A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?

Distract the client by giving him reading material.

Suggest that he take a walk around the unit.

Ask him to describe his concerns.

Refer him to the spiritual care team.

Answer and Explanation

The Correct Answer is C

A. Distract the client by giving him reading material. Distraction may not address the underlying anxiety and could delay processing the client's concerns about the surgery.

B. Suggest that he take a walk around the unit. While walking can help with anxiety in some patients, it does not directly address the client's expressed concern about the surgery itself.

C. Ask him to describe his concerns. The nurse should acknowledge the patient's feelings by encouraging them to express their concerns. This helps reduce anxiety and provides valuable information for further support.

D. Refer him to the spiritual care team. While spiritual care may be beneficial later, it’s essential to first address the patient’s immediate concerns before referring them to other services.

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Correct Answer is C

Explanation

A. Ease the stiffness from being on the operating table. While leg exercises can help relieve stiffness, their primary purpose is not to address the stiffness from surgery but to improve circulation and prevent complications.

B. Decrease pain from immobile extremities. Leg exercises may reduce discomfort associated with immobility, but the main goal is to prevent complications such as blood clots or deep vein thrombosis (DVT).

C. Increase venous return and decrease stasis. Leg exercises are primarily aimed at improving venous return to the heart and reducing the risk of stasis, which can lead to complications like DVT.

D. Increase activity to help prevent atelectasis. While increasing activity is important for overall recovery, leg exercises are more focused on circulation and preventing blood clots, not directly preventing atelectasis (a condition where the lungs partially collapse).

A. preparing the sterile field. B. pointing out the observation of contamination immediately to the personnel involved. C. assisting with sterile draping of the patient. D. maintaining an accurate count of sponges.

Correct Answer is B

Explanation

A. Preparing the sterile field. This is the responsibility of the scrub person, not the circulating nurse. The circulating nurse is responsible for ensuring everything is in place and the environment is safe, but the sterile field is prepared by the scrub person.

B. Pointing out the observation of contamination immediately to the personnel involved. The circulating nurse is responsible for monitoring the sterile field and surgical environment and immediately pointing out any breaches in sterile technique or contamination to ensure patient safety.

C. Assisting with sterile draping of the patient. The scrub person usually assists with draping the patient in a sterile manner. The circulating nurse may provide the necessary sterile drapes but does not typically assist with the draping procedure directly.

D. Maintaining an accurate count of sponges. The responsibility for counting sponges, instruments, and other items used during the surgery belongs to the scrub person, not the circulating nurse.

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A nurse is caring for a client who is scheduled to undergo abdominal surgery and tells the nurse that he is very anxious about the operation. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing patient education regarding leg exercises, the nurse would explain that the purpose of the exercises is to

Correct Answer is C

Explanation

The circulating nurse is responsible for:

Correct Answer is B

Explanation

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