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The nurse is providing preoperative teaching. The client states, "I'm so nervous about my surgery". What is the best response by the nurse?

"Take a deep breath and relax. Let's focus on a good outcome.”

"If you are nervous, maybe you aren't ready to do the procedure."

"Let's discuss your concerns and then your nervousness will stop."

“Would you like to discuss the concerns that you have?”

Answer and Explanation

The Correct Answer is D

A. While calming, this response does not acknowledge the client’s concerns.

B. This statement may discourage the client and increase anxiety.

C. This response is dismissive and assumes that discussing concerns will eliminate nervousness.

D. Encouraging the client to verbalize concerns fosters trust and allows the nurse to address specific fears.

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Correct Answer is ["B","C"]

Explanation

A. The presence of a cough is expected as a protective reflex and does not delay transfer.

B. The absence of a gag reflex increases the risk of aspiration, delaying safe transfer.

C. A respiratory rate of 6 breaths per minute indicates respiratory depression, which requires immediate intervention.

D. Urine output of 90 mL/hour is within the expected range and does not delay transfer.

E. A heart rate of 70 beats per minute is normal and not a contraindication for transfer.

F. Capillary refill less than 3 seconds is normal and does not delay the transfer.

A. increase the infusion rate of Midazolam B. Administer supplemental oxygen via nasal cannula C. Administer naloxone. D. Perform a thorough neurological assessment

Correct Answer is C

Explanation

A. Increasing the infusion would worsen respiratory depression.

B. Supplemental oxygen is supportive but does not address the cause of respiratory depression.

C. Midazolam can cause respiratory depression, and flumazenil (a benzodiazepine antagonist) is the antidote; however, if naloxone is available, it may reverse sedation quickly in emergency scenarios.

D. While neurological assessment is vital, it does not address the immediate issue of respiratory compromise.

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The nurse is providing preoperative teaching. The client states, "I'm so nervous about my surgery". What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

Correct Answer is ["B","C"]

Explanation

Correct Answer is C

Explanation

A nurse is caring for a client who has returned to the unit on a stretcher following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

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The nurse is providing preoperative teaching. The client states, "I'm so nervous about my surgery". What is the best response by the nurse?

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