A nurse is preparing a client for surgery and has just administered the preoperative injection.
Which of the following actions should the nurse take?

Take the client to the bathroom to void.

Ask the client to verify the surgical site.

Review deep breathing and coughing exercises.

Raise the side rails on the bed.

Answer and Explanation

The Correct Answer is D

A. Taking the client to the bathroom after administering a preoperative sedative increases the risk of falls.
B. Surgical site verification should be completed before administering the preoperative medication.
C. Teaching should be done before giving the medication, as the sedative may impair learning and recall.
D. Raising the side rails helps ensure client safety by preventing falls after the medication has been administered.

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Correct Answer is A

Explanation

A. A BMI of 20 falls within the healthy weight range for adults.

B. Malnutrition is characterized by a BMI below the healthy weight range and is typically associated with BMI values less than 18.5.

C. Overweight is characterized by a BMI between 25 and 29.9.

D. Obesity is characterized by a BMI of 30 or higher.

A. Use the injection port farthest from the IV catheter insertion site. B. Occlude the IV tubing above the injection port. C. Check for blood return after medication administration. D. Flush the IV tubing with a heparinized solution.

Correct Answer is B

Explanation

A. Using the injection port farthest from the IV catheter insertion site is not necessary for administering an IV bolus of medication and may not be practical depending on the setup of the IV tubing.

B. Occluding the IV tubing above the injection port prevents the bolus medication from flowing into the continuous IV infusion, ensuring that the medication is delivered directly to the patient.

C. Checking for blood return after medication administration is not relevant in this context, as albumin 5% is administered intravenously and does not require blood return.

D. Flushing the IV tubing with a heparinized solution is not necessary for administering an IV bolus of medication and may not be appropriate for all medications.

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A nurse is preparing a client for surgery and has just administered the preoperative injection. Which of the following actions should the nurse take?

Nursing Test Bank

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A nurse is preparing a client for surgery and has just administered the preoperative injection.
Which of the following actions should the nurse take?