The nurse is caring for a patient undergoing surgery with the nursing diagnosis of deficient knowledge related to lack of previous surgical experience. Which nursing intervention is appropriate? (Select all that apply.)
Tell them everything will be okay.
Include family members in teaching.
Identify knowledge deficiencies.
Provide the patient with written and verbal materials.
Determine the patient's anxiety levels.
Document patient understanding and teaching provided.
Correct Answer : B,C,D,E,F
Choice A reason: Telling the patient everything will be okay is not an appropriate intervention as it does not address the specific educational needs related to their knowledge deficit.
Choice B reason: Including family members in teaching can provide additional support and help reinforce the information provided to the patient.
Choice C reason: Identifying knowledge deficiencies is essential to tailor the education to the patient's specific needs.
Choice D reason: Providing written and verbal materials can help the patient understand and remember the information about their surgery and care.
Choice E reason: Determining the patient's anxiety levels can help the nurse address any concerns or fears that may affect their learning.
Choice F reason: Documenting patient understanding and teaching provided is important for continuity of care and to ensure that the patient has received and understood the necessary information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This question assesses abstract thinking and judgment by asking the client to consider a hypothetical situation and propose a solution.
Choice B reason: Asking about the city of birth is a fact-based question and does not assess abstract thinking or judgment.
Choice C reason: Inquiring about breakfast is a recall question and does not evaluate abstract thinking or judgment.
Choice D reason: Asking who the president is tests knowledge of current events, not abstract thinking or judgment.
Correct Answer is A
Explanation
Choice A reason: Coughing and deep breathing exercises after surgery are encouraged to prevent atelectasis, which is the collapse of part or (less commonly) all of a lung.
Choice B reason: Induction is not a postoperative complication; it refers to the process of initiating anesthesia.
Choice C reason: Hypothermia is a condition of abnormally low body temperature, not directly prevented by coughing and deep breathing.
Choice D reason: Hematoma, a collection of blood outside of blood vessels, is not prevented by coughing and deep breathing exercises.
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