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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The changes in vital signs are within expected ranges post-procedure, so continued monitoring is appropriate.
B. A temperature increase to 99°F is not significant and does not require immediate reporting.
C. No signs of hypovolemia or dehydration warrant increasing IV fluids.
D. A blood pressure decrease to 112/72 mm Hg is minimal and not concerning.
Correct Answer is A
Explanation
A. An oxygen saturation of 89% indicates hypoxemia, which poses an immediate threat to oxygenation and requires urgent intervention.
B. Hypotension is concerning but less critical than hypoxemia in this scenario.
C. A fever of 102°F requires monitoring and management but is not an immediate life threat.
D. A respiratory rate of 12 breaths/min is normal for an adult and does not require immediate action.
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