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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","E","F"]

Explanation

A: Nail polish should be removed as it can interfere with oxygen saturation monitoring during surgery.

B: Preoperative fasting reduces the risk of aspiration during anesthesia. Specific guidelines regarding fasting duration for solids and liquids should be provided.

C: Teaching the client how to operate a vital signs machine is not relevant.

D: Jewelry must be removed to reduce the risk of burns (from cautery) and interference with equipment.

E: Postoperative care information helps the client prepare for recovery and any potential needs after surgery, such as pain management or wound care.

F: Explaining the surgical procedure ensures informed consent and reduces anxiety by providing clarity about the process.

A. Assisting the client to remove the jewelry. B. Providing education to the client about the surgical procedure. C. Instruct the client on how to use an incentive spirometer. D. Being a witness to informed consent

Correct Answer is A

Explanation

A. Assisting the client to remove jewelry is within the UAP's scope of practice and does not require clinical judgment.

B. Providing education about a surgical procedure requires nursing knowledge and cannot be delegated.

C. Instructing the client on the use of an incentive spirometer is a teaching activity requiring an RN’s expertise.

D. Witnessing informed consent is a legal responsibility that must be performed by an RN.

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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

What type of procedural information should be given to a client in preparation for ambulatory surgery? (Select All that Apply)

Correct Answer is ["B","E","F"]

Explanation

A nurse is working in a preoperative unit. Which task is most appropriate to be delegated to unlicensed assistive personnel (UAP)?

Correct Answer is A

Explanation

Which is the priority intervention for the nurse to perform in the post anesthesia care unit (PACU)?

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse is caring for a client who reports experiencing oral itching and swelling after consuming bananas and kiwis. Which allergy should the nurse suspect the client is at risk for?

A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team?

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?

A nurse is scheduling an older client for a surgical clearance appointment. Which intervention is best to reduce the risk of drug interactions for the client?

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.)

A nurse is caring for a client who has provided informed consent in preparation for a procedure. The client states, "I have decided not to have the procedure." Which action should the nurse take?