A nurse is reinforcing preoperative teaching with a client who is to undergo a bowel resection at 1300 next week. Which of the following statements client indicates to the nurse a need for further teaching?
"I will take my warfarin with a glass of water the night before my surgery."
"I understand what risks I can expect with this surgery."
"I will take time to relax if i get nervous the night before surgery."
"I will have a glass of water the morning of my surgery."
The Correct Answer is A
A. "I will take my warfarin with a glass of water the night before my surgery":
This statement indicates a need for further teaching. Warfarin is an anticoagulant medication, and it should typically be discontinued or adjusted before surgery to reduce the risk of excessive bleeding. Taking it the night before surgery could increase the risk of bleeding during the procedure.
B. "I understand what risks I can expect with this surgery":
This statement suggests that the client has received information about the risks associated with the surgery, which is an essential component of preoperative education. There is no indication for further teaching based on this statement.
C. "I will take time to relax if I get nervous the night before surgery":
This statement demonstrates the client's awareness of the importance of managing stress and anxiety before surgery, which is a positive coping strategy. There is no need for further teaching based on this statement.
D. "I will have a glass of water the morning of my surgery":
This statement is generally acceptable. Clear fluids may be allowed up to a certain time before surgery, depending on the facility's protocol. However, specific instructions regarding fasting before surgery should be clarified with the healthcare provider or surgical team to ensure adherence to preoperative guidelines.
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Related Questions
Correct Answer is B
Explanation
A. Increase in postoperative pain: Preoperative teaching typically includes information about pain management strategies, which should help to reduce, not increase, postoperative pain.
B. Reduced postoperative anxiety: This is correct. One of the key benefits of preoperative education is reduced anxiety. By understanding what to expect before, during, and after surgery, patients are often less anxious about the procedure.
C. Reduced postoperative respiratory function: Preoperative teaching usually includes instructions on deep breathing and coughing exercises to help prevent respiratory complications after surgery. Therefore, it should improve, not reduce, postoperative respiratory function.
D. Increased length of postoperative care in the health care facility: Preoperative education has been shown to reduce the length of hospital stay. By better understanding their surgery and postoperative care, patients are often able to recover more quickly and leave the hospital sooner
Correct Answer is ["2"]
Explanation
To find out how many aspirin tablets the nurse should administer, we can divide the prescribed dosage by the amount of aspirin per tablet:
Dosage m prescribed: 650 mg
Amount of aspirin per tablet: 325 mg/tablet
Number of tablets = Dosage prescribed / Amount of aspirin per tablet
Number of tablets = 650 mg / 325 mg/tablet = 2 (rounded to the nearest whole number)
Therefore, the nurse should administer 2 tablets.
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