A patient who had surgery earlier in the day using general anesthesia asks whether he can have something to eat. The diet order indicates clear liquids can be taken. Before giving a Jell O to the patient, the nurse should check for the presence of:
palpable peripheral pulses.
clear lung sounds.
adequate urinary drainage.
bowel sounds in all quadrants.
The Correct Answer is D
A. Palpable peripheral pulses. Palpable pulses are important for circulatory assessment but are not relevant in determining whether the patient can eat after surgery.
B. Clear lung sounds. Clear lung sounds are important for respiratory status, but they are not the primary factor in determining whether a patient can start clear liquids.
C. Adequate urinary drainage. Urinary drainage is important for monitoring kidney function postoperatively but is not a primary factor in whether a patient can eat clear liquids.
D. Bowel sounds in all quadrants. The presence of bowel sounds indicates that the gastrointestinal system is functioning well enough to begin processing liquids, making this an important assessment before offering fluids or food.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 2 to 6 hours. Patients undergoing same-day surgery are usually monitored in the recovery area (post-anesthesia care unit, or PACU) for about 2 to 6 hours. The exact duration depends on factors such as the type of surgery, anesthesia used, the patient's ability to wake up, pain control, and vital sign stability. Once the patient meets specific discharge criteria, they can be sent home.
B. 5 to 6 hours. This is an overestimate for most same-day surgeries. Most patients will remain in recovery for a much shorter period.
C. 30 to 60 minutes. This is too short for most cases, as patients usually need additional time to stabilize after anesthesia.
D. 6 to 8 hours. This is too long for most same-day surgeries, as patients are generally discharged much sooner after recovery unless there are complications.
Correct Answer is D
Explanation
A. Circulating nurse: The circulating nurse does not obtain the surgical consent. Their role is to assist in the operating room by managing supplies, documentation, and ensuring the safety of the environment.
B. Admitting department: The admitting department is involved in the patient’s admission process but does not obtain surgical consent.
C. Scrub tech: The scrub tech assists during surgery but does not obtain surgical consent. Their role is focused on sterile technique and assisting with instruments.
D. Surgeon: The surgeon is the one responsible for obtaining the patient's informed consent for surgery, ensuring that the patient understands the procedure, risks, and benefits.
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