A nurse is preparing a client for surgery and has just administered the preoperative injection.
Which of the following actions should the nurse take?

Take the client to the bathroom to void.

Ask the client to verify the surgical site.

Review deep breathing and coughing exercises.

Raise the side rails on the bed.

Answer and Explanation

The Correct Answer is D

A. Taking the client to the bathroom after administering a preoperative sedative increases the risk of falls.
B. Surgical site verification should be completed before administering the preoperative medication.
C. Teaching should be done before giving the medication, as the sedative may impair learning and recall.
D. Raising the side rails helps ensure client safety by preventing falls after the medication has been administered.

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Free Nursing Study Resources

Correct Answer is D,C,E,A,B

Explanation

D. Apply sterile gloves and place cleansing balls in antiseptic solution.

C. Lubricate the catheter and place fenestrated drape over perineum.

E. Cleanse the meatus with the dominant hand in a downward motion.

A. Insert the catheter until a flow of urine begins.

B. Attach prefilled syringe to indwelling catheter inflation hub.

A. Brush teeth immediately after eating. B. Lay down for 30 min after meals. C. Drink 12 oz of water with each meal. D. Eat a dry carbohydrate before getting out of bed.

Correct Answer is D

Explanation

A. Brushing teeth immediately after eating may exacerbate nausea, especially if the client is experiencing pregnancy-related nausea and vomiting.

B. Laying down for 30 minutes after meals may worsen nausea and reflux symptoms.

C. Drinking 12 oz of water with each meal may contribute to feelings of fullness and exacerbate nausea and vomiting.

D. Eating a dry carbohydrate before getting out of bed, such as crackers or dry toast, can help alleviate nausea and vomiting associated with pregnancy by providing a bland, easily digestible source of energy before the client starts moving in the morning.

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A nurse is preparing a client for surgery and has just administered the preoperative injection. Which of the following actions should the nurse take?

Nursing Test Bank

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Explanation

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A nurse is preparing a client for surgery and has just administered the preoperative injection.
Which of the following actions should the nurse take?