Which of the following is a potential consequence of consuming alcohol prior to an outpatient surgical procedure involving anesthesia?

Increased risk of bleeding during the procedure.

Decreased risk of postoperative infection.

Enhanced effectiveness of anesthesia.

Reduced risk of postoperative nausea and vomiting.

Answer and Explanation

The Correct Answer is A

A.   Alcohol can affect blood clotting mechanisms and increase the risk of bleeding. Chronic alcohol consumption is associated with liver dysfunction, which impairs the production of clotting factors, leading to an increased risk of bleeding during and after surgery.
B.   Alcohol consumption does not decrease the risk of postoperative infection. In fact, alcohol use, especially if it’s chronic, can impair the immune system and delay wound healing, potentially increasing the risk of postoperative infections.
C.   Alcohol does not enhance the effectiveness of anesthesia; rather, it can complicate anesthesia management. Alcohol can interact with anesthetic agents, potentially altering their effects, leading to unpredictable outcomes.
D.   Alcohol does not reduce the risk of postoperative nausea and vomiting (PONV). In fact, alcohol use can exacerbate nausea and vomiting, particularly when combined with anesthetic agents.

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Correct Answer is ["A","C","E"]

Explanation

A. Checking the cannula regularly helps to to ensure proper positioning and comfort.
B. Applying petroleum ointment to nares is not recommended; use water-based products instead.
C. Checking the tops of the ears for skin breakdown helps to prevent and address potential skin issues.
D. The oxygen flow rate should be monitored according to the healthcare provider's instructions, not just every other day, to make sure the prescribed amount is being received
E. A "no smoking" signs essential for safety due to the flammability of oxygen.

A. "You should be flat on your back when you perform purse-lipped breathing" B. "You should inhale through your nose and exhale through your mouth during purse-lipped breathing." C. Your inspiration should be longer than expiration during purse-lipped breathing" D. "You should cough forcefully during exhalation when you are purse-lipped breathing"

Correct Answer is B

Explanation

A. Pursed-lip breathing does not require a specific body position, but it is often more comfortable and effective when the patient is in a semi-Fowler’s position (elevated head of the bed) or sitting upright. Being flat on the back might actually make breathing more difficult for some patients with COPD.
B. The technique involves inhaling slowly through the nose and exhaling through pursed lips, which creates a slight resistance during expiration. This helps to keep the airways open longer, reduce airway collapse, and improve oxygen exchange. Proper inhalation and exhalation technique are key components of effective pursed-lip breathing.
C. In pursed-lip breathing, expiration should be longer than inspiration. The recommended pattern is to inhale slowly through the nose for about 2 counts and then exhale slowly through pursed lips for about 4 counts. The extended expiration phase helps to remove trapped air from the lungs and improves overall ventilation.
D. Coughing forcefully is not a part of pursed-lip breathing. Pursed-lip breathing focuses on controlled breathing to improve airflow and ease breathing. Coughing can be done separately if needed, but it is not a component of the pursed-lip breathing technique.

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Which of the following is a potential consequence of consuming alcohol prior to an outpatient surgical procedure involving anesthesia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is teaching a client who has COPD about purse-lipped breathing. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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