A nurse is assisting with a preoperative teaching plan for a client. Which of the following actions should the nurse include in the plan?
Provide educational material written at an eighth-grade reading level
Ensure privacy for the client.
Start with the least important information.
Dim the lights in the client's room.
The Correct Answer is A
A. Provide educational material written at an eighth-grade reading level: This is correct. Health education materials should be written at a level that is easily understandable by the majority of patients. An eighth-grade reading level is often recommended to ensure that the information is accessible to a wide range of patients.
B. Ensure privacy for the client: This is also correct. Privacy is a fundamental right of all patients and is particularly important when discussing sensitive topics such as preoperative care. Ensuring privacy can help the patient feel more comfortable and facilitate open communication.
C. Start with the least important information: This is not recommended. When providing education, it’s generally best to start with the most important information. Patients may be anxious or overwhelmed, and they may not remember everything that is discussed. By starting with the most important information, you increase the chances that the patient will remember and understand the key points.
D. Dim the lights in the client’s room: While creating a comfortable environment is important, dimming the lights is not specifically related to preoperative teaching. The focus should be on providing clear, understandable information and addressing the patient’s questions and concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Let's calculate the rate for the IV infusion.
We are given:
Volume to be infused: 400 mL
Infusion time: 8 hours
Drop factor: 60 gtt/mL
We need to find the rate in gtt/min.
Here's how we can do it:
Convert hours to minutes: Since the rate is required in minutes, we need to convert the infusion time from hours to minutes. There are 60 minutes in 1 hour. Therefore, total infusion time in minutes = 8 hours x 60 minutes/hour = 480 minutes
Calculate total number of drips: We can find the total number of drips to be delivered by multiplying the volume (in mL) by the drop factor (gtt/mL). Total drips = Volume (mL) x Drop factor (gtt/mL) = 400 mL x 60 gtt/mL = 24000 gtt
Calculate drip rate (gtt/min): Finally, we can calculate the rate by dividing the total number of drips by the total infusion time in minutes. Rate (gtt/min) = Total drips (gtt) / Total time (minutes) = 24000 gtt / 480 minutes = 50 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver approximately 50 gtt/min.
Correct Answer is ["B","C","E"]
Explanation
(A) Decreased stimulation of the sympathetic nervous system (SNS): The sympathetic nervous system (SNS) plays a key role in regulating blood pressure. When the SNS is stimulated, it causes vasoconstriction, or narrowing of the blood vessels, which increases blood pressure. Therefore, decreased stimulation of the SNS would typically lead to vasodilation, or widening of the blood vessels, which would lower blood pressure, not increase it.
(B) Decreased elasticity of blood vessels: As people age, their blood vessels can lose elasticity, which can lead to hypertension. When blood vessels are elastic, they can easily expand and contract with each heartbeat, maintaining a healthy blood pressure. But when they become stiff or rigid, they can’t expand as easily, causing the pressure inside to increase.
(c) Increased peripheral vascular resistance (PVR): Peripheral vascular resistance is the resistance that blood must overcome to flow through the blood vessels. The more resistance, the harder the heart has to work to pump blood through the body, which can lead to increased blood pressure. Factors that can increase PVR include vasoconstriction, or narrowing of the blood vessels, and increased blood viscosity, or thickness.
(D) Decreased fluid volume: Decreased fluid volume, or hypovolemia, would typically lead to a decrease in blood pressure, not an increase. This is because blood pressure is directly related to the volume of blood in the blood vessels. When there’s less blood, the pressure inside the blood vessels is usually lower.
(E) Increased blood viscosity: Blood viscosity refers to the thickness of the blood. When blood is thicker, it’s harder for it to flow through the blood vessels, which increases the resistance to blood flow, leading to increased blood pressure.
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