A client asks the nurse why they cannot consume food or liquids before surgery. Which response is most appropriate?

"Peristalsis stops with anesthesia which may cause a blockage."

"This practice will decrease the risk of aspiration."

"This will help to safely maintain fluid and electrolyte balance."

"This practice will decrease the need for a Foley catheter."

Answer and Explanation

The Correct Answer is B

A. Peristalsis slows but does not stop entirely with anesthesia, and this explanation is incorrect.

B. Fasting reduces the risk of aspiration by minimizing stomach contents during anesthesia, which is the primary concern.

C. Maintaining fluid and electrolyte balance is important but not the main reason for fasting.

D. Reducing the need for a Foley catheter is unrelated to NPO status.

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Correct Answer is A

Explanation

A. Assisting the client to remove jewelry is within the UAP's scope of practice and does not require clinical judgment.

B. Providing education about a surgical procedure requires nursing knowledge and cannot be delegated.

C. Instructing the client on the use of an incentive spirometer is a teaching activity requiring an RN’s expertise.

D. Witnessing informed consent is a legal responsibility that must be performed by an RN.

A. “I have the ability to self-dose when experience pain." B. “I can receive a dose as often as need with this pump.” C. “I’ll receive a steady flow of medication to control my pain.” D. "I will decide with the nurse when I should receive a dose."

Correct Answer is A

Explanation

A. PCA pumps allow clients to self-administer pain medication within prescribed limits when experiencing pain.

B. Doses are controlled by a lockout mechanism to prevent overdosing.

C. PCA pumps deliver medication as needed, not a continuous infusion unless programmed otherwise.

D. The client independently determines when to use the PCA within prescribed parameters.

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A client asks the nurse why they cannot consume food or liquids before surgery. Which response is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working in a preoperative unit. Which task is most appropriate to be delegated to unlicensed assistive personnel (UAP)?

Correct Answer is A

Explanation

A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

Correct Answer is A

Explanation

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

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The nurse is providing preoperative teaching. The client states, "I'm so nervous about my surgery". What is the best response by the nurse?

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