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 A
Explanation
A. Place the client in a side-lying position: Positioning the client on their side is the priority because it helps maintain airway safety and prevents aspiration during oral care. This step must be done first before beginning the cleaning process.
B. Clean the client's mouth with foam swabs: Oral cleaning is important to reduce bacterial growth and maintain comfort, but it should only be performed after the client is positioned safely to avoid aspiration.
C. Position an emesis basin under the client's chin: The emesis basin helps catch secretions and cleaning solution, but this is a supportive measure that comes after ensuring the client’s airway protection through proper positioning.
D. Place a towel under the client's head: A towel provides comfort and helps keep linens dry, but it is a secondary measure. Airway protection through positioning always takes priority before comfort and cleanliness.
Correct Answer is A
Explanation
A. "Please use your glucometer and show me the results.": Asking the client to demonstrate their technique provides the nurse with direct observation of how the client performs the skill. This allows the nurse to assess for errors in preparation, technique, or interpretation and ensures the client can perform self-monitoring correctly in their own home environment.
B. "Please tell me how long you have been using this glucometer.": Knowing the duration of glucometer use may provide some background information, but it does not show whether the client has the correct technique.
C. "These blood glucose results you've written down do not seem correct.": Telling the client their documented results seem wrong may come across as judgmental and could discourage openness. It also does not provide a clear assessment of the client’s ability to use the glucometer properly.
D. "Let me show you how to use this glucometer, so you can see if this is how you've been using it.": Demonstrating the procedure yourself first may help teach, but it does not initially allow the nurse to evaluate how the client is actually performing the task.
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