A nurse is evaluating preoperative teaching with a client who is to undergo surgery with general anesthesia. Which of the following statements by the client indicates an understanding of the teaching?
"I can leave my contact lenses in place during surgery."
"I will pull my hair back with a hair clip before applying the surgical cap."
"I should remove nail polish from my fingers before surgery."
"I can keep my eye makeup on during surgery."
The Correct Answer is C
A. "I can leave my contact lenses in place during surgery.": Contact lenses must be removed before general anesthesia because they can cause corneal irritation or injury. Additionally, dry eyes during anesthesia increase the risk of corneal damage if lenses are left in place.
B. "I will pull my hair back with a hair clip before applying the surgical cap.": Hair clips and pins are not permitted in the operating room because they may pose a risk of injury, interfere with surgical positioning, or be a source of contamination under the cap.
C. "I should remove nail polish from my fingers before surgery.": Removing nail polish is essential because it allows accurate monitoring of oxygen saturation with a pulse oximeter. Nail polish can block or distort light transmission, leading to inaccurate readings.
D. "I can keep my eye makeup on during surgery.": Eye makeup should not be worn because particles can enter the eye during anesthesia and cause irritation or infection. Additionally, makeup can interfere with the sterile environment of the operating room.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Client's present condition: The present condition is part of the “situation” portion of SBAR, describing why the nurse is contacting the provider. It is not included in the background section.
B. Questions for the provider regarding client care: Questions or recommendations are included in the “recommendation” portion of SBAR, not the background. They indicate what the nurse is requesting or suggesting for the client’s care.
C. Physical findings: Physical assessment data are reported in the “assessment” section of SBAR, providing objective information about the client’s current status rather than historical context.
D. Previous treatments: Previous treatments, medical history, and relevant background information are included in the “background” section. This information gives the provider context about the client’s condition and prior interventions.
Correct Answer is B
Explanation
A. "You shouldn't be concerned because the pump is very easy to use.": This dismisses the client’s concerns and minimizes their feelings. It does not provide an opportunity for the client to express specific worries or receive education.
B. "We can talk more about your worries regarding your pump if you'd like.": This response acknowledges the client’s concerns and invites further discussion. It promotes trust, encourages open communication, and allows the nurse to provide clarification or teaching.
C. "We use these pumps all the time after surgery, and they work great.": While intended to reassure, this response generalizes and fails to address the client’s individual concerns. It may leave the client feeling unheard or invalidated.
D. "Your provider wouldn't prescribe this pump if it wasn't the best option for you.": This shifts responsibility to the provider and avoids addressing the client’s immediate concerns. It does not promote patient-centered communication or therapeutic interaction.
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