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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Head of bed at 45 degrees with head and neck midline. Although the head of the bed at 45 degrees can be appropriate for some patients, it is not the best position to maintain a patent airway for a drowsy postoperative patient. This position can lead to airway obstruction, especially if the patient is drowsy.

B. Side lying. The side-lying position is the best choice for a patient who is drowsy and requires verbal stimulation to remain aroused. This position prevents aspiration and ensures that the airway remains patent by allowing any secretions or fluids to drain from the mouth. It is especially useful in the postoperative period to prevent airway obstruction.

C. Supine. The supine position is not ideal for a drowsy postoperative patient, as it can increase the risk of airway obstruction. The tongue may fall back and obstruct the airway, particularly if the patient is drowsy.

D. Head of bed at 30 degrees with head and neck midline. Although elevating the head of the bed at 30 degrees is common, it is not the best choice for a drowsy patient at risk for airway obstruction. Side-lying would be more effective in preventing aspiration and maintaining the airway.

A. nausea and vomiting. B. delayed healing C. anorexia. D. hydration issues.

Correct Answer is B

Explanation

A. Nausea and vomiting. Nausea and vomiting can occur after surgery due to anesthesia and other factors. However, it is more common in patients of all ages who undergo certain types of surgery. Though these groups may be more susceptible, this is not the most specific risk.

B. Delayed healing. Both very young and older adult patients are at higher risk for delayed healing. In the very young, the immune system and cell regeneration processes are still developing, while in older adults, decreased circulation, chronic conditions, and slower cellular regeneration can impair wound healing.

C. Anorexia. Anorexia is not specific to surgical patients. While appetite loss can occur postoperatively, it is not as universally problematic in young or older surgical patients as delayed healing.

D. Hydration issues. Hydration issues can occur in all patients, especially following surgery, but they are particularly critical for the very young (due to smaller body mass and high fluid turnover) and the elderly (due to decreased kidney function and total body water). However, this is not as universally prevalent as delayed healing.

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A patient is ready for discharge following same day surgery. The education plan for this patient includes:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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