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

The client does not need to remove their nail polish.

Instructions for preoperative fasting.

How to operate the vital signs machine.

Jewelry does not need to be removed before the procedure.

Information about postoperative care

information about the surgical procedure

Answer and Explanation

Correct Answer : B,E,F

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.

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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.

Correct Answer is ["0.3"]

Explanation

Volume= dose/concentration

= 50/200 = 0.25 mL

= 0.3 mL (rounded off to the nearest tenth)

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

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

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.)

Correct Answer is ["0.3"]

Explanation

A nurse is caring for a client experiencing malignant hyperthermia. Which intervention(s) is/are appropriate for this client? [Select All That Apply]

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?

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A nurse is educating a client on patient-controlled analgesia (PCA) pump. Which statement made by the client is correct?

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

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?

During a pre-surgical admission assessment, a client states. "I've told my surgeon that I am Jehovah's Witness and I won't accept a blood transfusion." Which statement by the nurse would be most appropriate?

A client is receiving diazepam prior to a procedure. Which side effect should the nurse be most concerned about?