A nurse is providing preoperative teaching to a client over the phone in preparation for outpatient surgery. Which of the following information should the nurse include in the teaching?

Ask the client to shower 3 times the day before surgery.

Explain the need to have another adult drive the client home following surgery.

Instruct the client to stop drinking clear liquids 1 hour before surgery.

Inform the client that they can wear makeup during surgery.

Answer and Explanation

The Correct Answer is B

When providing preoperative teaching to a client over the phone in preparation for outpatient surgery, the nurse should explain the need for the client to have another adult drive them home following surgery. This is because the client may still be aﬀected by anesthesia and may not be able to safely operate a vehicle.

a. Asking the client to shower 3 times the day before surgery is not necessary and may dry out the skin.

c. The client should typically stop drinking clear liquids 2 hours before surgery, not 1 hour.

d. The client should not wear makeup during surgery as it can interfere with the monitoring of their skin color and oxygen saturation.

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Correct Answer is E

Explanation

The correct answer is that this situation represents false imprisonment. False imprisonment is the unlawful restraint of an individual's freedom of movement. In this case, the nurse placed the client in restraints without obtaining a prescription from the provider or following proper protocol, which constitutes false imprisonment.

Options a, b, c and d are not correct torts in this situation. Invasion of privacy, negligence, assault and battery are all legal terms that refer to diﬀerent types of wrongdoing, but they do not apply to this specific scenario.

A. Palpate the abdomen B. Administer an antiemetic. C. Oﬀer pain medication. D. Auscultate bowel sounds.

Correct Answer is D

Explanation

A. Palpate the abdomen: Palpating the abdomen before auscultating bowel sounds could potentially alter the findings by stimulating peristalsis or causing discomfort in the client, particularly in cases of appendicitis or other acute abdominal conditions.

B. Administer an antiemetic:A thorough assessment, including auscultation of bowel sounds, is needed first to rule out conditions like a bowel obstruction or paralytic ileus where antiemetics may be contraindicated.

C. Offer pain medication:Pain medication can mask symptoms and interfere with the nurse's or physician's ability to accurately assess the underlying cause of the client's symptoms, such as appendicitis.

D. Auscultate bowel sounds:Auscultating bowel sounds is the first action the nurse should take because it is a non-invasive assessment that can provide critical information. It helps determine if bowel sounds are present, hyperactive, hypoactive, or absent, which can guide further interventions and diagnostic steps.

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A nurse is providing preoperative teaching to a client over the phone in preparation for outpatient surgery. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

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