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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

(A) Limit the client’s visitors to one at a time: While it’s important to maintain a peaceful environment for the client, limiting visitors may not be necessary unless the client’s condition is being negatively affected by too many visitors or if there are restrictions due to infection control.

(B) Avoid touching the client: Touch can be a powerful form of communication, especially when a client is unresponsive. Gentle touch can convey caring and presence, so avoiding touch is not typically recommended unless there’s a specific reason to do so (like if the client is in pain).

(C) Continue to talk to the client as if they are alive: This is the most appropriate answer. Even if a client is unresponsive, they may still be able to hear and understand. Continuing to talk to the client can provide comfort and reassurance.

(D) Whisper when talking in the client’s room: Whispering is not necessary and can even be confusing or distressing for the client. It’s better to speak in a normal, calm, and reassuring voice.

A. Atropine B. Verapamil C. Digoxin D. Carvedilol

Correct Answer is A

Explanation

A) Atropine:
Atropine is a medication used to increase heart rate. It acts by blocking the parasympathetic nervous system, leading to increased heart rate. It is commonly used to treat bradycardia, which is characterized by a heart rate less than 60 beats per minute. In this scenario, with the client's apical heart rate at 49/min, indicating bradycardia, the nurse should prepare to administer atropine to increase the heart rate.

B) Verapamil:
Verapamil is a calcium channel blocker that can decrease heart rate. It is used to treat various cardiac conditions, but it is not appropriate for a client with bradycardia, as it would further lower the heart rate.

C) Digoxin:
Digoxin is a medication used to treat heart failure and certain arrhythmias, but it does not directly increase heart rate. In fact, it can exacerbate bradycardia in some cases.

D) Carvedilol:
Carvedilol is a beta-blocker that can decrease heart rate. It is used to treat hypertension, heart failure, and other cardiovascular conditions, but it is not appropriate for a client with bradycardia, as it would further lower the heart rate.

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A nurse is assisting with a preoperative teaching plan for a client. Which of the following actions should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

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