A patient is ready for discharge following same day surgery. The education plan for this patient includes:
that vomiting might be an expected symptom.
limiting wine intake for 12 hours.
not driving or making important decisions for 24 hours.
reporting temperatures greater than 99° F.
The Correct Answer is C
A. That vomiting might be an expected symptom. Vomiting can occur post-surgery, particularly if anesthesia was used, but this is not an expected or desired symptom. The education plan should focus on advising the patient about managing nausea if it occurs, rather than presenting vomiting as an expected outcome.
B. Limiting wine intake for 12 hours. Alcohol intake should be avoided after surgery, but the specific restriction may vary depending on the procedure and type of anesthesia used. The recommendation is usually to avoid alcohol for at least 24 hours, not just 12 hours. Therefore, this is not an ideal choice for the education plan.
C. Not driving or making important decisions for 24 hours. After same-day surgery, the effects of anesthesia can last for several hours, impairing the patient's cognitive and motor abilities. It is important to educate the patient to avoid driving or making significant decisions for at least 24 hours after surgery to prevent accidents and errors.
D. Reporting temperatures greater than 99°F. A temperature greater than 99°F may not be a significant concern post-surgery. Generally, a fever above 100.4°F (38°C) would be more concerning. The patient should be instructed to report a higher fever, but a temperature of 99°F alone is usually not an alarming sign.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Gather an emesis basin, tissues, and a small towel. Nausea and vomiting are common postoperative effects; having supplies ready helps with patient comfort.
B. Lower the bed for easy transfer of the patient. Lowering the bed facilitates a safe and smooth transfer from the stretcher to the bed.
C. Place an IV pole at the head of the bed. The IV should be positioned for easy access and monitoring.
D. Fan fold the sheets on the near side of the bed. Fan folding the sheets makes it easier to transfer the patient into bed without unnecessary movement.
E. Collect extra dressing supplies and place them on the bedside table. Dressing supplies should be kept sterile and only opened when needed to prevent contamination.
Correct Answer is ["B","C","D"]
Explanation
A. To achieve fast-acting pain relief, administer analgesics PO. Oral (PO) medications may not provide rapid pain relief, particularly postoperatively. IV or other forms of analgesia are preferred for fast-acting relief.
B. Consider the client's individual expression of pain. Pain is subjective, and the nurse should consider each patient’s unique expression of pain to provide appropriate pain management.
C. Expect the client to express his pain both verbally and nonverbally. Patients may express pain verbally or nonverbally, such as through facial expressions or body movements. The nurse must be attentive to both forms of expression.
D. Use a scale from 0 to 10 to monitor the severity of the client's pain. The 0 to 10 pain scale is a common and effective tool for assessing the severity of a patient's pain, allowing for appropriate intervention.
E. Administer opioids with caution because they will eventually lead to addiction. While opioids should be used cautiously, the focus should be on appropriate and safe pain management. Addiction is not an immediate concern for postoperative patients who require short-term use.
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