A nurse is caring for a client who has just learned he will need exploratory surgery the next day. As the nurse contributes to the preoperative teaching plan, which of the following actions should she take?
Describe the surgery and what the client will experience postoperatively.
Reinforce information at the client's level of understanding.
Reassure the client that the surgery rarely has any negative outcomes.
Notify the client's family of the plan of care.
The Correct Answer is B
A) Describe the surgery and what the client will experience postoperatively:
While it is essential to provide information about the surgery and the postoperative experience, the primary focus of preoperative teaching is to ensure that the client understands the information provided. This option does not specifically address the client's level of understanding, which is crucial for effective teaching.
B) Reinforce information at the client's level of understanding:
This is the correct choice. When contributing to the preoperative teaching plan, the nurse should ensure that information is provided in a way that the client can comprehend. Reinforcing information at the client's level of understanding enhances communication and ensures that the client is well-informed about the procedure and what to expect.
C) Reassure the client that the surgery rarely has any negative outcomes:
While it is important to provide reassurance and support to the client, it is not appropriate to make promises or provide guarantees about the outcome of the surgery. Surgery, by its nature, carries risks, and it is essential to provide the client with accurate information while maintaining a supportive and empathetic approach.
D) Notify the client's family of the plan of care:
While it is important to involve the client's family in the plan of care, the primary focus of preoperative teaching is on the client. Involving the family in the plan of care is important, but it is not the most immediate action in the context of preoperative teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Root cause analysis:
Root cause analysis is a method used to identify the underlying causes of adverse events or errors. While it is important for quality improvement and risk management, it does not specifically involve using research and scientific data to guide clinical decision-making in client care.
B. Evidence-based practice:
Evidence-based practice (EBP) involves integrating the best available evidence from research studies with clinical expertise and patient preferences to guide decision-making in client care. By utilizing research and scientific data, nurses can identify effective interventions and strategies to improve client outcomes.
C. Benchmarking:
Benchmarking involves comparing performance metrics or outcomes against standards or best practices. While benchmarking can inform quality improvement efforts, it does not directly involve using research and scientific data to guide clinical decision-making.
D. Standardization:
Standardization involves implementing consistent processes or protocols to improve quality and safety. While standardization is important for ensuring consistency in care delivery, it does not necessarily rely on research and scientific data to inform clinical decision-making as evidence-based practice does.
Correct Answer is ["50"]
Explanation
Let's calculate the rate for the IV infusion.
We are given:
Volume to be infused: 400 mL
Infusion time: 8 hours
Drop factor: 60 gtt/mL
We need to find the rate in gtt/min.
Here's how we can do it:
Convert hours to minutes: Since the rate is required in minutes, we need to convert the infusion time from hours to minutes. There are 60 minutes in 1 hour. Therefore, total infusion time in minutes = 8 hours x 60 minutes/hour = 480 minutes
Calculate total number of drips: We can find the total number of drips to be delivered by multiplying the volume (in mL) by the drop factor (gtt/mL). Total drips = Volume (mL) x Drop factor (gtt/mL) = 400 mL x 60 gtt/mL = 24000 gtt
Calculate drip rate (gtt/min): Finally, we can calculate the rate by dividing the total number of drips by the total infusion time in minutes. Rate (gtt/min) = Total drips (gtt) / Total time (minutes) = 24000 gtt / 480 minutes = 50 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver approximately 50 gtt/min.
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