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 C
Explanation
A) Justice:
The principle of justice refers to the fair and equitable distribution of resources and the fair treatment of individuals. While it is an important ethical principle in healthcare, it does not specifically address the concept of avoiding harm to the client.
B) Fidelity:
Fidelity, also known as loyalty or faithfulness, relates to the obligation of healthcare professionals to be faithful to the commitments and promises they make to their clients. While fidelity is important for building trust and maintaining professional relationships, it does not directly address the concept of avoiding harm.
C) Non-maleficence:
Non-maleficence is the ethical principle that refers to the duty to do no harm. It emphasizes the obligation to protect clients from harm by ensuring that no unnecessary or unjustified harm is inflicted. In the context of healthcare, non-maleficence guides healthcare professionals to prioritize the safety and well-being of their clients, avoiding actions or interventions that may cause harm. This is the correct choice.
D) Beneficence:
Beneficence is the ethical principle that emphasizes the duty to do good and promote the well-being of others. While it is related to the concept of providing positive benefits to clients, it does not specifically focus on the avoidance of harm.
Correct Answer is C
Explanation
A. Verify that the client's valuables have been secured:
While securing the client's valuables is important for their safety and security during hospitalization, it does not directly address the prevention of postoperative complications.
B. Discuss a discharge date with the client:
Discussing a discharge date is part of discharge planning but does not directly address the prevention of postoperative complications.
C. Inform the client about the need for sequential compression devices:
Sequential compression devices (SCDs) are mechanical devices that help prevent venous stasis and deep vein thrombosis (DVT) by promoting circulation in the lower extremities. They are commonly used in surgical patients to reduce the risk of blood clots and related complications.
D. Review the facility's visitation policy with the client and family:
Reviewing the facility's visitation policy is important for ensuring that the client and family understand the rules and regulations regarding visitors. While visitor policies contribute to the overall well-being of the client during their hospital stay, they do not directly address the prevention of postoperative complications like the use of sequential compression devices does.
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