CORRECT
ANSWERS.
While discussing postoperative pain management strategies with Ms.
Jackson, the nurse observes Ms. Jackson begin to cry. What action should
the nurse take?
A. Quietly sit with the client.
B. Offer reassurance about the surgery.
C. Calmly continue the preoperative instructions.
D. Leave the room until the client has composed herself. - CorreCt Answers
-A. Quietly sit with the client.
Rationale: Offering one's presence is a caring and therapeutic response.
After Ms. Jackson stops crying, she states, "My father was in so much pain
before he died. Talking about pain brings back so many memories." How
should the nurse respond?
A. "We do not need to talk about pain control today if it makes you sad."
B. Perhaps you need to see a counselor to help you resolve your grief."
C. "It sounds as if you went through a difficult time when your father died."
D. "You need to focus on your own needs now and not on past memories." -
CorreCt Answers -C. "It sounds as if you went through a difficult time when
your father died."
, Ms. Jackson shares her experiences related to her fathers death with the
nurse and expresses appreciation for the nurses caring attitude. Ms.
Jackson leaves after the preooperative teaching is completed, with plans to
meet with the surgeon that afternoon and return to the surgery center the
morning of the surgery. The next week, Ms. Jackson arrives at the surgery
center 3 hours before her scheduled surgery. Which question is most
important for the nurse to ask Ms. Jackson during the admission interview?
A. "Have you had anything to eat or drink since midnight?"
B. "Are any of your friends or family members here with you?"
C. "Do you understand you will be admitted to the hospital following
surgery?"
D. "Did you bring any valuables with you that need to be stored during
surgery?" - CorreCt Answers -A. "Have you had anything to eat or drink
since midnight?"
Rationale: Ensuring that the client has remained NPO for the prescribed
length of time before surgery is critical to prevent vomiting and aspiration
during surgery.
After completing the admission interview, the nurse reviews Ms. Jackson's
medical record and notes that the surgical consent form is filled out but not
signed by the client. What action should the nurse take?
A. Ask Ms. Jackson is she has received sufficient information to sign the
consent form.
B. Call the operating room and notify the staff that the surgery needs to be
cancelled.